Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA

Facility

$56,703.31

Service Code	APR-DRG 9103
Min. Negotiated Rate	$55,591.48
Max. Negotiated Rate	$56,703.31
Rate for Payer: UnitedHealthcare Community & State	$55,591.48
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$56,703.31
Rate for Payer: Wellpoint Medicaid Managed Care	$55,591.48

CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA

Facility

$90,942.13

Service Code	APR-DRG 9104
Min. Negotiated Rate	$89,158.95
Max. Negotiated Rate	$90,942.13
Rate for Payer: UnitedHealthcare Community & State	$89,158.95
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$90,942.13
Rate for Payer: Wellpoint Medicaid Managed Care	$89,158.95

CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA

Facility

$37,954.84

Service Code	APR-DRG 9102
Min. Negotiated Rate	$37,210.63
Max. Negotiated Rate	$37,954.84
Rate for Payer: UnitedHealthcare Community & State	$37,210.63
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$37,954.84
Rate for Payer: Wellpoint Medicaid Managed Care	$37,210.63

CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA

Facility

$232,124.07

Service Code	MSDRG 955
Min. Negotiated Rate	$70,678.80
Max. Negotiated Rate	$232,124.07
Rate for Payer: Aetna Commercial	$167,179.95
Rate for Payer: Aetna Medicare Advantage	$232,124.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$168,723.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$168,723.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$74,398.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$168,723.45
Rate for Payer: Cigna Commercial	$150,056.41
Rate for Payer: Cigna Medicare Advantage	$74,398.74
Rate for Payer: Clover Medicare Advantage	$70,678.80
Rate for Payer: EmblemHealth Commercial	$223,196.22
Rate for Payer: Humana Medicare Advantage	$76,630.70
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$74,398.74
Rate for Payer: Oxford Commercial	$118,601.98
Rate for Payer: UnitedHealthcare Commercial	$158,752.99
Rate for Payer: UnitedHealthcare Medicare Advantage	$74,398.74
Rate for Payer: Wellcare Medicare Advantage	$74,398.74

CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR

Facility

$200,505.24

Service Code	MSDRG 023
Min. Negotiated Rate	$61,051.28
Max. Negotiated Rate	$200,505.24
Rate for Payer: Aetna Medicare Advantage	$200,505.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$64,264.50
Rate for Payer: Cigna Commercial	$127,745.58
Rate for Payer: Cigna Medicare Advantage	$64,264.50
Rate for Payer: Clover Medicare Advantage	$61,051.28
Rate for Payer: EmblemHealth Commercial	$192,793.50
Rate for Payer: Humana Medicare Advantage	$66,192.43
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$64,264.50
Rate for Payer: Oxford Commercial	$100,967.89
Rate for Payer: UnitedHealthcare Commercial	$135,149.13
Rate for Payer: UnitedHealthcare Medicare Advantage	$64,264.50
Rate for Payer: Wellcare Medicare Advantage	$64,264.50

CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR

Facility

$200,505.24

Service Code	MSDRG 023
Min. Negotiated Rate	$61,051.28
Max. Negotiated Rate	$200,505.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$157,087.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$157,087.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$157,087.35

CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC

Facility

$143,055.53

Service Code	MSDRG 024
Min. Negotiated Rate	$43,558.57
Max. Negotiated Rate	$143,055.53
Rate for Payer: Aetna Medicare Advantage	$143,055.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$105,001.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$105,001.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$45,851.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$105,001.95
Rate for Payer: Cigna Commercial	$87,207.99
Rate for Payer: Cigna Medicare Advantage	$45,851.13
Rate for Payer: Clover Medicare Advantage	$43,558.57
Rate for Payer: EmblemHealth Commercial	$137,553.39
Rate for Payer: Humana Medicare Advantage	$47,226.66
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$45,851.13
Rate for Payer: Oxford Commercial	$68,927.68
Rate for Payer: UnitedHealthcare Commercial	$92,262.16
Rate for Payer: UnitedHealthcare Medicare Advantage	$45,851.13
Rate for Payer: Wellcare Medicare Advantage	$45,851.13

CRASH CART

Facility

$6,034.10

Hospital Charge Code	270590014
Hospital Revenue Code	270
Min. Negotiated Rate	$905.12
Max. Negotiated Rate	$905.12
Rate for Payer: Qualcare PPO/HMO/WC	$905.12

CRASH CART

Facility

$6,034.10

Hospital Charge Code	270590014
Hospital Revenue Code	270
Min. Negotiated Rate	$171.37
Max. Negotiated Rate	$3,017.05
Rate for Payer: Aetna Commercial	$2,292.96
Rate for Payer: Aetna Medicare Advantage	$1,810.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,538.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,538.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,538.70
Rate for Payer: Cigna Commercial	$3,017.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,568.87
Rate for Payer: Oxford Commercial	$1,206.82
Rate for Payer: Qualcare PPO/HMO/WC	$905.12
Rate for Payer: UnitedHealthcare Commercial	$1,206.82
Rate for Payer: UnitedHealthcare Community & State	$190.68
Rate for Payer: Wellpoint Medicaid Managed Care	$171.37

