|
CORTISOL (24 HR UR)
|
Facility
|
IP
|
$139.25
|
|
|
Service Code
|
HCPCS 82533
|
| Hospital Charge Code |
3003241
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$20.89 |
| Max. Negotiated Rate |
$20.89 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$20.89
|
|
|
CORTISOL (24 HR UR)
|
Facility
|
OP
|
$139.25
|
|
|
Service Code
|
HCPCS 82533
|
| Hospital Charge Code |
3003241
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$3.69 |
| Max. Negotiated Rate |
$124.00 |
| Rate for Payer: Aetna Commercial |
$44.34
|
| Rate for Payer: Aetna Medicare Advantage |
$52.81
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$58.84
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$58.84
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$16.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$32.91
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$58.84
|
| Rate for Payer: Cigna Commercial |
$69.62
|
| Rate for Payer: Cigna Medicare Advantage |
$16.30
|
| Rate for Payer: Clover Medicare Advantage |
$15.48
|
| Rate for Payer: EmblemHealth Commercial |
$48.90
|
| Rate for Payer: Humana Medicare Advantage |
$16.79
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$16.30
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$41.77
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$20.89
|
| Rate for Payer: UnitedHealthcare Commercial |
$124.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$13.04
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$16.30
|
| Rate for Payer: Wellcare Medicare Advantage |
$16.30
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$3.69
|
|
|
CORTISOL BINDING GLOBULIN
|
Facility
|
IP
|
$390.00
|
|
|
Service Code
|
HCPCS 84449
|
| Hospital Charge Code |
39900475
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$58.50 |
| Max. Negotiated Rate |
$58.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$58.50
|
|
|
CORTISOL BINDING GLOBULIN
|
Facility
|
OP
|
$390.00
|
|
|
Service Code
|
HCPCS 84449
|
| Hospital Charge Code |
39900475
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$10.34 |
| Max. Negotiated Rate |
$195.00 |
| Rate for Payer: Aetna Commercial |
$48.96
|
| Rate for Payer: Aetna Medicare Advantage |
$58.32
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$64.97
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$64.97
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$18.00
|
| 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 |
$64.97
|
| Rate for Payer: Cigna Commercial |
$195.00
|
| Rate for Payer: Cigna Medicare Advantage |
$18.00
|
| Rate for Payer: Clover Medicare Advantage |
$17.10
|
| Rate for Payer: EmblemHealth Commercial |
$54.00
|
| Rate for Payer: Humana Medicare Advantage |
$18.54
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$18.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$117.00
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$58.50
|
| Rate for Payer: UnitedHealthcare Commercial |
$124.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$14.40
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$18.00
|
| Rate for Payer: Wellcare Medicare Advantage |
$18.00
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$10.34
|
|
|
CORTISOL, FREE
|
Facility
|
IP
|
$682.00
|
|
|
Service Code
|
HCPCS 82530
|
| Hospital Charge Code |
38472024
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$102.30 |
| Max. Negotiated Rate |
$102.30 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$102.30
|
|
|
CORTISOL, FREE
|
Facility
|
OP
|
$682.00
|
|
|
Service Code
|
HCPCS 82530
|
| Hospital Charge Code |
38472024
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$13.37 |
| Max. Negotiated Rate |
$341.00 |
| Rate for Payer: Aetna Commercial |
$45.45
|
| Rate for Payer: Aetna Medicare Advantage |
$54.14
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$60.32
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$60.32
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$16.71
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$32.91
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$60.32
|
| Rate for Payer: Cigna Commercial |
$341.00
|
| Rate for Payer: Cigna Medicare Advantage |
$16.71
|
| Rate for Payer: Clover Medicare Advantage |
$15.87
|
| Rate for Payer: EmblemHealth Commercial |
$50.13
|
| Rate for Payer: Humana Medicare Advantage |
$17.21
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$16.71
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$204.60
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$102.30
|
| Rate for Payer: UnitedHealthcare Commercial |
$124.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$13.37
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$16.71
|
| Rate for Payer: Wellcare Medicare Advantage |
$16.71
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$18.07
|
|
|
CORTISOL FREE LCM/MS SERUM
|
Facility
|
IP
|
$188.79
|
|
|
Service Code
|
HCPCS 82530
|
| Hospital Charge Code |
401382530
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$28.32 |
| Max. Negotiated Rate |
