Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

C-QUR V-PATCH SML RND 4.3CM

Facility

$1,757.50

Hospital Charge Code	270653389
Hospital Revenue Code	278
Min. Negotiated Rate	$263.62
Max. Negotiated Rate	$425.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$351.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$425.31
Rate for Payer: Qualcare PPO/HMO/WC	$263.62

CRAB IGE

Facility

$390.00

Service Code	HCPCS 86003
Hospital Charge Code	401186003D
Hospital Revenue Code	302
Min. Negotiated Rate	$4.18
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$14.20
Rate for Payer: Aetna Medicare Advantage	$16.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$33.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.94
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$5.22
Rate for Payer: Clover Medicare Advantage	$4.96
Rate for Payer: EmblemHealth Commercial	$15.66
Rate for Payer: Humana Medicare Advantage	$5.38
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$5.22
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	$4.18
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.22
Rate for Payer: Wellcare Medicare Advantage	$5.22
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

CRAB IGE

Facility

$390.00

Service Code	HCPCS 86003
Hospital Charge Code	401186003D
Hospital Revenue Code	302
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

CRANIAL ACCESS KIT W/O DRUG

Facility

$1,530.00

Hospital Charge Code	270667197
Hospital Revenue Code	272
Min. Negotiated Rate	$43.45
Max. Negotiated Rate	$765.00
Rate for Payer: Aetna Commercial	$581.40
Rate for Payer: Aetna Medicare Advantage	$459.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$390.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$390.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$390.15
Rate for Payer: Cigna Commercial	$765.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$397.80
Rate for Payer: Oxford Commercial	$306.00
Rate for Payer: Qualcare PPO/HMO/WC	$229.50
Rate for Payer: UnitedHealthcare Commercial	$306.00
Rate for Payer: UnitedHealthcare Community & State	$48.35
Rate for Payer: Wellpoint Medicaid Managed Care	$43.45

CRANIAL ACCESS KIT W/O DRUG

Facility

$1,530.00

Hospital Charge Code	270667197
Hospital Revenue Code	272
Min. Negotiated Rate	$229.50
Max. Negotiated Rate	$229.50
Rate for Payer: Qualcare PPO/HMO/WC	$229.50

CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC

Facility

$70,150.17

Service Code	MSDRG 073
Min. Negotiated Rate	$21,359.83
Max. Negotiated Rate	$70,150.17
Rate for Payer: Aetna Medicare Advantage	$70,150.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41,834.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41,834.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$22,484.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41,834.55
Rate for Payer: Cigna Commercial	$35,764.66
Rate for Payer: Cigna Medicare Advantage	$22,484.03
Rate for Payer: Clover Medicare Advantage	$21,359.83
Rate for Payer: EmblemHealth Commercial	$67,452.09
Rate for Payer: Humana Medicare Advantage	$23,158.55
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$22,484.03
Rate for Payer: Oxford Commercial	$28,267.77
Rate for Payer: UnitedHealthcare Commercial	$37,837.42
Rate for Payer: UnitedHealthcare Medicare Advantage	$22,484.03
Rate for Payer: Wellcare Medicare Advantage	$22,484.03

CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC

Facility

$52,031.30

Service Code	MSDRG 074
Min. Negotiated Rate	$15,842.86
Max. Negotiated Rate	$52,031.30
Rate for Payer: Aetna Medicare Advantage	$52,031.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28,536.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28,536.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$16,676.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28,536.15
Rate for Payer: Cigna Commercial	$22,979.62
Rate for Payer: Cigna Medicare Advantage	$16,676.70
Rate for Payer: Clover Medicare Advantage	$15,842.86
Rate for Payer: EmblemHealth Commercial	$50,030.10
Rate for Payer: Humana Medicare Advantage	$17,177.00
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$16,676.70
Rate for Payer: Oxford Commercial	$18,162.70
Rate for Payer: UnitedHealthcare Commercial	$24,311.42
Rate for Payer: UnitedHealthcare Medicare Advantage	$16,676.70
Rate for Payer: Wellcare Medicare Advantage	$16,676.70

CRANIAL TONGS/ST FRAME

Facility

$5,332.00

Service Code	HCPCS 20660
Hospital Charge Code	1600000683
Hospital Revenue Code	360
Min. Negotiated Rate	$799.80
Max. Negotiated Rate	$799.80
Rate for Payer: Qualcare PPO/HMO/WC	$799.80

CRANIAL TONGS/ST FRAME

Facility

$5,332.00

Service Code	HCPCS 20660
Hospital Charge Code	1600000683
Hospital Revenue Code	360
Min. Negotiated Rate	$168.49
Max. Negotiated Rate	$6,929.76
Rate for Payer: Aetna Commercial	$5,196.12
Rate for Payer: Aetna Medicare Advantage	$6,189.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,929.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,929.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$1,910.34
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	$6,929.76
Rate for Payer: Cigna Commercial	$3,829.26
Rate for Payer: Cigna Medicare Advantage	$1,910.34
Rate for Payer: Clover Medicare Advantage	$1,814.82
Rate for Payer: EmblemHealth Commercial	$5,731.02
Rate for Payer: Humana Medicare Advantage	$1,967.65
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$1,910.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,386.32
Rate for Payer: Oxford Commercial	$5,018.00
Rate for Payer: Qualcare PPO/HMO/WC	$799.80
Rate for Payer: UnitedHealthcare Commercial	$5,347.00
Rate for Payer: UnitedHealthcare Community & State	$168.49
Rate for Payer: UnitedHealthcare Medicare Advantage	$1,910.34
Rate for Payer: Wellcare Medicare Advantage	$1,910.34
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$4,404.80
Rate for Payer: Wellpoint Medicaid Managed Care	$4,318.43

