Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

DEL C SECTION EA ADD HR

Facility

$10,100.00

Hospital Charge Code	73190044
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

DEL C SECTION EA ADD HR

Facility

$10,100.00

Hospital Charge Code	73190044
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 SEC W/ TUBAL 1ST HR

Facility

$11,272.60

Hospital Charge Code	73190142
Hospital Revenue Code	720
Min. Negotiated Rate	$1,690.89
Max. Negotiated Rate	$1,690.89
Rate for Payer: Qualcare PPO/HMO/WC	$1,690.89

DEL C SEC W/ TUBAL 1ST HR

Facility

$11,272.60

Hospital Charge Code	73190142
Hospital Revenue Code	720
Min. Negotiated Rate	$320.14
Max. Negotiated Rate	$5,636.30
Rate for Payer: Aetna Commercial	$4,283.59
Rate for Payer: Aetna Medicare Advantage	$3,381.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,874.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,874.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,874.51
Rate for Payer: Cigna Commercial	$5,636.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,930.88
Rate for Payer: Oxford Commercial	$4,053.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,690.89
Rate for Payer: UnitedHealthcare Commercial	$4,601.00
Rate for Payer: UnitedHealthcare Community & State	$356.21
Rate for Payer: Wellpoint Medicaid Managed Care	$320.14

DEL C SEC W/TUBAL 1ST HR

Facility

$9,448.60

Hospital Charge Code	73190150
Hospital Revenue Code	720
Min. Negotiated Rate	$268.34
Max. Negotiated Rate	$4,724.30
Rate for Payer: Aetna Commercial	$3,590.47
Rate for Payer: Aetna Medicare Advantage	$2,834.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,409.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,409.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,409.39
Rate for Payer: Cigna Commercial	$4,724.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,456.64
Rate for Payer: Oxford Commercial	$4,053.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,417.29
Rate for Payer: UnitedHealthcare Commercial	$4,601.00
Rate for Payer: UnitedHealthcare Community & State	$298.58
Rate for Payer: Wellpoint Medicaid Managed Care	$268.34

DEL C SEC W/TUBAL 1ST HR

Facility

$9,448.60

Hospital Charge Code	73190150
Hospital Revenue Code	720
Min. Negotiated Rate	$1,417.29
Max. Negotiated Rate	$1,417.29
Rate for Payer: Qualcare PPO/HMO/WC	$1,417.29

DEL C SEC W/ TUBAL EA ADD HR

Facility

$10,100.00

Hospital Charge Code	73190143
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 SEC W/ TUBAL EA ADD HR

Facility

$10,100.00

Hospital Charge Code	73190143
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

DEL C SEC W/TUBAL EA ADD HR

Facility

$6,141.59

Hospital Charge Code	73190151
Hospital Revenue Code	720
Min. Negotiated Rate	$921.24
Max. Negotiated Rate	$921.24
Rate for Payer: Qualcare PPO/HMO/WC	$921.24

DEL C SEC W/TUBAL EA ADD HR

Facility

$6,141.59

Hospital Charge Code	73190151
Hospital Revenue Code	720
Min. Negotiated Rate	$174.42
Max. Negotiated Rate	$4,601.00
Rate for Payer: Aetna Commercial	$2,333.80
Rate for Payer: Aetna Medicare Advantage	$1,842.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,566.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,566.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,566.11
Rate for Payer: Cigna Commercial	$3,070.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,596.81
Rate for Payer: Oxford Commercial	$4,053.00
Rate for Payer: Qualcare PPO/HMO/WC	$921.24
Rate for Payer: UnitedHealthcare Commercial	$4,601.00
Rate for Payer: UnitedHealthcare Community & State	$194.07
Rate for Payer: Wellpoint Medicaid Managed Care	$174.42

DEL D&C

Facility

$10,100.00

Service Code	HCPCS 59160
Hospital Charge Code	73190025
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 D&C

Facility

$10,100.00

Service Code	HCPCS 59160
Hospital Charge Code	73190025
Hospital Revenue Code	720
Min. Negotiated Rate	$110.88
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	$110.88
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	$2,626.00
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: UnitedHealthcare Medicare Advantage	$3,845.79
Rate for Payer: Wellcare Medicare Advantage	$3,845.79
Rate for Payer: Wellpoint Medicaid Managed Care	$286.84

DEL DELIVER PLACENTA

Facility

$10,100.00

Service Code	HCPCS 59414
Hospital Charge Code	73190037
Hospital Revenue Code	720
Min. Negotiated Rate	$46.20
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	$46.20
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	$2,626.00
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: UnitedHealthcare Medicare Advantage	$3,845.79
Rate for Payer: Wellcare Medicare Advantage	$3,845.79
Rate for Payer: Wellpoint Medicaid Managed Care	$286.84

