|
IR ABSC DRNGE PERC LIVER
|
Facility
|
IP
|
$3,410.10
|
|
|
Service Code
|
HCPCS 49405
|
| Hospital Charge Code |
7411580
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$511.51 |
| Max. Negotiated Rate |
$511.51 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$511.51
|
|
|
IR ABSC DRNGE PERC LIVER
|
Facility
|
IP
|
$6,769.70
|
|
|
Service Code
|
HCPCS 49405
|
| Hospital Charge Code |
411049405
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,015.46 |
| Max. Negotiated Rate |
$1,015.46 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,015.46
|
|
|
IR ABSC DRNGE PERC LIVER
|
Facility
|
OP
|
$6,769.70
|
|
|
Service Code
|
HCPCS 49405
|
| Hospital Charge Code |
411049405
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$163.15 |
| Max. Negotiated Rate |
$7,082.74 |
| Rate for Payer: Aetna Commercial |
$5,337.02
|
| Rate for Payer: Aetna Medicare Advantage |
$6,357.33
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$7,082.74
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$7,082.74
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$1,962.14
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,626.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$7,082.74
|
| Rate for Payer: Cigna Commercial |
$3,933.12
|
| Rate for Payer: Cigna Medicare Advantage |
$1,962.14
|
| Rate for Payer: Clover Medicare Advantage |
$1,864.03
|
| Rate for Payer: EmblemHealth Commercial |
$5,886.42
|
| Rate for Payer: Humana Medicare Advantage |
$2,021.00
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$1,962.14
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$2,030.91
|
| Rate for Payer: Oxford Commercial |
$3,248.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,015.46
|
| Rate for Payer: UnitedHealthcare Commercial |
$5,311.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$163.15
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$1,962.14
|
| Rate for Payer: Wellcare Medicare Advantage |
$1,962.14
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$179.40
|
|
|
IR ABSC DRNGE PERC LIVER
|
Facility
|
OP
|
$8,054.80
|
|
|
Service Code
|
HCPCS 49405
|
| Hospital Charge Code |
2003077
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$194.12 |
| Max. Negotiated Rate |
$7,082.74 |
| Rate for Payer: Aetna Commercial |
$5,337.02
|
| Rate for Payer: Aetna Medicare Advantage |
$6,357.33
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$7,082.74
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$7,082.74
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$1,962.14
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,626.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$7,082.74
|
| Rate for Payer: Cigna Commercial |
$3,933.12
|
| Rate for Payer: Cigna Medicare Advantage |
$1,962.14
|
| Rate for Payer: Clover Medicare Advantage |
$1,864.03
|
| Rate for Payer: EmblemHealth Commercial |
$5,886.42
|
| Rate for Payer: Humana Medicare Advantage |
$2,021.00
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$1,962.14
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$2,416.44
|
| Rate for Payer: Oxford Commercial |
$3,248.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,208.22
|
| Rate for Payer: UnitedHealthcare Commercial |
$5,311.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$194.12
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$1,962.14
|
| Rate for Payer: Wellcare Medicare Advantage |
$1,962.14
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$213.45
|
|
|
IR ABSCESS DRAINAGE
|
Facility
|
OP
|
$5,100.00
|
|
|
Service Code
|
HCPCS 75989
|
| Hospital Charge Code |
366875989
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$122.91 |
| Max. Negotiated Rate |
$2,550.00 |
| Rate for Payer: Aetna Commercial |
$1,938.00
|
| Rate for Payer: Aetna Medicare Advantage |
$1,530.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1,300.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1,300.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$253.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1,300.50
|
| Rate for Payer: Cigna Commercial |
$2,550.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,530.00
|
| Rate for Payer: Oxford Commercial |
$1,311.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$765.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$1,975.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$122.91
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$135.15
|
|
|
IR ABSCESS DRAINAGE
|
Facility
|
IP
|
$5,100.00
|
|
|
Service Code
|
HCPCS 75989
|
| Hospital Charge Code |
366875989
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$765.00 |
| Max. Negotiated Rate |
$765.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$765.00
|
|
|
IR ABSCESS DRAINAGE
|
Facility
|
OP
|
$5,100.00
|
|
|
Service Code
|
HCPCS 75989
|
| Hospital Charge Code |
2002327
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$122.91 |
| Max. Negotiated Rate |
