|
CH ALPHA 2 MACROGLOBIN
|
Facility
|
OP
|
$144.00
|
|
|
Service Code
|
HCPCS 83883
|
| Hospital Charge Code |
397072055
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$3.82 |
| Max. Negotiated Rate |
$171.49 |
| Rate for Payer: Aetna Commercial |
$36.99
|
| Rate for Payer: Aetna Medicare Advantage |
$44.06
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$49.09
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$49.09
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$13.60
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$171.49
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$49.09
|
| Rate for Payer: Cigna Commercial |
$72.00
|
| Rate for Payer: Cigna Medicare Advantage |
$13.60
|
| Rate for Payer: Clover Medicare Advantage |
$12.92
|
| Rate for Payer: EmblemHealth Commercial |
$40.80
|
| Rate for Payer: Humana Medicare Advantage |
$14.01
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$13.60
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$43.20
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$21.60
|
| Rate for Payer: UnitedHealthcare Commercial |
$124.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$10.88
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$13.60
|
| Rate for Payer: Wellcare Medicare Advantage |
$13.60
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$3.82
|
|
|
CH ALPHA FETO PROTEIN
|
Facility
|
OP
|
$229.00
|
|
|
Service Code
|
HCPCS 82105
|
| Hospital Charge Code |
397071242
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$6.07 |
| Max. Negotiated Rate |
$124.00 |
| Rate for Payer: Aetna Commercial |
$45.61
|
| Rate for Payer: Aetna Medicare Advantage |
$54.33
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$60.53
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$60.53
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$16.77
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$19.75
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$60.53
|
| Rate for Payer: Cigna Commercial |
$114.50
|
| Rate for Payer: Cigna Medicare Advantage |
$16.77
|
| Rate for Payer: Clover Medicare Advantage |
$15.93
|
| Rate for Payer: EmblemHealth Commercial |
$50.31
|
| Rate for Payer: Humana Medicare Advantage |
$17.27
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$16.77
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$68.70
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$34.35
|
| Rate for Payer: UnitedHealthcare Commercial |
$124.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$13.42
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$16.77
|
| Rate for Payer: Wellcare Medicare Advantage |
$16.77
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$6.07
|
|
|
CH ALPHA FETO PROTEIN
|
Facility
|
IP
|
$229.00
|
|
|
Service Code
|
HCPCS 82105
|
| Hospital Charge Code |
397071242
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$34.35 |
| Max. Negotiated Rate |
$34.35 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$34.35
|
|
|
CH ALPHA FETOPROTEIN
|
Facility
|
OP
|
$104.00
|
|
|
Service Code
|
HCPCS 82105
|
| Hospital Charge Code |
397073239
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$2.76 |
| Max. Negotiated Rate |
$124.00 |
| Rate for Payer: Aetna Commercial |
$45.61
|
| Rate for Payer: Aetna Medicare Advantage |
$54.33
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$60.53
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$60.53
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$16.77
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$19.75
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$60.53
|
| Rate for Payer: Cigna Commercial |
$52.00
|
| Rate for Payer: Cigna Medicare Advantage |
$16.77
|
| Rate for Payer: Clover Medicare Advantage |
$15.93
|
| Rate for Payer: EmblemHealth Commercial |
$50.31
|
| Rate for Payer: Humana Medicare Advantage |
$17.27
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$16.77
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$31.20
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$15.60
|
| Rate for Payer: UnitedHealthcare Commercial |
$124.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$13.42
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$16.77
|
| Rate for Payer: Wellcare Medicare Advantage |
$16.77
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$2.76
|
|
|
CH ALPHA FETOPROTEIN
|
Facility
|
IP
|
$104.00
|
|
|
Service Code
|
HCPCS 82105
|
| Hospital Charge Code |
397073239
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$15.60 |
| Max. Negotiated Rate |
$15.60 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$15.60
|
|
|
CH ALPHA FETOPROTEIN L3SERUM
|
Facility
|
IP
|
$381.00
|
|
|
Service Code
|
