Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

ACTISHIELD BARRIER GRAFT 2X4CM

Facility

$15,000.00

Service Code	HCPCS V2790
Hospital Charge Code	270700803
Hospital Revenue Code	278
Min. Negotiated Rate	$2,250.00
Max. Negotiated Rate	$3,630.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,630.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,250.00

ACTISHIELD BARRIER GRAFT 2X4CM

Facility

$15,000.00

Service Code	HCPCS V2790
Hospital Charge Code	270700803
Hospital Revenue Code	278
Min. Negotiated Rate	$426.00
Max. Negotiated Rate	$7,500.00
Rate for Payer: Aetna Commercial	$5,700.00
Rate for Payer: Aetna Medicare Advantage	$4,500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,825.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,825.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,825.00
Rate for Payer: Cigna Commercial	$7,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,630.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,250.00
Rate for Payer: UnitedHealthcare Community & State	$474.00
Rate for Payer: Wellpoint Medicaid Managed Care	$426.00

ACTIVATED CLOTTING TIME

Facility

$390.00

Service Code	HCPCS 85175
Hospital Charge Code	5100770
Hospital Revenue Code	300
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

ACTIVATED CLOTTING TIME

Facility

$32.00

Service Code	HCPCS 85175
Hospital Charge Code	74110071
Hospital Revenue Code	300
Min. Negotiated Rate	$0.91
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$55.41
Rate for Payer: Aetna Medicare Advantage	$66.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$73.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$73.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$20.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$73.89
Rate for Payer: Cigna Commercial	$16.00
Rate for Payer: Cigna Medicare Advantage	$20.37
Rate for Payer: Clover Medicare Advantage	$19.35
Rate for Payer: EmblemHealth Commercial	$61.11
Rate for Payer: Humana Medicare Advantage	$20.98
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$20.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.32
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$4.80
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$16.30
Rate for Payer: UnitedHealthcare Medicare Advantage	$20.37
Rate for Payer: Wellcare Medicare Advantage	$20.37
Rate for Payer: Wellpoint Medicaid Managed Care	$0.91

ACTIVATED CLOTTING TIME

Facility

$390.00

Service Code	HCPCS 85175
Hospital Charge Code	5100770
Hospital Revenue Code	300
Min. Negotiated Rate	$7.08
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$55.41
Rate for Payer: Aetna Medicare Advantage	$66.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$73.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$73.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$20.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$73.89
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$20.37
Rate for Payer: Clover Medicare Advantage	$19.35
Rate for Payer: EmblemHealth Commercial	$61.11
Rate for Payer: Humana Medicare Advantage	$20.98
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$20.37
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	$16.30
Rate for Payer: UnitedHealthcare Medicare Advantage	$20.37
Rate for Payer: Wellcare Medicare Advantage	$20.37
Rate for Payer: Wellpoint Medicaid Managed Care	$11.08

ACTIVATED CLOTTING TIME

Facility

$32.00

Service Code	HCPCS 85175
Hospital Charge Code	74110071
Hospital Revenue Code	300
Min. Negotiated Rate	$4.80
Max. Negotiated Rate	$4.80
Rate for Payer: Qualcare PPO/HMO/WC	$4.80

ACTIVATOR NV CLIPS DSC

Facility

$2,835.00

Hospital Charge Code	270691828
Hospital Revenue Code	270
Min. Negotiated Rate	$425.25
Max. Negotiated Rate	$425.25
Rate for Payer: Qualcare PPO/HMO/WC	$425.25

ACTIVATOR NV CLIPS DSC

Facility

$2,835.00

Hospital Charge Code	270691828
Hospital Revenue Code	270
Min. Negotiated Rate	$80.51
Max. Negotiated Rate	$1,417.50
Rate for Payer: Aetna Commercial	$1,077.30
Rate for Payer: Aetna Medicare Advantage	$850.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$722.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$722.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$722.92
Rate for Payer: Cigna Commercial	$1,417.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$737.10
Rate for Payer: Oxford Commercial	$567.00
Rate for Payer: Qualcare PPO/HMO/WC	$425.25
Rate for Payer: UnitedHealthcare Commercial	$567.00
Rate for Payer: UnitedHealthcare Community & State	$89.59
Rate for Payer: Wellpoint Medicaid Managed Care	$80.51

ACULOC2-VNR-NARROW LONG PLT.

Facility

$6,335.00

Hospital Charge Code	270656021
Hospital Revenue Code	278
Min. Negotiated Rate	$179.91
Max. Negotiated Rate	$3,167.50
Rate for Payer: Aetna Commercial	$2,407.30
Rate for Payer: Aetna Medicare Advantage	$1,900.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,615.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,615.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,267.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,615.42
Rate for Payer: Cigna Commercial	$3,167.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,533.07
Rate for Payer: Qualcare PPO/HMO/WC	$950.25
Rate for Payer: UnitedHealthcare Community & State	$200.19
Rate for Payer: Wellpoint Medicaid Managed Care	$179.91

ACULOC2-VNR-NARROW LONG PLT.