$2,550.00 |
| Rate for Payer: Aetna Commercial |
$1,938.00
|
| Rate for Payer: Aetna Medicare Advantage |
$1,530.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1,300.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1,300.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$253.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1,300.50
|
| Rate for Payer: Cigna Commercial |
$2,550.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,530.00
|
| Rate for Payer: Oxford Commercial |
$1,311.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$765.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$1,975.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$122.91
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$135.15
|
|
|
IR ABSCESS DRAINAGE
|
Facility
|
OP
|
$5,100.00
|
|
|
Service Code
|
HCPCS 75989
|
| Hospital Charge Code |
321075989
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$122.91 |
| Max. Negotiated Rate |
$2,550.00 |
| Rate for Payer: Aetna Commercial |
$1,938.00
|
| Rate for Payer: Aetna Medicare Advantage |
$1,530.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1,300.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1,300.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$253.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1,300.50
|
| Rate for Payer: Cigna Commercial |
$2,550.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,530.00
|
| Rate for Payer: Oxford Commercial |
$1,311.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$765.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$1,975.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$122.91
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$135.15
|
|
|
IR ABSCESS DRAINAGE
|
Facility
|
IP
|
$5,100.00
|
|
|
Service Code
|
HCPCS 75989
|
| Hospital Charge Code |
2002327
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$765.00 |
| Max. Negotiated Rate |
$765.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$765.00
|
|
|
IR ABSCESS DRAINAGE
|
Facility
|
IP
|
$5,100.00
|
|
|
Service Code
|
HCPCS 75989
|
| Hospital Charge Code |
411075989
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$765.00 |
| Max. Negotiated Rate |
$765.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$765.00
|
|
|
IR ABSCESS DRAINAGE
|
Facility
|
OP
|
$5,100.00
|
|
|
Service Code
|
HCPCS 75989
|
| Hospital Charge Code |
411075989
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$122.91 |
| Max. Negotiated Rate |
$2,550.00 |
| Rate for Payer: Aetna Commercial |
$1,938.00
|
| Rate for Payer: Aetna Medicare Advantage |
$1,530.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1,300.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1,300.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$253.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1,300.50
|
| Rate for Payer: Cigna Commercial |
$2,550.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,530.00
|
| Rate for Payer: Oxford Commercial |
$1,311.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$765.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$1,975.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$122.91
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$135.15
|
|
|
IR ABSCESS DRAINAGE
|
Facility
|
IP
|
$3,408.00
|
|
|
Service Code
|
HCPCS 75989
|
| Hospital Charge Code |
7411748
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$511.20 |
| Max. Negotiated Rate |
$511.20 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$511.20
|
|
|
IR ABSCESS DRAINAGE
|
Facility
|
OP
|
$3,408.00
|
|
|
Service Code
|
HCPCS 75989
|
| Hospital Charge Code |
7411748
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$82.13 |
| Max. Negotiated Rate |
$1,975.00 |
| Rate for Payer: Aetna Commercial |
$1,295.04
|
| Rate for Payer: Aetna Medicare Advantage |
$1,022.40
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$869.04
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$869.04
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$253.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$869.04
|
| Rate for Payer: Cigna Commercial |
$1,704.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,022.40
|
| Rate for Payer: Oxford Commercial |
$1,311.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$511.20
|
| Rate for Payer: UnitedHealthcare Commercial |
$1,975.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$82.13
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$90.31
|
|
|
IR ABSCESS DRAINAGE
|
Facility
|
IP
|
$5,100.00
|
|
|
Service Code
|
HCPCS 75989
|
| Hospital Charge Code |
321075989
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$765.00 |
| Max. Negotiated Rate |
$765.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$765.00
|
|
|
IR ABSCESS DRAINAGE CATH CHECK
|
Facility
|
IP
|
$553.65
|
|
|
Service Code
|
HCPCS 49424
|
| Hospital Charge Code |
2011075
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$83.05 |
