Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

DEHYDROEPIANDROSTERONE SULFATE

Facility

$880.00

Service Code	HCPCS 82627
Hospital Charge Code	38472251
Hospital Revenue Code	301
Min. Negotiated Rate	$17.78
Max. Negotiated Rate	$440.00
Rate for Payer: Aetna Commercial	$60.47
Rate for Payer: Aetna Medicare Advantage	$72.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$80.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$80.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$22.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$61.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$80.64
Rate for Payer: Cigna Commercial	$440.00
Rate for Payer: Cigna Medicare Advantage	$22.23
Rate for Payer: Clover Medicare Advantage	$21.12
Rate for Payer: EmblemHealth Commercial	$66.69
Rate for Payer: Humana Medicare Advantage	$22.90
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$22.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$228.80
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$132.00
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$17.78
Rate for Payer: UnitedHealthcare Medicare Advantage	$22.23
Rate for Payer: Wellcare Medicare Advantage	$22.23
Rate for Payer: Wellpoint Medicaid Managed Care	$24.99

DEL AMNIOCENTESIS

Facility

$1,480.00

Service Code	HCPCS 59000
Hospital Charge Code	73190015
Hospital Revenue Code	720
Min. Negotiated Rate	$42.03
Max. Negotiated Rate	$4,601.00
Rate for Payer: Aetna Commercial	$2,976.31
Rate for Payer: Aetna Medicare Advantage	$3,545.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,969.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,969.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$1,094.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$80.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,969.32
Rate for Payer: Cigna Commercial	$2,193.38
Rate for Payer: Cigna Medicare Advantage	$1,094.23
Rate for Payer: Clover Medicare Advantage	$1,039.52
Rate for Payer: EmblemHealth Commercial	$3,282.69
Rate for Payer: Humana Medicare Advantage	$1,127.06
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$1,094.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$384.80
Rate for Payer: Oxford Commercial	$4,053.00
Rate for Payer: Qualcare PPO/HMO/WC	$222.00
Rate for Payer: UnitedHealthcare Commercial	$4,601.00
Rate for Payer: UnitedHealthcare Community & State	$46.77
Rate for Payer: UnitedHealthcare Medicare Advantage	$1,094.23
Rate for Payer: Wellcare Medicare Advantage	$1,094.23
Rate for Payer: Wellpoint Medicaid Managed Care	$42.03

DEL AMNIOCENTESIS

Facility

$1,480.00

Service Code	HCPCS 59000
Hospital Charge Code	73190015
Hospital Revenue Code	720
Min. Negotiated Rate	$222.00
Max. Negotiated Rate	$222.00
Rate for Payer: Qualcare PPO/HMO/WC	$222.00

DEL AMNIOINFUSION

Facility

$3,138.00

Service Code	HCPCS 59070
Hospital Charge Code	73190005
Hospital Revenue Code	361
Min. Negotiated Rate	$470.70
Max. Negotiated Rate	$470.70
Rate for Payer: Qualcare PPO/HMO/WC	$470.70

DEL AMNIOINFUSION

Facility

$3,138.00

Service Code	HCPCS 59070
Hospital Charge Code	73190005
Hospital Revenue Code	361
Min. Negotiated Rate	$89.12
Max. Negotiated Rate	$3,536.00
Rate for Payer: Aetna Commercial	$984.72
Rate for Payer: Aetna Medicare Advantage	$1,172.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,313.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,313.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$362.03
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	$1,313.26
Rate for Payer: Cigna Commercial	$725.69
Rate for Payer: Cigna Medicare Advantage	$362.03
Rate for Payer: Clover Medicare Advantage	$343.93
Rate for Payer: EmblemHealth Commercial	$1,086.09
Rate for Payer: Humana Medicare Advantage	$372.89
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$362.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$815.88
Rate for Payer: Oxford Commercial	$2,297.00
Rate for Payer: Qualcare PPO/HMO/WC	$470.70
Rate for Payer: UnitedHealthcare Commercial	$2,256.00
Rate for Payer: UnitedHealthcare Community & State	$99.16
Rate for Payer: UnitedHealthcare Medicare Advantage	$362.03
Rate for Payer: Wellcare Medicare Advantage	$362.03
Rate for Payer: Wellpoint Medicaid Managed Care	$89.12