$28.32 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$28.32
|
|
|
CORTISOL FREE LCM/MS SERUM
|
Facility
|
OP
|
$188.79
|
|
|
Service Code
|
HCPCS 82530
|
| Hospital Charge Code |
401382530
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$5.00 |
| Max. Negotiated Rate |
$124.00 |
| Rate for Payer: Aetna Commercial |
$45.45
|
| Rate for Payer: Aetna Medicare Advantage |
$54.14
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$60.32
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$60.32
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$16.71
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$32.91
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$60.32
|
| Rate for Payer: Cigna Commercial |
$94.39
|
| Rate for Payer: Cigna Medicare Advantage |
$16.71
|
| Rate for Payer: Clover Medicare Advantage |
$15.87
|
| Rate for Payer: EmblemHealth Commercial |
$50.13
|
| Rate for Payer: Humana Medicare Advantage |
$17.21
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$16.71
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$56.64
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$28.32
|
| Rate for Payer: UnitedHealthcare Commercial |
$124.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$13.37
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$16.71
|
| Rate for Payer: Wellcare Medicare Advantage |
$16.71
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$5.00
|
|
|
CORTISOL, FREE, LC/MS/MS
|
Facility
|
IP
|
$519.00
|
|
|
Service Code
|
HCPCS 82530
|
| Hospital Charge Code |
397071495
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$77.85 |
| Max. Negotiated Rate |
$77.85 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$77.85
|
|
|
CORTISOL, FREE, LC/MS/MS
|
Facility
|
OP
|
$519.00
|
|
|
Service Code
|
HCPCS 82530
|
| Hospital Charge Code |
397071495
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$13.37 |
| Max. Negotiated Rate |
$259.50 |
| Rate for Payer: Aetna Commercial |
$45.45
|
| Rate for Payer: Aetna Medicare Advantage |
$54.14
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$60.32
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$60.32
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$16.71
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$32.91
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$60.32
|
| Rate for Payer: Cigna Commercial |
$259.50
|
| Rate for Payer: Cigna Medicare Advantage |
$16.71
|
| Rate for Payer: Clover Medicare Advantage |
$15.87
|
| Rate for Payer: EmblemHealth Commercial |
$50.13
|
| Rate for Payer: Humana Medicare Advantage |
$17.21
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$16.71
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$155.70
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$77.85
|
| Rate for Payer: UnitedHealthcare Commercial |
$124.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$13.37
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$16.71
|
| Rate for Payer: Wellcare Medicare Advantage |
$16.71
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$13.75
|
|
|
CORTISOL,FREE,LC/MS/MS
|
Facility
|
OP
|
$390.00
|
|
|
Service Code
|
HCPCS 82530
|
| Hospital Charge Code |
39900065
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$10.34 |
| Max. Negotiated Rate |
$195.00 |
| Rate for Payer: Aetna Commercial |
$45.45
|
| Rate for Payer: Aetna Medicare Advantage |
$54.14
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$60.32
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$60.32
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$16.71
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$32.91
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$60.32
|
| Rate for Payer: Cigna Commercial |
$195.00
|
| Rate for Payer: Cigna Medicare Advantage |
$16.71
|
| Rate for Payer: Clover Medicare Advantage |
$15.87
|
| Rate for Payer: EmblemHealth Commercial |
$50.13
|
| Rate for Payer: Humana Medicare Advantage |
$17.21
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$16.71
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$117.00
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$58.50
|
| Rate for Payer: UnitedHealthcare Commercial |
$124.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$13.37
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$16.71
|
| Rate for Payer: Wellcare Medicare Advantage |
$16.71
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$10.34
|
|
|
CORTISOL,FREE,LC/MS/MS
|
Facility
|
IP
|
$390.00
|
|
|
Service Code
|
HCPCS 82530
|
| Hospital Charge Code |
39900065
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$58.50 |
| Max. Negotiated Rate |
$58.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$58.50
|
|
|
CORTISOL, FREE SERUM
|
Facility
|
OP
|
$139.25
|
|
|
Service Code
|
HCPCS 82530
|
| Hospital Charge Code |
3035120
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$3.69 |
| Max. Negotiated Rate |
$124.00 |
| Rate for Payer: Aetna Commercial |
$45.45
|
| Rate for Payer: Aetna Medicare Advantage |
$54.14
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$60.32