Facility

$6,335.00

Hospital Charge Code	270656021
Hospital Revenue Code	278
Min. Negotiated Rate	$950.25
Max. Negotiated Rate	$1,533.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,267.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,533.07
Rate for Payer: Qualcare PPO/HMO/WC	$950.25

ACUMATCH XLE LINER SZ G 32MM

Facility

$19,310.00

Service Code	HCPCS C1776
Hospital Charge Code	270691337
Hospital Revenue Code	278
Min. Negotiated Rate	$548.40
Max. Negotiated Rate	$9,655.00
Rate for Payer: Aetna Commercial	$7,337.80
Rate for Payer: Aetna Medicare Advantage	$5,793.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,924.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,924.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,862.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,924.05
Rate for Payer: Cigna Commercial	$9,655.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,673.02
Rate for Payer: Qualcare PPO/HMO/WC	$2,896.50
Rate for Payer: UnitedHealthcare Community & State	$610.20
Rate for Payer: Wellpoint Medicaid Managed Care	$548.40

ACUMATCH XLE LINER SZ G 32MM

Facility

$19,310.00

Service Code	HCPCS C1776
Hospital Charge Code	270691337
Hospital Revenue Code	278
Min. Negotiated Rate	$2,896.50
Max. Negotiated Rate	$4,673.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,862.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,673.02
Rate for Payer: Qualcare PPO/HMO/WC	$2,896.50

ACUPAC ADVANCED ALLOGRFT 2.5CC

Facility

$10,625.00

Service Code	HCPCS C1713
Hospital Charge Code	270696752
Hospital Revenue Code	278
Min. Negotiated Rate	$1,593.75
Max. Negotiated Rate	$2,571.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,571.25
Rate for Payer: Qualcare PPO/HMO/WC	$1,593.75

ACUPAC ADVANCED ALLOGRFT 2.5CC

Facility

$10,625.00

Service Code	HCPCS C1713
Hospital Charge Code	270696752
Hospital Revenue Code	278
Min. Negotiated Rate	$301.75
Max. Negotiated Rate	$5,312.50
Rate for Payer: Aetna Commercial	$4,037.50
Rate for Payer: Aetna Medicare Advantage	$3,187.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,709.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,709.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,125.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,709.38
Rate for Payer: Cigna Commercial	$5,312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,571.25
Rate for Payer: Qualcare PPO/HMO/WC	$1,593.75
Rate for Payer: UnitedHealthcare Community & State	$335.75
Rate for Payer: Wellpoint Medicaid Managed Care	$301.75

ACUSNARE POLYPECTOMY

Facility

$58.00

Hospital Charge Code	270325601
Hospital Revenue Code	272
Min. Negotiated Rate	$8.70
Max. Negotiated Rate	$8.70
Rate for Payer: Qualcare PPO/HMO/WC	$8.70

ACUSNARE POLYPECTOMY

Facility

$58.00

Hospital Charge Code	270325601
Hospital Revenue Code	272
Min. Negotiated Rate	$1.65
Max. Negotiated Rate	$29.00
Rate for Payer: Aetna Commercial	$22.04
Rate for Payer: Aetna Medicare Advantage	$17.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.79
Rate for Payer: Cigna Commercial	$29.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.08
Rate for Payer: Oxford Commercial	$11.60
Rate for Payer: Qualcare PPO/HMO/WC	$8.70
Rate for Payer: UnitedHealthcare Commercial	$11.60
Rate for Payer: UnitedHealthcare Community & State	$1.83
Rate for Payer: Wellpoint Medicaid Managed Care	$1.65

ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION

Facility

$49,800.82

Service Code	MSDRG 880
Min. Negotiated Rate	$7,161.00
Max. Negotiated Rate	$49,800.82
Rate for Payer: Aetna Commercial	$37,327.20
Rate for Payer: Aetna Medicare Advantage	$49,800.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26,319.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,756.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,161.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26,319.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$15,961.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26,319.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7,756.00
Rate for Payer: Cigna Commercial	$21,405.74
Rate for Payer: Cigna Medicare Advantage	$15,961.80
Rate for Payer: Clover Medicare Advantage	$15,163.71
Rate for Payer: EmblemHealth Commercial	$47,885.40
Rate for Payer: Humana Medicare Advantage	$16,440.65
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$15,961.80
Rate for Payer: Oxford Commercial	$16,918.72
Rate for Payer: UnitedHealthcare Commercial	$22,646.32
Rate for Payer: UnitedHealthcare Medicare Advantage	$15,961.80
Rate for Payer: Wellcare Medicare Advantage	$15,961.80