DEL ANE IV CON SEDT >5 1ST 30M

Facility

$1,937.60

Hospital Charge Code	73190123
Hospital Revenue Code	370
Min. Negotiated Rate	$290.64
Max. Negotiated Rate	$290.64
Rate for Payer: Qualcare PPO/HMO/WC	$290.64

DEL ANE IV CON SEDT >5 1ST 30M

Facility

$1,937.60

Hospital Charge Code	73190123
Hospital Revenue Code	370
Min. Negotiated Rate	$55.03
Max. Negotiated Rate	$968.80
Rate for Payer: Aetna Commercial	$736.29
Rate for Payer: Aetna Medicare Advantage	$581.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$494.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$494.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$494.09
Rate for Payer: Cigna Commercial	$968.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$503.78
Rate for Payer: Oxford Commercial	$387.52
Rate for Payer: Qualcare PPO/HMO/WC	$290.64
Rate for Payer: UnitedHealthcare Commercial	$387.52
Rate for Payer: UnitedHealthcare Community & State	$61.23
Rate for Payer: Wellpoint Medicaid Managed Care	$55.03

DEL ANESTHESIA EPIDURAL

Facility

$2,433.20

Hospital Charge Code	73190131
Hospital Revenue Code	370
Min. Negotiated Rate	$364.98
Max. Negotiated Rate	$364.98
Rate for Payer: Qualcare PPO/HMO/WC	$364.98

DEL ANESTHESIA EPIDURAL

Facility

$2,433.20

Hospital Charge Code	73190131
Hospital Revenue Code	370
Min. Negotiated Rate	$69.10
Max. Negotiated Rate	$1,216.60
Rate for Payer: Aetna Commercial	$924.62
Rate for Payer: Aetna Medicare Advantage	$729.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$620.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$620.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$620.47
Rate for Payer: Cigna Commercial	$1,216.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$632.63
Rate for Payer: Oxford Commercial	$486.64
Rate for Payer: Qualcare PPO/HMO/WC	$364.98
Rate for Payer: UnitedHealthcare Commercial	$486.64
Rate for Payer: UnitedHealthcare Community & State	$76.89
Rate for Payer: Wellpoint Medicaid Managed Care	$69.10

DEL ANESTHESIA GENERAL

Facility

$3,172.40

Hospital Charge Code	73190121
Hospital Revenue Code	370
Min. Negotiated Rate	$90.10
Max. Negotiated Rate	$1,586.20
Rate for Payer: Aetna Commercial	$1,205.51
Rate for Payer: Aetna Medicare Advantage	$951.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$808.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$808.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$808.96
Rate for Payer: Cigna Commercial	$1,586.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$824.82
Rate for Payer: Oxford Commercial	$634.48
Rate for Payer: Qualcare PPO/HMO/WC	$475.86
Rate for Payer: UnitedHealthcare Commercial	$634.48
Rate for Payer: UnitedHealthcare Community & State	$100.25
Rate for Payer: Wellpoint Medicaid Managed Care	$90.10

DEL ANESTHESIA GENERAL

Facility

$3,172.40

Hospital Charge Code	73190121
Hospital Revenue Code	370
Min. Negotiated Rate	$475.86
Max. Negotiated Rate	$475.86
Rate for Payer: Qualcare PPO/HMO/WC	$475.86

DEL ANESTHESIA LOCAL

Facility

$329.00

Hospital Charge Code	73190127
Hospital Revenue Code	370
Min. Negotiated Rate	$49.35
Max. Negotiated Rate	$49.35
Rate for Payer: Qualcare PPO/HMO/WC	$49.35