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$60.32
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$16.71
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$32.91
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$60.32
|
| Rate for Payer: Cigna Commercial |
$69.62
|
| Rate for Payer: Cigna Medicare Advantage |
$16.71
|
| Rate for Payer: Clover Medicare Advantage |
$15.87
|
| Rate for Payer: EmblemHealth Commercial |
$50.13
|
| Rate for Payer: Humana Medicare Advantage |
$17.21
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$16.71
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$41.77
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$20.89
|
| Rate for Payer: UnitedHealthcare Commercial |
$124.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$13.37
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$16.71
|
| Rate for Payer: Wellcare Medicare Advantage |
$16.71
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$3.69
|
|
|
CORTISOL, FREE SERUM
|
Facility
|
IP
|
$139.25
|
|
|
Service Code
|
HCPCS 82530
|
| Hospital Charge Code |
3035120
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$20.89 |
| Max. Negotiated Rate |
$20.89 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$20.89
|
|
|
CORTISOL (PLASMA)***
|
Facility
|
IP
|
$83.00
|
|
| Hospital Charge Code |
3010907
|
|
Hospital Revenue Code
|
309
|
| Min. Negotiated Rate |
$12.45 |
| Max. Negotiated Rate |
$12.45 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$12.45
|
|
|
CORTISOL (PLASMA)***
|
Facility
|
OP
|
$83.00
|
|
| Hospital Charge Code |
3010907
|
|
Hospital Revenue Code
|
309
|
| Min. Negotiated Rate |
$2.00 |
| Max. Negotiated Rate |
$124.00 |
| Rate for Payer: Aetna Commercial |
$31.54
|
| Rate for Payer: Aetna Medicare Advantage |
$24.90
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$21.16
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$21.16
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$21.16
|
| Rate for Payer: Cigna Commercial |
$41.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$24.90
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$12.45
|
| Rate for Payer: UnitedHealthcare Commercial |
$124.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$2.00
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$2.20
|
|
|
CORTISOL PM, SERUM
|
Facility
|
IP
|
$139.25
|
|
|
Service Code
|
HCPCS 82533
|
| Hospital Charge Code |
3030392
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$20.89 |
| Max. Negotiated Rate |
$20.89 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$20.89
|
|
|
CORTISOL PM, SERUM
|
Facility
|
OP
|
$139.25
|
|
|
Service Code
|
HCPCS 82533
|
| Hospital Charge Code |
3030392
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$3.69 |
| Max. Negotiated Rate |
$124.00 |
| Rate for Payer: Aetna Commercial |
$44.34
|
| Rate for Payer: Aetna Medicare Advantage |
$52.81
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$58.84
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$58.84
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$16.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$32.91
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$58.84
|
| Rate for Payer: Cigna Commercial |
$69.62
|
| Rate for Payer: Cigna Medicare Advantage |
$16.30
|
| Rate for Payer: Clover Medicare Advantage |
$15.48
|
| Rate for Payer: EmblemHealth Commercial |
$48.90
|
| Rate for Payer: Humana Medicare Advantage |
$16.79
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$16.30
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$41.77
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$20.89
|
| Rate for Payer: UnitedHealthcare Commercial |
$124.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$13.04
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$16.30
|
| Rate for Payer: Wellcare Medicare Advantage |
$16.30
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$3.69
|
|
|
CORTISOL SERUM
|
Facility
|
OP
|
$112.05
|
|
|
Service Code
|
HCPCS 82533
|
| Hospital Charge Code |
39900474
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$2.97 |
| Max. Negotiated Rate |
$124.00 |
| Rate for Payer: Aetna Commercial |
$44.34
|
| Rate for Payer: Aetna Medicare Advantage |
$52.81
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$58.84
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$58.84
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$16.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$32.91
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$58.84
|
| Rate for Payer: Cigna Commercial |
$56.02
|
| Rate for Payer: Cigna Medicare Advantage |
$16.30
|
| Rate for Payer: Clover Medicare Advantage |
$15.48
|
| Rate for Payer: EmblemHealth Commercial |
$48.90
|
| Rate for Payer: Humana Medicare Advantage |
$16.79
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$16.30
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$33.62
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$16.81
|
| Rate for Payer: UnitedHealthcare Commercial |
$124.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$13.04
