Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

DECOMPRESS FOREARM 1 SPACE

Facility

$5,399.78

Service Code	HCPCS 25020
Hospital Charge Code	16000828
Hospital Revenue Code	360
Min. Negotiated Rate	$809.97
Max. Negotiated Rate	$809.97
Rate for Payer: Qualcare PPO/HMO/WC	$809.97

DECOMPRESSIVE LOBECTOMY

Facility

$51,153.80

Service Code	HCPCS 61323
Hospital Charge Code	1600000755
Hospital Revenue Code	360
Min. Negotiated Rate	$1,452.77
Max. Negotiated Rate	$25,576.90
Rate for Payer: Aetna Commercial	$19,438.44
Rate for Payer: Aetna Medicare Advantage	$15,346.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13,044.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13,044.22
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	$13,044.22
Rate for Payer: Cigna Commercial	$25,576.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13,299.99
Rate for Payer: Oxford Commercial	$9,354.00
Rate for Payer: Qualcare PPO/HMO/WC	$7,673.07
Rate for Payer: UnitedHealthcare Commercial	$10,269.00
Rate for Payer: UnitedHealthcare Community & State	$1,616.46
Rate for Payer: Wellpoint Medicaid Managed Care	$1,452.77

DECOMPRESSIVE LOBECTOMY

Facility

$51,153.80

Service Code	HCPCS 61323
Hospital Charge Code	1600000755
Hospital Revenue Code	360
Min. Negotiated Rate	$7,673.07
Max. Negotiated Rate	$7,673.07
Rate for Payer: Qualcare PPO/HMO/WC	$7,673.07

DECOMPRESS SPINE CORD ADD--ON

Facility

$26,295.79

Service Code	HCPCS 63057
Hospital Charge Code	16001025
Hospital Revenue Code	360
Min. Negotiated Rate	$746.80
Max. Negotiated Rate	$13,147.90
Rate for Payer: Aetna Commercial	$9,992.40
Rate for Payer: Aetna Medicare Advantage	$7,888.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,705.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,705.43
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	$6,705.43
Rate for Payer: Cigna Commercial	$13,147.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,836.91
Rate for Payer: Oxford Commercial	$2,297.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,944.37
Rate for Payer: UnitedHealthcare Commercial	$2,256.00
Rate for Payer: UnitedHealthcare Community & State	$830.95
Rate for Payer: Wellpoint Medicaid Managed Care	$746.80

DECOMPRESS SPINE CORD ADD--ON

Facility

$26,295.79

Service Code	HCPCS 63057
Hospital Charge Code	16001025
Hospital Revenue Code	360
Min. Negotiated Rate	$3,944.37
Max. Negotiated Rate	$3,944.37
Rate for Payer: Qualcare PPO/HMO/WC	$3,944.37

DECOMPRESS,UNSPECIFID NERVE(S)

Facility

$16,437.00

Service Code	HCPCS 64722
Hospital Charge Code	16000594
Hospital Revenue Code	360
Min. Negotiated Rate	$2,465.55
Max. Negotiated Rate	$2,465.55
Rate for Payer: Qualcare PPO/HMO/WC	$2,465.55

DECOMPRESS,UNSPECIFID NERVE(S)

Facility

$16,437.00

Service Code	HCPCS 64722
Hospital Charge Code	16000594
Hospital Revenue Code	360
Min. Negotiated Rate	$466.81
Max. Negotiated Rate	$8,415.40
Rate for Payer: Aetna Commercial	$6,310.10
Rate for Payer: Aetna Medicare Advantage	$7,516.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8,415.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8,415.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$2,319.89
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	$8,415.40
Rate for Payer: Cigna Commercial	$4,650.22
Rate for Payer: Cigna Medicare Advantage	$2,319.89
Rate for Payer: Clover Medicare Advantage	$2,203.90
Rate for Payer: EmblemHealth Commercial	$6,959.67
Rate for Payer: Humana Medicare Advantage	$2,389.49
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$2,319.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,273.62
Rate for Payer: Oxford Commercial	$7,525.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,465.55
Rate for Payer: UnitedHealthcare Commercial	$8,192.00
Rate for Payer: UnitedHealthcare Community & State	$519.41
Rate for Payer: UnitedHealthcare Medicare Advantage	$2,319.89
Rate for Payer: Wellcare Medicare Advantage	$2,319.89
Rate for Payer: Wellpoint Medicaid Managed Care	$466.81

DECOPRESS SPINAL CORD LUMBARS

Facility

$29,387.89

Service Code	HCPCS 63056
Hospital Charge Code	16001024
Hospital Revenue Code	360
Min. Negotiated Rate	$4,408.18
Max. Negotiated Rate	$4,408.18
Rate for Payer: Qualcare PPO/HMO/WC	$4,408.18