DEL ANESTHESIA LOCAL

Facility

$329.00

Hospital Charge Code	73190127
Hospital Revenue Code	370
Min. Negotiated Rate	$9.34
Max. Negotiated Rate	$164.50
Rate for Payer: Aetna Commercial	$125.02
Rate for Payer: Aetna Medicare Advantage	$98.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$83.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$83.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$83.89
Rate for Payer: Cigna Commercial	$164.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$85.54
Rate for Payer: Oxford Commercial	$65.80
Rate for Payer: Qualcare PPO/HMO/WC	$49.35
Rate for Payer: UnitedHealthcare Commercial	$65.80
Rate for Payer: UnitedHealthcare Community & State	$10.40
Rate for Payer: Wellpoint Medicaid Managed Care	$9.34

DEL ANESTHESIA MONITORED CARE

Facility

$1,937.60

Hospital Charge Code	73190125
Hospital Revenue Code	370
Min. Negotiated Rate	$290.64
Max. Negotiated Rate	$290.64
Rate for Payer: Qualcare PPO/HMO/WC	$290.64

DEL ANESTHESIA MONITORED CARE

Facility

$1,937.60

Hospital Charge Code	73190125
Hospital Revenue Code	370
Min. Negotiated Rate	$55.03
Max. Negotiated Rate	$968.80
Rate for Payer: Aetna Commercial	$736.29
Rate for Payer: Aetna Medicare Advantage	$581.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$494.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$494.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$494.09
Rate for Payer: Cigna Commercial	$968.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$503.78
Rate for Payer: Oxford Commercial	$387.52
Rate for Payer: Qualcare PPO/HMO/WC	$290.64
Rate for Payer: UnitedHealthcare Commercial	$387.52
Rate for Payer: UnitedHealthcare Community & State	$61.23
Rate for Payer: Wellpoint Medicaid Managed Care	$55.03

DEL ANESTHESIA OTHER

Facility

$272.00

Hospital Charge Code	73190133
Hospital Revenue Code	370
Min. Negotiated Rate	$40.80
Max. Negotiated Rate	$40.80
Rate for Payer: Qualcare PPO/HMO/WC	$40.80

DEL ANESTHESIA OTHER

Facility

$272.00

Hospital Charge Code	73190133
Hospital Revenue Code	370
Min. Negotiated Rate	$7.72
Max. Negotiated Rate	$136.00
Rate for Payer: Aetna Commercial	$103.36
Rate for Payer: Aetna Medicare Advantage	$81.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$69.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$69.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$69.36
Rate for Payer: Cigna Commercial	$136.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$70.72
Rate for Payer: Oxford Commercial	$54.40
Rate for Payer: Qualcare PPO/HMO/WC	$40.80
Rate for Payer: UnitedHealthcare Commercial	$54.40
Rate for Payer: UnitedHealthcare Community & State	$8.60
Rate for Payer: Wellpoint Medicaid Managed Care	$7.72

DEL ANESTHESIA SPINAL

Facility

$3,106.60

Hospital Charge Code	73190129
Hospital Revenue Code	370
Min. Negotiated Rate	$88.23
Max. Negotiated Rate	$1,553.30
Rate for Payer: Aetna Commercial	$1,180.51
Rate for Payer: Aetna Medicare Advantage	$931.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$792.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$792.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$792.18
Rate for Payer: Cigna Commercial	$1,553.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$807.72
Rate for Payer: Oxford Commercial	$621.32
Rate for Payer: Qualcare PPO/HMO/WC	$465.99
Rate for Payer: UnitedHealthcare Commercial	$621.32
Rate for Payer: UnitedHealthcare Community & State	$98.17
Rate for Payer: Wellpoint Medicaid Managed Care	$88.23