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$16.30
|
| Rate for Payer: Wellcare Medicare Advantage |
$16.30
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$2.97
|
|
|
CORTISOL SERUM
|
Facility
|
IP
|
$112.05
|
|
|
Service Code
|
HCPCS 82533
|
| Hospital Charge Code |
39900474
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$16.81 |
| Max. Negotiated Rate |
$16.81 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$16.81
|
|
|
CORTISOL, SERUM
|
Facility
|
IP
|
$139.25
|
|
|
Service Code
|
HCPCS 82533
|
| Hospital Charge Code |
3000908
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$20.89 |
| Max. Negotiated Rate |
$20.89 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$20.89
|
|
|
CORTISOL, SERUM
|
Facility
|
OP
|
$139.25
|
|
|
Service Code
|
HCPCS 82533
|
| Hospital Charge Code |
3000908
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$3.69 |
| Max. Negotiated Rate |
$124.00 |
| Rate for Payer: Aetna Commercial |
$44.34
|
| Rate for Payer: Aetna Medicare Advantage |
$52.81
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$58.84
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$58.84
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$16.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$32.91
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$58.84
|
| Rate for Payer: Cigna Commercial |
$69.62
|
| Rate for Payer: Cigna Medicare Advantage |
$16.30
|
| Rate for Payer: Clover Medicare Advantage |
$15.48
|
| Rate for Payer: EmblemHealth Commercial |
$48.90
|
| Rate for Payer: Humana Medicare Advantage |
$16.79
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$16.30
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$41.77
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$20.89
|
| Rate for Payer: UnitedHealthcare Commercial |
$124.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$13.04
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$16.30
|
| Rate for Payer: Wellcare Medicare Advantage |
$16.30
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$3.69
|
|
|
CORTISOL TOTAL
|
Facility
|
IP
|
$746.00
|
|
|
Service Code
|
HCPCS 82533
|
| Hospital Charge Code |
38479110
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$111.90 |
| Max. Negotiated Rate |
$111.90 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$111.90
|
|
|
CORTISOL TOTAL
|
Facility
|
OP
|
$746.00
|
|
|
Service Code
|
HCPCS 82533
|
| Hospital Charge Code |
38479110
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$13.04 |
| Max. Negotiated Rate |
$373.00 |
| Rate for Payer: Aetna Commercial |
$44.34
|
| Rate for Payer: Aetna Medicare Advantage |
$52.81
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$58.84
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$58.84
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$16.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$32.91
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$58.84
|
| Rate for Payer: Cigna Commercial |
$373.00
|
| Rate for Payer: Cigna Medicare Advantage |
$16.30
|
| Rate for Payer: Clover Medicare Advantage |
$15.48
|
| Rate for Payer: EmblemHealth Commercial |
$48.90
|
| Rate for Payer: Humana Medicare Advantage |
$16.79
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$16.30
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$223.80
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$111.90
|
| Rate for Payer: UnitedHealthcare Commercial |
$124.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$13.04
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$16.30
|
| Rate for Payer: Wellcare Medicare Advantage |
$16.30
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$19.77
|
|
|
CORTISOL,TOTAL
|
Facility
|
OP
|
$746.00
|
|
|
Service Code
|
HCPCS 82533
|
| Hospital Charge Code |
38472224
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$13.04 |
| Max. Negotiated Rate |
$373.00 |
| Rate for Payer: Aetna Commercial |
$44.34
|
| Rate for Payer: Aetna Medicare Advantage |
$52.81
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$58.84
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$58.84
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$16.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$32.91
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$58.84
|
| Rate for Payer: Cigna Commercial |
$373.00
|
| Rate for Payer: Cigna Medicare Advantage |
$16.30
|
| Rate for Payer: Clover Medicare Advantage |
$15.48
|
| Rate for Payer: EmblemHealth Commercial |
$48.90
|
| Rate for Payer: Humana Medicare Advantage |
$16.79
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$16.30
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$223.80
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$111.90
|
| Rate for Payer: UnitedHealthcare Commercial |
$124.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$13.04
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$16.30
|
| Rate for Payer: Wellcare Medicare Advantage |
$16.30
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$19.77
|
|