CRASH CART PEDIATRIC

Facility

$2,804.85

Hospital Charge Code	270607546
Hospital Revenue Code	270
Min. Negotiated Rate	$79.66
Max. Negotiated Rate	$1,402.42
Rate for Payer: Aetna Commercial	$1,065.84
Rate for Payer: Aetna Medicare Advantage	$841.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$715.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$715.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$715.24
Rate for Payer: Cigna Commercial	$1,402.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$729.26
Rate for Payer: Oxford Commercial	$560.97
Rate for Payer: Qualcare PPO/HMO/WC	$420.73
Rate for Payer: UnitedHealthcare Commercial	$560.97
Rate for Payer: UnitedHealthcare Community & State	$88.63
Rate for Payer: Wellpoint Medicaid Managed Care	$79.66

CRASH CART PEDIATRIC

Facility

$2,804.85

Hospital Charge Code	270607546
Hospital Revenue Code	270
Min. Negotiated Rate	$420.73
Max. Negotiated Rate	$420.73
Rate for Payer: Qualcare PPO/HMO/WC	$420.73

CRAYOLA CLASSPACK REGULAR MARK

Facility

$324.95

Hospital Charge Code	270663154
Hospital Revenue Code	270
Min. Negotiated Rate	$9.23
Max. Negotiated Rate	$162.47
Rate for Payer: Aetna Commercial	$123.48
Rate for Payer: Aetna Medicare Advantage	$97.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$82.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$82.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$82.86
Rate for Payer: Cigna Commercial	$162.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$84.49
Rate for Payer: Oxford Commercial	$64.99
Rate for Payer: Qualcare PPO/HMO/WC	$48.74
Rate for Payer: UnitedHealthcare Commercial	$64.99
Rate for Payer: UnitedHealthcare Community & State	$10.27
Rate for Payer: Wellpoint Medicaid Managed Care	$9.23

CRAYOLA CLASSPACK REGULAR MARK

Facility

$324.95

Hospital Charge Code	270663154
Hospital Revenue Code	270
Min. Negotiated Rate	$48.74
Max. Negotiated Rate	$48.74
Rate for Payer: Qualcare PPO/HMO/WC	$48.74

C REACTIVE PROTEIN

Facility

$240.00

Service Code	HCPCS 86140
Hospital Charge Code	38476009
Hospital Revenue Code	302
Min. Negotiated Rate	$4.14
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$14.09
Rate for Payer: Aetna Medicare Advantage	$16.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.79
Rate for Payer: Cigna Commercial	$120.00
Rate for Payer: Cigna Medicare Advantage	$5.18
Rate for Payer: Clover Medicare Advantage	$4.92
Rate for Payer: EmblemHealth Commercial	$15.54
Rate for Payer: Humana Medicare Advantage	$5.34
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$5.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$62.40
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$36.00
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$4.14
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.18
Rate for Payer: Wellcare Medicare Advantage	$5.18
Rate for Payer: Wellpoint Medicaid Managed Care	$6.82

C REACTIVE PROTEIN

Facility

$240.00

Service Code	HCPCS 86140
Hospital Charge Code	38476009
Hospital Revenue Code	302
Min. Negotiated Rate	$36.00
Max. Negotiated Rate	$36.00
Rate for Payer: Qualcare PPO/HMO/WC	$36.00

C-REACTIVE PROTEIN

Facility

$35.55

Service Code	HCPCS 86140
Hospital Charge Code	39900193
Hospital Revenue Code	302
Min. Negotiated Rate	$1.01
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$14.09
Rate for Payer: Aetna Medicare Advantage	$16.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.79
Rate for Payer: Cigna Commercial	$17.77
Rate for Payer: Cigna Medicare Advantage	$5.18
Rate for Payer: Clover Medicare Advantage	$4.92
Rate for Payer: EmblemHealth Commercial	$15.54
Rate for Payer: Humana Medicare Advantage	$5.34
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$5.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.24
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$5.33
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$4.14
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.18
Rate for Payer: Wellcare Medicare Advantage	$5.18
Rate for Payer: Wellpoint Medicaid Managed Care	$1.01

C-REACTIVE PROTEIN

Facility

$35.55

Service Code	HCPCS 86140
Hospital Charge Code	39900193
Hospital Revenue Code	302
Min. Negotiated Rate	$5.33
Max. Negotiated Rate	$5.33
Rate for Payer: Qualcare PPO/HMO/WC	$5.33

C-Reactive Protein, Quant

Facility

$667.59

Service Code	HCPCS 86140
Hospital Charge Code	39888006
Hospital Revenue Code	302
Min. Negotiated Rate	$4.14
Max. Negotiated Rate	$333.80
Rate for Payer: Aetna Commercial	$14.09
Rate for Payer: Aetna Medicare Advantage	$16.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.79
Rate for Payer: Cigna Commercial	$333.80
Rate for Payer: Cigna Medicare Advantage	$5.18
Rate for Payer: Clover Medicare Advantage	$4.92
Rate for Payer: EmblemHealth Commercial	$15.54
Rate for Payer: Humana Medicare Advantage	$5.34
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$5.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$173.57
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$100.14
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$4.14
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.18
Rate for Payer: Wellcare Medicare Advantage	$5.18
Rate for Payer: Wellpoint Medicaid Managed Care	$18.96