DEL ANESTHESIA SPINAL

Facility

$3,106.60

Hospital Charge Code	73190129
Hospital Revenue Code	370
Min. Negotiated Rate	$465.99
Max. Negotiated Rate	$465.99
Rate for Payer: Qualcare PPO/HMO/WC	$465.99

DEL CERCLAGE OF CERVIX

Facility

$8,455.00

Service Code	HCPCS 59320
Hospital Charge Code	73190029
Hospital Revenue Code	361
Min. Negotiated Rate	$1,268.25
Max. Negotiated Rate	$1,268.25
Rate for Payer: Qualcare PPO/HMO/WC	$1,268.25

DEL CERCLAGE OF CERVIX

Facility

$8,455.00

Service Code	HCPCS 59320
Hospital Charge Code	73190029
Hospital Revenue Code	361
Min. Negotiated Rate	$240.12
Max. Negotiated Rate	$13,950.60
Rate for Payer: Aetna Commercial	$10,460.55
Rate for Payer: Aetna Medicare Advantage	$12,460.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13,950.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13,950.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3,845.79
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	$13,950.60
Rate for Payer: Cigna Commercial	$7,708.87
Rate for Payer: Cigna Medicare Advantage	$3,845.79
Rate for Payer: Clover Medicare Advantage	$3,653.50
Rate for Payer: EmblemHealth Commercial	$11,537.37
Rate for Payer: Humana Medicare Advantage	$3,961.16
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3,845.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,198.30
Rate for Payer: Oxford Commercial	$7,525.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,268.25
Rate for Payer: UnitedHealthcare Commercial	$8,192.00
Rate for Payer: UnitedHealthcare Community & State	$267.18
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,845.79
Rate for Payer: Wellcare Medicare Advantage	$3,845.79
Rate for Payer: Wellpoint Medicaid Managed Care	$240.12

DEL CESAREA DEL/ATTEM VAG DEL

Facility

$11,810.75

Service Code	HCPCS 59620
Hospital Charge Code	73190051
Hospital Revenue Code	361
Min. Negotiated Rate	$1,771.61
Max. Negotiated Rate	$1,771.61
Rate for Payer: Qualcare PPO/HMO/WC	$1,771.61

DEL CESAREA DEL/ATTEM VAG DEL

Facility

$11,810.75

Service Code	HCPCS 59620
Hospital Charge Code	73190051
Hospital Revenue Code	361
Min. Negotiated Rate	$335.43
Max. Negotiated Rate	$5,905.38
Rate for Payer: Aetna Commercial	$4,488.09
Rate for Payer: Aetna Medicare Advantage	$3,543.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,011.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,011.74
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	$3,011.74
Rate for Payer: Cigna Commercial	$5,905.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,070.80
Rate for Payer: Qualcare PPO/HMO/WC	$1,771.61
Rate for Payer: UnitedHealthcare Community & State	$373.22
Rate for Payer: Wellpoint Medicaid Managed Care	$335.43

DEL C SECTION 1ST HR

Facility

$10,100.00

Hospital Charge Code	73190043
Hospital Revenue Code	720
Min. Negotiated Rate	$1,515.00
Max. Negotiated Rate	$1,515.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,515.00

DEL C SECTION 1ST HR

Facility

$10,100.00

Hospital Charge Code	73190043
Hospital Revenue Code	720
Min. Negotiated Rate	$286.84
Max. Negotiated Rate	$5,050.00
Rate for Payer: Aetna Commercial	$3,838.00
Rate for Payer: Aetna Medicare Advantage	$3,030.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,575.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,575.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,575.50
Rate for Payer: Cigna Commercial	$5,050.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,626.00
Rate for Payer: Oxford Commercial	$4,053.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,515.00
Rate for Payer: UnitedHealthcare Commercial	$4,601.00
Rate for Payer: UnitedHealthcare Community & State	$319.16
Rate for Payer: Wellpoint Medicaid Managed Care	$286.84

Know your out-of-pocket cost for care.

All Charges