CRANIOFIX TITANIUM CLAMP 16MM

Facility

$360.48

Hospital Charge Code	270654481
Hospital Revenue Code	272
Min. Negotiated Rate	$54.07
Max. Negotiated Rate	$54.07
Rate for Payer: Qualcare PPO/HMO/WC	$54.07

CRANIOFIX TITANIUM CLAMP 16MM

Facility

$360.48

Hospital Charge Code	270654481
Hospital Revenue Code	272
Min. Negotiated Rate	$10.24
Max. Negotiated Rate	$180.24
Rate for Payer: Aetna Commercial	$136.98
Rate for Payer: Aetna Medicare Advantage	$108.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$91.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$91.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$91.92
Rate for Payer: Cigna Commercial	$180.24
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$93.72
Rate for Payer: Oxford Commercial	$72.10
Rate for Payer: Qualcare PPO/HMO/WC	$54.07
Rate for Payer: UnitedHealthcare Commercial	$72.10
Rate for Payer: UnitedHealthcare Community & State	$11.39
Rate for Payer: Wellpoint Medicaid Managed Care	$10.24

CRANIOPLASTIC KIT

Facility

$1,402.00

Hospital Charge Code	270335529
Hospital Revenue Code	272
Min. Negotiated Rate	$210.30
Max. Negotiated Rate	$210.30
Rate for Payer: Qualcare PPO/HMO/WC	$210.30

CRANIOPLASTIC KIT

Facility

$1,402.00

Hospital Charge Code	270335575
Hospital Revenue Code	272
Min. Negotiated Rate	$210.30
Max. Negotiated Rate	$210.30
Rate for Payer: Qualcare PPO/HMO/WC	$210.30

CRANIOPLASTIC KIT

Facility

$1,402.00

Hospital Charge Code	270335529
Hospital Revenue Code	272
Min. Negotiated Rate	$39.82
Max. Negotiated Rate	$701.00
Rate for Payer: Aetna Commercial	$532.76
Rate for Payer: Aetna Medicare Advantage	$420.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$357.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$357.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$357.51
Rate for Payer: Cigna Commercial	$701.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$364.52
Rate for Payer: Oxford Commercial	$280.40
Rate for Payer: Qualcare PPO/HMO/WC	$210.30
Rate for Payer: UnitedHealthcare Commercial	$280.40
Rate for Payer: UnitedHealthcare Community & State	$44.30
Rate for Payer: Wellpoint Medicaid Managed Care	$39.82

CRANIOPLASTIC KIT

Facility

$1,402.00

Hospital Charge Code	270335575
Hospital Revenue Code	272
Min. Negotiated Rate	$39.82
Max. Negotiated Rate	$701.00
Rate for Payer: Aetna Commercial	$532.76
Rate for Payer: Aetna Medicare Advantage	$420.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$357.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$357.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$357.51
Rate for Payer: Cigna Commercial	$701.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$364.52
Rate for Payer: Oxford Commercial	$280.40
Rate for Payer: Qualcare PPO/HMO/WC	$210.30
Rate for Payer: UnitedHealthcare Commercial	$280.40
Rate for Payer: UnitedHealthcare Community & State	$44.30
Rate for Payer: Wellpoint Medicaid Managed Care	$39.82

CRANIO SHEET

Facility

$87.00

Hospital Charge Code	270335604
Hospital Revenue Code	272
Min. Negotiated Rate	$2.47
Max. Negotiated Rate	$43.50
Rate for Payer: Aetna Commercial	$33.06
Rate for Payer: Aetna Medicare Advantage	$26.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.18
Rate for Payer: Cigna Commercial	$43.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.62
Rate for Payer: Oxford Commercial	$17.40
Rate for Payer: Qualcare PPO/HMO/WC	$13.05
Rate for Payer: UnitedHealthcare Commercial	$17.40
Rate for Payer: UnitedHealthcare Community & State	$2.75
Rate for Payer: Wellpoint Medicaid Managed Care	$2.47

CRANIO SHEET

Facility

$87.00

Hospital Charge Code	270335604
Hospital Revenue Code	272
Min. Negotiated Rate	$13.05
Max. Negotiated Rate	$13.05
Rate for Payer: Qualcare PPO/HMO/WC	$13.05