HCPCS 82107
|
| Hospital Charge Code |
397071496
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$57.15 |
| Max. Negotiated Rate |
$57.15 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$57.15
|
|
|
CH ALPHA FETOPROTEIN L3SERUM
|
Facility
|
OP
|
$381.00
|
|
|
Service Code
|
HCPCS 82107
|
| Hospital Charge Code |
397071496
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$10.10 |
| Max. Negotiated Rate |
$232.50 |
| Rate for Payer: Aetna Commercial |
$175.20
|
| Rate for Payer: Aetna Medicare Advantage |
$208.69
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$232.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$232.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$64.41
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$174.22
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$232.50
|
| Rate for Payer: Cigna Commercial |
$190.50
|
| Rate for Payer: Cigna Medicare Advantage |
$64.41
|
| Rate for Payer: Clover Medicare Advantage |
$61.19
|
| Rate for Payer: EmblemHealth Commercial |
$193.23
|
| Rate for Payer: Humana Medicare Advantage |
$66.34
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$64.41
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$114.30
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$57.15
|
| Rate for Payer: UnitedHealthcare Commercial |
$124.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$51.53
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$64.41
|
| Rate for Payer: Wellcare Medicare Advantage |
$64.41
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$10.10
|
|
|
CH ALPHA NAPA BUT ESTEB ST
|
Facility
|
OP
|
$278.00
|
|
|
Service Code
|
HCPCS 88319
|
| Hospital Charge Code |
397073152
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$7.37 |
| Max. Negotiated Rate |
$3,455.10 |
| Rate for Payer: Aetna Commercial |
$2,603.50
|
| Rate for Payer: Aetna Medicare Advantage |
$3,101.23
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$3,455.10
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$3,455.10
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$957.17
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$3,455.10
|
| Rate for Payer: Cigna Commercial |
$1,918.64
|
| Rate for Payer: Cigna Medicare Advantage |
$957.17
|
| Rate for Payer: Clover Medicare Advantage |
$909.31
|
| Rate for Payer: EmblemHealth Commercial |
$2,871.51
|
| Rate for Payer: Humana Medicare Advantage |
$985.89
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$957.17
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$83.40
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$41.70
|
| Rate for Payer: UnitedHealthcare Commercial |
$175.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$111.97
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$957.17
|
| Rate for Payer: Wellcare Medicare Advantage |
$957.17
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$7.37
|
|
|
CH ALPHA NAPA BUT ESTEB ST
|
Facility
|
IP
|
$278.00
|
|
|
Service Code
|
HCPCS 88319
|
| Hospital Charge Code |
397073152
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$41.70 |
| Max. Negotiated Rate |
$41.70 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$41.70
|
|
|
CH ALPHRAZOLAM
|
Facility
|
IP
|
$422.00
|
|
|
Service Code
|
HCPCS 80299
|
| Hospital Charge Code |
397073057
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$63.30 |
| Max. Negotiated Rate |
$63.30 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$63.30
|
|
|
CH ALPHRAZOLAM
|
Facility
|
OP
|
$422.00
|
|
|
Service Code
|
HCPCS 80299
|
| Hospital Charge Code |
397073057
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$11.18 |
| Max. Negotiated Rate |
$211.00 |
| Rate for Payer: Aetna Commercial |
$50.70
|
| Rate for Payer: Aetna Medicare Advantage |
$60.39
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$67.28
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$67.28
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$18.64
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$11.64
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$67.28
|
| Rate for Payer: Cigna Commercial |
$211.00
|
| Rate for Payer: Cigna Medicare Advantage |
$18.64
|
| Rate for Payer: Clover Medicare Advantage |
$17.71
|
| Rate for Payer: EmblemHealth Commercial |
$55.92
|
| Rate for Payer: Humana Medicare Advantage |
$19.20
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$18.64
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$126.60
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$63.30
|
| Rate for Payer: UnitedHealthcare Commercial |
$124.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$14.91
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$18.64
|