DECOPRESS SPINAL CORD LUMBARS

Facility

$29,387.89

Service Code	HCPCS 63056
Hospital Charge Code	16001024
Hospital Revenue Code	360
Min. Negotiated Rate	$834.62
Max. Negotiated Rate	$31,271.12
Rate for Payer: Aetna Commercial	$23,447.95
Rate for Payer: Aetna Medicare Advantage	$27,930.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31,271.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31,271.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$8,620.57
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	$31,271.12
Rate for Payer: Cigna Commercial	$17,279.91
Rate for Payer: Cigna Medicare Advantage	$8,620.57
Rate for Payer: Clover Medicare Advantage	$8,189.54
Rate for Payer: EmblemHealth Commercial	$25,861.71
Rate for Payer: Humana Medicare Advantage	$8,879.19
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$8,620.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,640.85
Rate for Payer: Oxford Commercial	$13,407.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,408.18
Rate for Payer: UnitedHealthcare Commercial	$14,869.00
Rate for Payer: UnitedHealthcare Community & State	$928.66
Rate for Payer: UnitedHealthcare Medicare Advantage	$8,620.57
Rate for Payer: Wellcare Medicare Advantage	$8,620.57
Rate for Payer: Wellpoint Medicaid Managed Care	$834.62

DEEP DISSECT FOOT INF; MULTI

Facility

$17,164.20

Service Code	HCPCS 28003
Hospital Charge Code	1600000604
Hospital Revenue Code	360
Min. Negotiated Rate	$487.46
Max. Negotiated Rate	$14,100.89
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	$4,462.69
Rate for Payer: Oxford Commercial	$7,525.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,574.63
Rate for Payer: UnitedHealthcare Commercial	$8,192.00
Rate for Payer: UnitedHealthcare Community & State	$542.39
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,887.22
Rate for Payer: Wellcare Medicare Advantage	$3,887.22
Rate for Payer: Wellpoint Medicaid Managed Care	$487.46

DEEP DISSECT FOOT INF; MULTI

Facility

$17,164.20

Service Code	HCPCS 28003
Hospital Charge Code	1600000604
Hospital Revenue Code	360
Min. Negotiated Rate	$2,574.63
Max. Negotiated Rate	$2,574.63
Rate for Payer: Qualcare PPO/HMO/WC	$2,574.63

DEEP DISSECT FOOT INF; SGL BUR

Facility

$17,164.20

Service Code	HCPCS 28002
Hospital Charge Code	160000248
Hospital Revenue Code	360
Min. Negotiated Rate	$2,574.63
Max. Negotiated Rate	$2,574.63
Rate for Payer: Qualcare PPO/HMO/WC	$2,574.63

DEEP DISSECT FOOT INF; SGL BUR

Facility

$17,164.20

Service Code	HCPCS 28002
Hospital Charge Code	160000248
Hospital Revenue Code	360
Min. Negotiated Rate	$487.46
Max. Negotiated Rate	$8,192.00
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	$4,462.69
Rate for Payer: Oxford Commercial	$7,525.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,574.63
Rate for Payer: UnitedHealthcare Commercial	$8,192.00
Rate for Payer: UnitedHealthcare Community & State	$542.39
Rate for Payer: UnitedHealthcare Medicare Advantage	$1,910.34
Rate for Payer: Wellcare Medicare Advantage	$1,910.34
Rate for Payer: Wellpoint Medicaid Managed Care	$487.46

DEEP I&D ABSC - FARM/WRIST

Facility

$12,289.60

Service Code	HCPCS 25028
Hospital Charge Code	1600000522
Hospital Revenue Code	360
Min. Negotiated Rate	$1,843.44
Max. Negotiated Rate	$1,843.44
Rate for Payer: Qualcare PPO/HMO/WC	$1,843.44

DEEP I&D ABSC - FARM/WRIST

Facility

$12,289.60

Service Code	HCPCS 25028
Hospital Charge Code	1600000522
Hospital Revenue Code	360
Min. Negotiated Rate	$349.02
Max. Negotiated Rate	$14,100.89
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	$3,195.30
Rate for Payer: Oxford Commercial	$7,525.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,843.44
Rate for Payer: UnitedHealthcare Commercial	$8,192.00
Rate for Payer: UnitedHealthcare Community & State	$388.35
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,887.22
Rate for Payer: Wellcare Medicare Advantage	$3,887.22
Rate for Payer: Wellpoint Medicaid Managed Care	$349.02

DEEP I&D THIGH/KNEE

Facility

$16,680.90

Service Code	HCPCS 27301
Hospital Charge Code	16000507
Hospital Revenue Code	360
Min. Negotiated Rate	$2,502.14
Max. Negotiated Rate	$2,502.14
Rate for Payer: Qualcare PPO/HMO/WC	$2,502.14