ACUTE AND SUBACUTE ENDOCARDITIS

Facility

$30,216.69

Service Code	APR-DRG 1934
Min. Negotiated Rate	$29,624.21
Max. Negotiated Rate	$30,216.69
Rate for Payer: UnitedHealthcare Community & State	$29,624.21
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$30,216.69
Rate for Payer: Wellpoint Medicaid Managed Care	$29,624.21

ACUTE AND SUBACUTE ENDOCARDITIS

Facility

$19,714.69

Service Code	APR-DRG 1933
Min. Negotiated Rate	$19,328.13
Max. Negotiated Rate	$19,714.69
Rate for Payer: UnitedHealthcare Community & State	$19,328.13
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$19,714.69
Rate for Payer: Wellpoint Medicaid Managed Care	$19,328.13

ACUTE AND SUBACUTE ENDOCARDITIS

Facility

$14,755.83

Service Code	APR-DRG 1932
Min. Negotiated Rate	$14,466.50
Max. Negotiated Rate	$14,755.83
Rate for Payer: UnitedHealthcare Community & State	$14,466.50
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$14,755.83
Rate for Payer: Wellpoint Medicaid Managed Care	$14,466.50

ACUTE AND SUBACUTE ENDOCARDITIS

Facility

$10,659.23

Service Code	APR-DRG 1931
Min. Negotiated Rate	$10,450.23
Max. Negotiated Rate	$10,659.23
Rate for Payer: UnitedHealthcare Community & State	$10,450.23
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$10,659.23
Rate for Payer: Wellpoint Medicaid Managed Care	$10,450.23

ACUTE AND SUBACUTE ENDOCARDITIS WITH CC

Facility

$73,391.73

Service Code	MSDRG 289
Min. Negotiated Rate	$22,346.84
Max. Negotiated Rate	$73,391.73
Rate for Payer: Aetna Commercial	$54,128.94
Rate for Payer: Aetna Medicare Advantage	$73,391.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41,003.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41,003.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$23,522.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41,003.40
Rate for Payer: Cigna Commercial	$38,051.92
Rate for Payer: Cigna Medicare Advantage	$23,522.99
Rate for Payer: Clover Medicare Advantage	$22,346.84
Rate for Payer: EmblemHealth Commercial	$70,568.97
Rate for Payer: Humana Medicare Advantage	$24,228.68
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$23,522.99
Rate for Payer: Oxford Commercial	$30,075.58
Rate for Payer: UnitedHealthcare Commercial	$40,257.24
Rate for Payer: UnitedHealthcare Medicare Advantage	$23,522.99
Rate for Payer: Wellcare Medicare Advantage	$23,522.99

ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC

Facility

$104,963.16

Service Code	MSDRG 288
Min. Negotiated Rate	$31,959.94
Max. Negotiated Rate	$104,963.16
Rate for Payer: Aetna Commercial	$76,614.48
Rate for Payer: Aetna Medicare Advantage	$104,963.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$71,755.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$71,755.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$33,642.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$71,755.95
Rate for Payer: Cigna Commercial	$60,329.32
Rate for Payer: Cigna Medicare Advantage	$33,642.04
Rate for Payer: Clover Medicare Advantage	$31,959.94
Rate for Payer: EmblemHealth Commercial	$100,926.12
Rate for Payer: Humana Medicare Advantage	$34,651.30
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$33,642.04
Rate for Payer: Oxford Commercial	$47,683.24
Rate for Payer: UnitedHealthcare Commercial	$63,825.73
Rate for Payer: UnitedHealthcare Medicare Advantage	$33,642.04
Rate for Payer: Wellcare Medicare Advantage	$33,642.04

ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC

Facility

$48,837.20

Service Code	MSDRG 290
Min. Negotiated Rate	$14,870.30
Max. Negotiated Rate	$48,837.20
Rate for Payer: Aetna Commercial	$36,640.93
Rate for Payer: Aetna Medicare Advantage	$48,837.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30,198.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30,198.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$15,652.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30,198.45
Rate for Payer: Cigna Commercial	$20,725.80
Rate for Payer: Cigna Medicare Advantage	$15,652.95
Rate for Payer: Clover Medicare Advantage	$14,870.30
Rate for Payer: EmblemHealth Commercial	$46,958.85
Rate for Payer: Humana Medicare Advantage	$16,122.54
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$15,652.95
Rate for Payer: Oxford Commercial	$16,381.31
Rate for Payer: UnitedHealthcare Commercial	$21,926.97
Rate for Payer: UnitedHealthcare Medicare Advantage	$15,652.95
Rate for Payer: Wellcare Medicare Advantage	$15,652.95

ACUTE ANXIETY AND STRESS SYNDROMES

Facility

$5,915.27

Service Code	APR-DRG 7561
Min. Negotiated Rate	$5,799.28
Max. Negotiated Rate	$5,915.27
Rate for Payer: UnitedHealthcare Community & State	$5,799.28
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$5,915.27
Rate for Payer: Wellpoint Medicaid Managed Care	$5,799.28

Know your out-of-pocket cost for care.

All Charges