| Rate for Payer: Wellcare Medicare Advantage |
$18.64
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$11.18
|
|
|
CH ALT (SGPT)
|
Facility
|
OP
|
$146.00
|
|
|
Service Code
|
HCPCS 84460
|
| Hospital Charge Code |
397071086
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$3.87 |
| Max. Negotiated Rate |
$124.00 |
| Rate for Payer: Aetna Commercial |
$14.42
|
| Rate for Payer: Aetna Medicare Advantage |
$17.17
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$19.13
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$19.13
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$5.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$5.81
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$19.13
|
| Rate for Payer: Cigna Commercial |
$73.00
|
| Rate for Payer: Cigna Medicare Advantage |
$5.30
|
| Rate for Payer: Clover Medicare Advantage |
$5.04
|
| Rate for Payer: EmblemHealth Commercial |
$15.90
|
| Rate for Payer: Humana Medicare Advantage |
$5.46
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$5.30
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$43.80
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$21.90
|
| Rate for Payer: UnitedHealthcare Commercial |
$124.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$4.24
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$5.30
|
| Rate for Payer: Wellcare Medicare Advantage |
$5.30
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$3.87
|
|
|
CH ALT (SGPT)
|
Facility
|
IP
|
$146.00
|
|
|
Service Code
|
HCPCS 84460
|
| Hospital Charge Code |
397071086
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$21.90 |
| Max. Negotiated Rate |
$21.90 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$21.90
|
|
|
CH ALUMINUM SERUM
|
Facility
|
OP
|
$166.00
|
|
|
Service Code
|
HCPCS 82108
|
| Hospital Charge Code |
397072023
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$4.40 |
| Max. Negotiated Rate |
$124.00 |
| Rate for Payer: Aetna Commercial |
$69.31
|
| Rate for Payer: Aetna Medicare Advantage |
$82.56
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$91.98
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$91.98
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$25.48
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$77.44
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$91.98
|
| Rate for Payer: Cigna Commercial |
$83.00
|
| Rate for Payer: Cigna Medicare Advantage |
$25.48
|
| Rate for Payer: Clover Medicare Advantage |
$24.21
|
| Rate for Payer: EmblemHealth Commercial |
$76.44
|
| Rate for Payer: Humana Medicare Advantage |
$26.24
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$25.48
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$49.80
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$24.90
|
| Rate for Payer: UnitedHealthcare Commercial |
$124.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$20.38
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$25.48
|
| Rate for Payer: Wellcare Medicare Advantage |
$25.48
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$4.40
|
|
|
CH ALUMINUM SERUM
|
Facility
|
IP
|
$166.00
|
|
|
Service Code
|
HCPCS 82108
|
| Hospital Charge Code |
397072023
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$24.90 |
| Max. Negotiated Rate |
$24.90 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$24.90
|
|
|
CH ALUMINUM URINE
|
Facility
|
IP
|
$293.00
|
|
|
Service Code
|
HCPCS 82108
|
| Hospital Charge Code |
397072024
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$43.95 |
| Max. Negotiated Rate |
$43.95 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$43.95
|
|
|
CH ALUMINUM URINE
|
Facility
|
OP
|
$293.00
|
|
|
Service Code
|
HCPCS 82108
|
| Hospital Charge Code |
397072024
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$7.76 |
| Max. Negotiated Rate |
$146.50 |
| Rate for Payer: Aetna Commercial |
$69.31
|
| Rate for Payer: Aetna Medicare Advantage |
$82.56
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$91.98
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$91.98
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$25.48
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$77.44
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$91.98
|
| Rate for Payer: Cigna Commercial |
$146.50
|
| Rate for Payer: Cigna Medicare Advantage |
$25.48
|
| Rate for Payer: Clover Medicare Advantage |
$24.21
|
| Rate for Payer: EmblemHealth Commercial |
$76.44
|
| Rate for Payer: Humana Medicare Advantage |
$26.24
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$25.48
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$87.90
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$43.95
|
| Rate for Payer: UnitedHealthcare Commercial |