DEEP I&D THIGH/KNEE

Facility

$16,680.90

Service Code	HCPCS 27301
Hospital Charge Code	16000507
Hospital Revenue Code	360
Min. Negotiated Rate	$473.74
Max. Negotiated Rate	$12,518.07
Rate for Payer: Aetna Commercial	$9,386.39
Rate for Payer: Aetna Medicare Advantage	$11,180.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12,518.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12,518.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3,450.88
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	$12,518.07
Rate for Payer: Cigna Commercial	$6,917.28
Rate for Payer: Cigna Medicare Advantage	$3,450.88
Rate for Payer: Clover Medicare Advantage	$3,278.34
Rate for Payer: EmblemHealth Commercial	$10,352.64
Rate for Payer: Humana Medicare Advantage	$3,554.41
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3,450.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,337.03
Rate for Payer: Oxford Commercial	$7,525.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,502.14
Rate for Payer: UnitedHealthcare Commercial	$8,192.00
Rate for Payer: UnitedHealthcare Community & State	$527.12
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,450.88
Rate for Payer: Wellcare Medicare Advantage	$3,450.88
Rate for Payer: Wellpoint Medicaid Managed Care	$473.74

DEEP I&D - UA/ELBOW

Facility

$14,544.60

Service Code	HCPCS 23930
Hospital Charge Code	16000680
Hospital Revenue Code	360
Min. Negotiated Rate	$2,181.69
Max. Negotiated Rate	$2,181.69
Rate for Payer: Qualcare PPO/HMO/WC	$2,181.69

DEEP I&D - UA/ELBOW

Facility

$14,544.60

Service Code	HCPCS 23930
Hospital Charge Code	16000680
Hospital Revenue Code	360
Min. Negotiated Rate	$413.07
Max. Negotiated Rate	$12,518.07
Rate for Payer: Aetna Commercial	$9,386.39
Rate for Payer: Aetna Medicare Advantage	$11,180.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12,518.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12,518.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3,450.88
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	$12,518.07
Rate for Payer: Cigna Commercial	$6,917.28
Rate for Payer: Cigna Medicare Advantage	$3,450.88
Rate for Payer: Clover Medicare Advantage	$3,278.34
Rate for Payer: EmblemHealth Commercial	$10,352.64
Rate for Payer: Humana Medicare Advantage	$3,554.41
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3,450.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,781.60
Rate for Payer: Oxford Commercial	$7,525.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,181.69
Rate for Payer: UnitedHealthcare Commercial	$8,192.00
Rate for Payer: UnitedHealthcare Community & State	$459.61
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,450.88
Rate for Payer: Wellcare Medicare Advantage	$3,450.88
Rate for Payer: Wellpoint Medicaid Managed Care	$413.07

DEEP INC FOOT W OP BONE CORTEX

Facility

$19,998.60

Service Code	HCPCS 28005
Hospital Charge Code	16000902
Hospital Revenue Code	360
Min. Negotiated Rate	$2,999.79
Max. Negotiated Rate	$2,999.79
Rate for Payer: Qualcare PPO/HMO/WC	$2,999.79

DEEP INC FOOT W OP BONE CORTEX

Facility

$19,998.60

Service Code	HCPCS 28005
Hospital Charge Code	16000902
Hospital Revenue Code	360
Min. Negotiated Rate	$567.96
Max. Negotiated Rate	$14,100.89
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	$5,199.64
Rate for Payer: Oxford Commercial	$7,525.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,999.79
Rate for Payer: UnitedHealthcare Commercial	$8,192.00
Rate for Payer: UnitedHealthcare Community & State	$631.96
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,887.22
Rate for Payer: Wellcare Medicare Advantage	$3,887.22
Rate for Payer: Wellpoint Medicaid Managed Care	$567.96

DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC

Facility

$30,198.45

Service Code	MSDRG 294
Min. Negotiated Rate	$30,198.45
Max. Negotiated Rate	$30,198.45
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) PPO	$30,198.45

DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC

Facility

$22,164.00

Service Code	MSDRG 295
Min. Negotiated Rate	$22,164.00
Max. Negotiated Rate	$22,164.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22,164.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22,164.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22,164.00

DEFEROXAMINE 500 MG INJ

Facility

$147.94

Service Code	HCPCS J0895
Hospital Charge Code	6007744
Hospital Revenue Code	636
Min. Negotiated Rate	$4.20
Max. Negotiated Rate	$73.97
Rate for Payer: Aetna Commercial	$56.22
Rate for Payer: Aetna Medicare Advantage	$44.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.72
Rate for Payer: Cigna Commercial	$73.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.80
Rate for Payer: Qualcare PPO/HMO/WC	$22.19
Rate for Payer: UnitedHealthcare Community & State	$4.67
Rate for Payer: Wellpoint Medicaid Managed Care	$4.20

DEFEROXAMINE 500 MG INJ

Facility

$147.94

Service Code	HCPCS J0895
Hospital Charge Code	6007744
Hospital Revenue Code	636
Min. Negotiated Rate	$22.19
Max. Negotiated Rate	$35.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.80
Rate for Payer: Qualcare PPO/HMO/WC	$22.19

Know your out-of-pocket cost for care.

All Charges