| Max. Negotiated Rate |
$83.05 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$83.05
|
|
|
IR ABSCESS DRAINAGE CATH CHECK
|
Facility
|
OP
|
$553.65
|
|
|
Service Code
|
HCPCS 49424
|
| Hospital Charge Code |
2011075
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$13.34 |
| Max. Negotiated Rate |
$2,220.00 |
| Rate for Payer: Aetna Commercial |
$210.39
|
| Rate for Payer: Aetna Medicare Advantage |
$166.09
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$141.18
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$141.18
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,626.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$141.18
|
| Rate for Payer: Cigna Commercial |
$276.82
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$166.09
|
| Rate for Payer: Oxford Commercial |
$1,487.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$83.05
|
| Rate for Payer: UnitedHealthcare Commercial |
$2,220.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$13.34
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$14.67
|
|
|
IR ABSCESS DRAINAGE EMPYEM HEM
|
Facility
|
OP
|
$6,404.20
|
|
|
Service Code
|
HCPCS 32551
|
| Hospital Charge Code |
321032551
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$154.34 |
| Max. Negotiated Rate |
$6,750.64 |
| Rate for Payer: Aetna Commercial |
$5,086.78
|
| Rate for Payer: Aetna Medicare Advantage |
$6,059.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$6,750.64
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$6,750.64
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$1,870.14
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,626.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$6,750.64
|
| Rate for Payer: Cigna Commercial |
$3,748.67
|
| Rate for Payer: Cigna Medicare Advantage |
$1,870.14
|
| Rate for Payer: Clover Medicare Advantage |
$1,776.63
|
| Rate for Payer: EmblemHealth Commercial |
$5,610.42
|
| Rate for Payer: Humana Medicare Advantage |
$1,926.24
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$1,870.14
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,921.26
|
| Rate for Payer: Oxford Commercial |
$2,269.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$960.63
|
| Rate for Payer: UnitedHealthcare Commercial |
$3,593.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$154.34
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$1,870.14
|
| Rate for Payer: Wellcare Medicare Advantage |
$1,870.14
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$2,475.28
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$2,426.75
|
|
|
IR ABSCESS DRAINAGE EMPYEM HEM
|
Facility
|
OP
|
$6,404.20
|
|
|
Service Code
|
HCPCS 32551
|
| Hospital Charge Code |
2003085
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$154.34 |
| Max. Negotiated Rate |
$6,750.64 |
| Rate for Payer: Aetna Commercial |
$5,086.78
|
| Rate for Payer: Aetna Medicare Advantage |
$6,059.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$6,750.64
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$6,750.64
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$1,870.14
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,626.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$6,750.64
|
| Rate for Payer: Cigna Commercial |
$3,748.67
|
| Rate for Payer: Cigna Medicare Advantage |
$1,870.14
|
| Rate for Payer: Clover Medicare Advantage |
$1,776.63
|
| Rate for Payer: EmblemHealth Commercial |
$5,610.42
|
| Rate for Payer: Humana Medicare Advantage |
$1,926.24
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$1,870.14
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,921.26
|
| Rate for Payer: Oxford Commercial |
$2,269.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$960.63
|
| Rate for Payer: UnitedHealthcare Commercial |
$3,593.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$154.34
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$1,870.14
|
| Rate for Payer: Wellcare Medicare Advantage |
$1,870.14
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$2,475.28
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$2,426.75
|
|
|
IR ABSCESS DRAINAGE EMPYEM HEM
|
Facility
|
OP
|
$2,422.65
|
|
|
Service Code
|
HCPCS 32551
|
| Hospital Charge Code |
7411379
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$58.39 |
| Max. Negotiated Rate |
$6,750.64 |
| Rate for Payer: Aetna Commercial |
$5,086.78
|
| Rate for Payer: Aetna Medicare Advantage |
$6,059.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$6,750.64
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$6,750.64
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$1,870.14
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,626.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$6,750.64
|
| Rate for Payer: Cigna Commercial |
$3,748.67
|
| Rate for Payer: Cigna Medicare Advantage |
$1,870.14
|
| Rate for Payer: Clover Medicare Advantage |
$1,776.63
|