DEL DELIVER PLACENTA

Facility

$10,100.00

Service Code	HCPCS 59414
Hospital Charge Code	73190037
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 EPIS OR VAGINAL REPAIR

Facility

$10,100.00

Service Code	HCPCS 59300
Hospital Charge Code	73190027
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 EPIS OR VAGINAL REPAIR

Facility

$10,100.00

Service Code	HCPCS 59300
Hospital Charge Code	73190027
Hospital Revenue Code	720
Min. Negotiated Rate	$99.00
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	$99.00
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	$2,626.00
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: UnitedHealthcare Medicare Advantage	$3,845.79
Rate for Payer: Wellcare Medicare Advantage	$3,845.79
Rate for Payer: Wellpoint Medicaid Managed Care	$286.84

DEL EXAM UNDER ANESTHESIA

Facility

$10,100.00

Service Code	HCPCS 57410
Hospital Charge Code	73190007
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 EXAM UNDER ANESTHESIA

Facility

$10,100.00

Service Code	HCPCS 57410
Hospital Charge Code	73190007
Hospital Revenue Code	720
Min. Negotiated Rate	$42.35
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	$42.35
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	$2,626.00
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: UnitedHealthcare Medicare Advantage	$3,845.79
Rate for Payer: Wellcare Medicare Advantage	$3,845.79
Rate for Payer: Wellpoint Medicaid Managed Care	$286.84

DEL EXTERNAL VERSION

Facility

$10,100.00

Service Code	HCPCS 59412
Hospital Charge Code	73190035
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 EXTERNAL VERSION

Facility

$10,100.00

Service Code	HCPCS 59412
Hospital Charge Code	73190035
Hospital Revenue Code	720
Min. Negotiated Rate	$52.24
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	$52.24
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	$2,626.00
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: UnitedHealthcare Medicare Advantage	$3,845.79
Rate for Payer: Wellcare Medicare Advantage	$3,845.79
Rate for Payer: Wellpoint Medicaid Managed Care	$286.84

DEL FETAL MONITOR - EXTERNAL

Facility

$1,005.20

Hospital Charge Code	73190021
Hospital Revenue Code	720
Min. Negotiated Rate	$150.78
Max. Negotiated Rate	$150.78
Rate for Payer: Qualcare PPO/HMO/WC	$150.78

DEL FETAL MONITOR - EXTERNAL

Facility

$1,005.20

Hospital Charge Code	73190021
Hospital Revenue Code	720
Min. Negotiated Rate	$28.55
Max. Negotiated Rate	$4,601.00
Rate for Payer: Aetna Commercial	$381.98
Rate for Payer: Aetna Medicare Advantage	$301.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$256.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$256.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$256.33
Rate for Payer: Cigna Commercial	$502.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$261.35
Rate for Payer: Oxford Commercial	$4,053.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.78
Rate for Payer: UnitedHealthcare Commercial	$4,601.00
Rate for Payer: UnitedHealthcare Community & State	$31.76
Rate for Payer: Wellpoint Medicaid Managed Care	$28.55

DEL HYSTERECTOMY

Facility

$9,448.60

Service Code	HCPCS 59525
Hospital Charge Code	73190045
Hospital Revenue Code	361
Min. Negotiated Rate	$1,417.29
Max. Negotiated Rate	$1,417.29
Rate for Payer: Qualcare PPO/HMO/WC	$1,417.29

DEL HYSTERECTOMY

Facility

$9,448.60

Service Code	HCPCS 59525
Hospital Charge Code	73190045
Hospital Revenue Code	361
Min. Negotiated Rate	$268.34
Max. Negotiated Rate	$4,724.30
Rate for Payer: Aetna Commercial	$3,590.47
Rate for Payer: Aetna Medicare Advantage	$2,834.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,409.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,409.39
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	$2,409.39
Rate for Payer: Cigna Commercial	$4,724.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,456.64
Rate for Payer: Qualcare PPO/HMO/WC	$1,417.29
Rate for Payer: UnitedHealthcare Community & State	$298.58
Rate for Payer: Wellpoint Medicaid Managed Care	$268.34

DELIVERY CANNULA&TAMP 8G 10CM

Facility

$267.30

Hospital Charge Code	270645740
Hospital Revenue Code	272
Min. Negotiated Rate	$7.59
Max. Negotiated Rate	$133.65
Rate for Payer: Aetna Commercial	$101.57
Rate for Payer: Aetna Medicare Advantage	$80.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$68.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$68.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$68.16
Rate for Payer: Cigna Commercial	$133.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$69.50
Rate for Payer: Oxford Commercial	$53.46
Rate for Payer: Qualcare PPO/HMO/WC	$40.09
Rate for Payer: UnitedHealthcare Commercial	$53.46
Rate for Payer: UnitedHealthcare Community & State	$8.45
Rate for Payer: Wellpoint Medicaid Managed Care	$7.59

Know your out-of-pocket cost for care.

All Charges