CRANIOTOME ADULT 3CR MEDNEXT

Facility

$186.00

Hospital Charge Code	270335590
Hospital Revenue Code	272
Min. Negotiated Rate	$5.28
Max. Negotiated Rate	$93.00
Rate for Payer: Aetna Commercial	$70.68
Rate for Payer: Aetna Medicare Advantage	$55.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47.43
Rate for Payer: Cigna Commercial	$93.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.36
Rate for Payer: Oxford Commercial	$37.20
Rate for Payer: Qualcare PPO/HMO/WC	$27.90
Rate for Payer: UnitedHealthcare Commercial	$37.20
Rate for Payer: UnitedHealthcare Community & State	$5.88
Rate for Payer: Wellpoint Medicaid Managed Care	$5.28

CRANIOTOME ADULT 3CR MEDNEXT

Facility

$186.00

Hospital Charge Code	270335590
Hospital Revenue Code	272
Min. Negotiated Rate	$27.90
Max. Negotiated Rate	$27.90
Rate for Payer: Qualcare PPO/HMO/WC	$27.90

CRANIOTOME BUR PED 2CR MEDNEXT

Facility

$180.00

Hospital Charge Code	270335589
Hospital Revenue Code	272
Min. Negotiated Rate	$5.11
Max. Negotiated Rate	$90.00
Rate for Payer: Aetna Commercial	$68.40
Rate for Payer: Aetna Medicare Advantage	$54.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$45.90
Rate for Payer: Cigna Commercial	$90.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.80
Rate for Payer: Oxford Commercial	$36.00
Rate for Payer: Qualcare PPO/HMO/WC	$27.00
Rate for Payer: UnitedHealthcare Commercial	$36.00
Rate for Payer: UnitedHealthcare Community & State	$5.69
Rate for Payer: Wellpoint Medicaid Managed Care	$5.11

CRANIOTOME BUR PED 2CR MEDNEXT

Facility

$180.00

Hospital Charge Code	270335589
Hospital Revenue Code	272
Min. Negotiated Rate	$27.00
Max. Negotiated Rate	$27.00
Rate for Payer: Qualcare PPO/HMO/WC	$27.00

CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC

Facility

$117,695.32

Service Code	MSDRG 026
Min. Negotiated Rate	$35,836.72
Max. Negotiated Rate	$117,695.32
Rate for Payer: Aetna Medicare Advantage	$117,695.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$81,729.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$81,729.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$37,722.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$81,729.75
Rate for Payer: Cigna Commercial	$69,313.40
Rate for Payer: Cigna Medicare Advantage	$37,722.86
Rate for Payer: Clover Medicare Advantage	$35,836.72
Rate for Payer: EmblemHealth Commercial	$113,168.58
Rate for Payer: Humana Medicare Advantage	$38,854.55
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$37,722.86
Rate for Payer: Oxford Commercial	$54,784.10
Rate for Payer: UnitedHealthcare Commercial	$73,330.48
Rate for Payer: UnitedHealthcare Medicare Advantage	$37,722.86
Rate for Payer: Wellcare Medicare Advantage	$37,722.86

CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC

Facility

$163,111.04

Service Code	MSDRG 025
Min. Negotiated Rate	$49,665.22
Max. Negotiated Rate	$163,111.04
Rate for Payer: Aetna Medicare Advantage	$163,111.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$122,456.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$122,456.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$52,279.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$122,456.10
Rate for Payer: Cigna Commercial	$101,359.58
Rate for Payer: Cigna Medicare Advantage	$52,279.18
Rate for Payer: Clover Medicare Advantage	$49,665.22
Rate for Payer: EmblemHealth Commercial	$156,837.54
Rate for Payer: Humana Medicare Advantage	$53,847.56
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$52,279.18
Rate for Payer: Oxford Commercial	$80,112.85
Rate for Payer: UnitedHealthcare Commercial	$107,233.92
Rate for Payer: UnitedHealthcare Medicare Advantage	$52,279.18
Rate for Payer: Wellcare Medicare Advantage	$52,279.18

CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC

Facility

$99,172.01

Service Code	MSDRG 027
Min. Negotiated Rate	$30,196.60
Max. Negotiated Rate	$99,172.01
Rate for Payer: Aetna Medicare Advantage	$99,172.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$67,323.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$67,323.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$31,785.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$67,323.15
Rate for Payer: Cigna Commercial	$56,243.01
Rate for Payer: Cigna Medicare Advantage	$31,785.90
Rate for Payer: Clover Medicare Advantage	$30,196.60
Rate for Payer: EmblemHealth Commercial	$95,357.70
Rate for Payer: Humana Medicare Advantage	$32,739.48
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$31,785.90
Rate for Payer: Oxford Commercial	$44,453.50
Rate for Payer: UnitedHealthcare Commercial	$59,502.60
Rate for Payer: UnitedHealthcare Medicare Advantage	$31,785.90
Rate for Payer: Wellcare Medicare Advantage	$31,785.90

CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA

Facility

$36,057.48

Service Code	APR-DRG 9101
Min. Negotiated Rate	$35,350.47
Max. Negotiated Rate	$36,057.48
Rate for Payer: UnitedHealthcare Community & State	$35,350.47
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$36,057.48
Rate for Payer: Wellpoint Medicaid Managed Care	$35,350.47

Know your out-of-pocket cost for care.

All Charges