| Rate for Payer: EmblemHealth Commercial |
$5,610.42
|
| Rate for Payer: Humana Medicare Advantage |
$1,926.24
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$1,870.14
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$726.79
|
| Rate for Payer: Oxford Commercial |
$2,269.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$363.40
|
| Rate for Payer: UnitedHealthcare Commercial |
$3,593.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$58.39
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$1,870.14
|
| Rate for Payer: Wellcare Medicare Advantage |
$1,870.14
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$2,475.28
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$2,426.75
|
|
|
IR ABSCESS DRAINAGE EMPYEM HEM
|
Facility
|
IP
|
$6,404.20
|
|
|
Service Code
|
HCPCS 32551
|
| Hospital Charge Code |
2003085
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$960.63 |
| Max. Negotiated Rate |
$960.63 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$960.63
|
|
|
IR ABSCESS DRAINAGE EMPYEM HEM
|
Facility
|
IP
|
$4,914.50
|
|
|
Service Code
|
HCPCS 32551
|
| Hospital Charge Code |
411032511
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$737.17 |
| Max. Negotiated Rate |
$737.17 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$737.17
|
|
|
IR ABSCESS DRAINAGE EMPYEM HEM
|
Facility
|
IP
|
$2,422.65
|
|
|
Service Code
|
HCPCS 32551
|
| Hospital Charge Code |
7411379
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$363.40 |
| Max. Negotiated Rate |
$363.40 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$363.40
|
|
|
IR ABSCESS DRAINAGE EMPYEM HEM
|
Facility
|
OP
|
$4,914.50
|
|
|
Service Code
|
HCPCS 32551
|
| Hospital Charge Code |
366832551
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$118.44 |
| Max. Negotiated Rate |
$6,750.64 |
| Rate for Payer: Aetna Commercial |
$5,086.78
|
| Rate for Payer: Aetna Medicare Advantage |
$6,059.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$6,750.64
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$6,750.64
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$1,870.14
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,626.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$6,750.64
|
| Rate for Payer: Cigna Commercial |
$3,748.67
|
| Rate for Payer: Cigna Medicare Advantage |
$1,870.14
|
| Rate for Payer: Clover Medicare Advantage |
$1,776.63
|
| Rate for Payer: EmblemHealth Commercial |
$5,610.42
|
| Rate for Payer: Humana Medicare Advantage |
$1,926.24
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$1,870.14
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,474.35
|
| Rate for Payer: Oxford Commercial |
$2,269.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$737.17
|
| Rate for Payer: UnitedHealthcare Commercial |
$3,593.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$118.44
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$1,870.14
|
| Rate for Payer: Wellcare Medicare Advantage |
$1,870.14
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$2,475.28
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$2,426.75
|
|
|
IR ABSCESS DRAINAGE EMPYEM HEM
|
Facility
|
IP
|
$4,914.50
|
|
|
Service Code
|
HCPCS 32551
|
| Hospital Charge Code |
366832551
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$737.17 |
| Max. Negotiated Rate |
$737.17 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$737.17
|
|
|
IR ABSCESS DRAINAGE EMPYEM HEM
|
Facility
|
OP
|
$4,914.50
|
|
|
Service Code
|
HCPCS 32551
|
| Hospital Charge Code |
411032511
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$118.44 |
| Max. Negotiated Rate |
$6,750.64 |
| Rate for Payer: Aetna Commercial |
$5,086.78
|
| Rate for Payer: Aetna Medicare Advantage |
$6,059.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$6,750.64
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$6,750.64
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$1,870.14
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,626.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$6,750.64
|
| Rate for Payer: Cigna Commercial |
$3,748.67
|
| Rate for Payer: Cigna Medicare Advantage |
$1,870.14
|
| Rate for Payer: Clover Medicare Advantage |
$1,776.63
|
| Rate for Payer: EmblemHealth Commercial |
$5,610.42
|
| Rate for Payer: Humana Medicare Advantage |
$1,926.24
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$1,870.14
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,474.35
|
| Rate for Payer: Oxford Commercial |
$2,269.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$737.17
|
| Rate for Payer: UnitedHealthcare Commercial |
$3,593.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$118.44
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$1,870.14
|
| Rate for Payer: Wellcare Medicare Advantage |
$1,870.14
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$2,475.28
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$2,426.75
|
|