C-Reactive Protein, Quant

Facility

$667.59

Service Code	HCPCS 86140
Hospital Charge Code	39888006
Hospital Revenue Code	302
Min. Negotiated Rate	$100.14
Max. Negotiated Rate	$100.14
Rate for Payer: Qualcare PPO/HMO/WC	$100.14

CREAM OMNI PREP 4OZ

Facility

$69.40

Hospital Charge Code	270654267
Hospital Revenue Code	272
Min. Negotiated Rate	$1.97
Max. Negotiated Rate	$34.70
Rate for Payer: Aetna Commercial	$26.37
Rate for Payer: Aetna Medicare Advantage	$20.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.70
Rate for Payer: Cigna Commercial	$34.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.04
Rate for Payer: Oxford Commercial	$13.88
Rate for Payer: Qualcare PPO/HMO/WC	$10.41
Rate for Payer: UnitedHealthcare Commercial	$13.88
Rate for Payer: UnitedHealthcare Community & State	$2.19
Rate for Payer: Wellpoint Medicaid Managed Care	$1.97

CREAM OMNI PREP 4OZ

Facility

$69.40

Hospital Charge Code	270654267
Hospital Revenue Code	272
Min. Negotiated Rate	$10.41
Max. Negotiated Rate	$10.41
Rate for Payer: Qualcare PPO/HMO/WC	$10.41

CREATE AV FISTLA,AUTOGENS GRFT

Facility

$38,857.60

Service Code	HCPCS 36825
Hospital Charge Code	1600000757
Hospital Revenue Code	360
Min. Negotiated Rate	$1,103.56
Max. Negotiated Rate	$23,980.53
Rate for Payer: Aetna Commercial	$17,981.27
Rate for Payer: Aetna Medicare Advantage	$21,418.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23,980.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23,980.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$6,610.76
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	$23,980.53
Rate for Payer: Cigna Commercial	$13,251.23
Rate for Payer: Cigna Medicare Advantage	$6,610.76
Rate for Payer: Clover Medicare Advantage	$6,280.22
Rate for Payer: EmblemHealth Commercial	$19,832.28
Rate for Payer: Humana Medicare Advantage	$6,809.08
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$6,610.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10,102.98
Rate for Payer: Oxford Commercial	$13,407.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,828.64
Rate for Payer: UnitedHealthcare Commercial	$14,869.00
Rate for Payer: UnitedHealthcare Community & State	$1,227.90
Rate for Payer: UnitedHealthcare Medicare Advantage	$6,610.76
Rate for Payer: Wellcare Medicare Advantage	$6,610.76
Rate for Payer: Wellpoint Medicaid Managed Care	$1,103.56

CREATE AV FISTLA,AUTOGENS GRFT

Facility

$38,857.60

Service Code	HCPCS 36825
Hospital Charge Code	1600000757
Hospital Revenue Code	360
Min. Negotiated Rate	$5,828.64
Max. Negotiated Rate	$5,828.64
Rate for Payer: Qualcare PPO/HMO/WC	$5,828.64

CREATE AV FSTLA,NT AGENS GRFT

Facility

$38,857.60

Service Code	HCPCS 36830
Hospital Charge Code	1600000423
Hospital Revenue Code	360
Min. Negotiated Rate	$5,828.64
Max. Negotiated Rate	$5,828.64
Rate for Payer: Qualcare PPO/HMO/WC	$5,828.64

CREATE AV FSTLA,NT AGENS GRFT

Facility

$38,857.60

Service Code	HCPCS 36830
Hospital Charge Code	1600000423
Hospital Revenue Code	360
Min. Negotiated Rate	$1,103.56
Max. Negotiated Rate	$23,980.53
Rate for Payer: Aetna Commercial	$17,981.27
Rate for Payer: Aetna Medicare Advantage	$21,418.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23,980.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23,980.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$6,610.76
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	$23,980.53
Rate for Payer: Cigna Commercial	$13,251.23
Rate for Payer: Cigna Medicare Advantage	$6,610.76
Rate for Payer: Clover Medicare Advantage	$6,280.22
Rate for Payer: EmblemHealth Commercial	$19,832.28
Rate for Payer: Humana Medicare Advantage	$6,809.08
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$6,610.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10,102.98
Rate for Payer: Oxford Commercial	$13,407.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,828.64
Rate for Payer: UnitedHealthcare Commercial	$14,869.00
Rate for Payer: UnitedHealthcare Community & State	$1,227.90
Rate for Payer: UnitedHealthcare Medicare Advantage	$6,610.76
Rate for Payer: Wellcare Medicare Advantage	$6,610.76
Rate for Payer: Wellpoint Medicaid Managed Care	$1,103.56

Know your out-of-pocket cost for care.

All Charges