$124.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$20.38
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$25.48
|
| Rate for Payer: Wellcare Medicare Advantage |
$25.48
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$7.76
|
|
|
CHAMBER AUTO FEED
|
Facility
|
IP
|
$51.74
|
|
| Hospital Charge Code |
270643696
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$7.76 |
| Max. Negotiated Rate |
$7.76 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$7.76
|
|
|
CHAMBER AUTO FEED
|
Facility
|
OP
|
$51.74
|
|
| Hospital Charge Code |
270643696
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$1.25 |
| Max. Negotiated Rate |
$25.87 |
| Rate for Payer: Aetna Commercial |
$19.66
|
| Rate for Payer: Aetna Medicare Advantage |
$15.52
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$13.19
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$13.19
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$13.19
|
| Rate for Payer: Cigna Commercial |
$25.87
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$15.52
|
| Rate for Payer: Oxford Commercial |
$10.35
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$7.76
|
| Rate for Payer: UnitedHealthcare Commercial |
$10.35
|
| Rate for Payer: UnitedHealthcare Community & State |
$1.25
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$1.37
|
|
|
CHAMBER DRUG HOLDING INSPIREA-
|
Facility
|
IP
|
$44.89
|
|
| Hospital Charge Code |
270639104
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$6.73 |
| Max. Negotiated Rate |
$6.73 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$6.73
|
|
|
CHAMBER DRUG HOLDING INSPIREA-
|
Facility
|
OP
|
$44.89
|
|
| Hospital Charge Code |
270639104
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$1.08 |
| Max. Negotiated Rate |
$22.45 |
| Rate for Payer: Aetna Commercial |
$17.06
|
| Rate for Payer: Aetna Medicare Advantage |
$13.47
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$11.45
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$11.45
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$11.45
|
| Rate for Payer: Cigna Commercial |
$22.45
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$13.47
|
| Rate for Payer: Oxford Commercial |
$8.98
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$6.73
|
| Rate for Payer: UnitedHealthcare Commercial |
$8.98
|
| Rate for Payer: UnitedHealthcare Community & State |
$1.08
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$1.19
|
|
|
CHAMBER FISCHER - PAYKEL
|
Facility
|
IP
|
$93.65
|
|
| Hospital Charge Code |
270600622
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$14.05 |
| Max. Negotiated Rate |
$14.05 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$14.05
|
|
|
CHAMBER FISCHER - PAYKEL
|
Facility
|
OP
|
$93.65
|
|
| Hospital Charge Code |
270600622
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$2.26 |
| Max. Negotiated Rate |
$46.83 |
| Rate for Payer: Aetna Commercial |
$35.59
|
| Rate for Payer: Aetna Medicare Advantage |
$28.09
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$23.88
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$23.88
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$23.88
|
| Rate for Payer: Cigna Commercial |
$46.83
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$28.09
|
| Rate for Payer: Oxford Commercial |
$18.73
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$14.05
|
| Rate for Payer: UnitedHealthcare Commercial |
$18.73
|
| Rate for Payer: UnitedHealthcare Community & State |
$2.26
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$2.48
|
|
|
CHAMBER FISCHER- PAYKEL***
|
Facility
|
IP
|
$67.00
|
|
| Hospital Charge Code |
9501255
|
|
Hospital Revenue Code
|
279
|
| Min. Negotiated Rate |
$10.05 |
| Max. Negotiated Rate |
$10.05 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$10.05
|
|
|
CHAMBER FISCHER- PAYKEL***
|
Facility
|
OP
|
$67.00
|
|
| Hospital Charge Code |
9501255
|
|
Hospital Revenue Code
|
279
|
| Min. Negotiated Rate |
$1.61 |
| Max. Negotiated Rate |
$33.50 |
| Rate for Payer: Aetna Commercial |
$25.46
|
| Rate for Payer: Aetna Medicare Advantage |
$20.10
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$17.09
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$17.09
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$17.09
|
| Rate for Payer: Cigna Commercial |
$33.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$20.10
|
| Rate for Payer: Oxford Commercial |
$13.40
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$10.05
|
| Rate for Payer: UnitedHealthcare Commercial |
$13.40
|
| Rate for Payer: UnitedHealthcare Community & State |
$1.61
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$1.78
|
|
