|
NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY
|
Facility
|
IP
|
$15,865.69
|
|
|
Service Code
|
APR-DRG 6212
|
| Min. Negotiated Rate |
$15,554.60 |
| Max. Negotiated Rate |
$15,865.69 |
| Rate for Payer: UnitedHealthcare Community & State |
$15,554.60
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$15,865.69
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$15,554.60
|
|
|
NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY
|
Facility
|
IP
|
$4,542.54
|
|
|
Service Code
|
APR-DRG 6211
|
| Min. Negotiated Rate |
$4,453.47 |
| Max. Negotiated Rate |
$4,542.54 |
| Rate for Payer: UnitedHealthcare Community & State |
$4,453.47
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$4,542.54
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$4,453.47
|
|
|
NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY
|
Facility
|
IP
|
$35,152.92
|
|
|
Service Code
|
APR-DRG 6213
|
| Min. Negotiated Rate |
$34,463.65 |
| Max. Negotiated Rate |
$35,152.92 |
| Rate for Payer: UnitedHealthcare Community & State |
$34,463.65
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$35,152.92
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$34,463.65
|
|
|
NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY
|
Facility
|
IP
|
$72,205.54
|
|
|
Service Code
|
APR-DRG 6214
|
| Min. Negotiated Rate |
$70,789.75 |
| Max. Negotiated Rate |
$72,205.54 |
| Rate for Payer: UnitedHealthcare Community & State |
$70,789.75
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$72,205.54
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$70,789.75
|
|
|
NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION
|
Facility
|
IP
|
$16,297.17
|
|
|
Service Code
|
APR-DRG 6252
|
| Min. Negotiated Rate |
$15,977.62 |
| Max. Negotiated Rate |
$16,297.17 |
| Rate for Payer: UnitedHealthcare Community & State |
$15,977.62
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$16,297.17
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$15,977.62
|
|
|
NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION
|
Facility
|
IP
|
$47,837.03
|
|
|
Service Code
|
APR-DRG 6254
|
| Min. Negotiated Rate |
$46,899.05 |
| Max. Negotiated Rate |
$47,837.03 |
| Rate for Payer: UnitedHealthcare Community & State |
$46,899.05
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$47,837.03
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$46,899.05
|
|
|
NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION
|
Facility
|
IP
|
$33,014.44
|
|
|
Service Code
|
APR-DRG 6253
|
| Min. Negotiated Rate |
$32,367.10 |
| Max. Negotiated Rate |
$33,014.44 |
| Rate for Payer: UnitedHealthcare Community & State |
$32,367.10
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$33,014.44
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$32,367.10
|
|
|
NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION
|
Facility
|
IP
|
$12,658.56
|
|
|
Service Code
|
APR-DRG 6251
|
| Min. Negotiated Rate |
$12,410.35 |
| Max. Negotiated Rate |
$12,658.56 |
| Rate for Payer: UnitedHealthcare Community & State |
$12,410.35
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$12,658.56
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$12,410.35
|
|
|
NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION
|
Facility
|
IP
|
$17,769.24
|
|
|
Service Code
|
APR-DRG 6221
|
| Min. Negotiated Rate |
$17,420.82 |
| Max. Negotiated Rate |
$17,769.24 |
| Rate for Payer: UnitedHealthcare Community & State |
$17,420.82
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$17,769.24
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$17,420.82
|
|
|
NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION
|
Facility
|
IP
|
$29,923.53
|
|
|
Service Code
|
APR-DRG 6223
|
| Min. Negotiated Rate |
$29,336.79 |
| Max. Negotiated Rate |
$29,923.53 |
| Rate for Payer: UnitedHealthcare Community & State |
$29,336.79
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$29,923.53
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$29,336.79
|
|
|
NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION
|
Facility
|
IP
|
$26,680.66
|
|
|
Service Code
|
APR-DRG 6222
|
| Min. Negotiated Rate |
$26,157.51 |
| Max. Negotiated Rate |
$26,680.66 |
| Rate for Payer: UnitedHealthcare Community & State |
$26,157.51
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$26,680.66
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$26,157.51
|
|
|
NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION
|
Facility
|
IP
|
$49,764.86
|
|
|
Service Code
|
APR-DRG 6224
|
| Min. Negotiated Rate |
$48,789.08 |
| Max. Negotiated Rate |
$49,764.86 |
| Rate for Payer: UnitedHealthcare Community & State |
$48,789.08
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$49,764.86
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$48,789.08
|
|
|
NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM
|
Facility
|
IP
|
$3,171.32
|
|
|
Service Code
|
APR-DRG 6403
|
| Min. Negotiated Rate |
$3,109.14 |
| Max. Negotiated Rate |
$3,171.32 |
| Rate for Payer: UnitedHealthcare Community & State |
$3,109.14
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$3,171.32
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$3,109.14
|
|
|
NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM
|
Facility
|
IP
|
$1,331.64
|
|
|
Service Code
|
APR-DRG 6401
|
| Min. Negotiated Rate |
$1,305.53 |
| Max. Negotiated Rate |
$1,331.64 |
| Rate for Payer: UnitedHealthcare Community & State |
$1,305.53
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$1,331.64
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$1,305.53
|
|
|
NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM
|
Facility
|
IP
|
$1,763.12
|
|
|
Service Code
|
APR-DRG 6402
|
| Min. Negotiated Rate |
$1,728.55 |
| Max. Negotiated Rate |
$1,763.12 |
| Rate for Payer: UnitedHealthcare Community & State |
$1,728.55
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$1,763.12
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$1,728.55
|
|
|
NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM
|
Facility
|
IP
|
$24,511.54
|
|
|
Service Code
|
APR-DRG 6404
|
| Min. Negotiated Rate |
$24,030.92 |
| Max. Negotiated Rate |
$24,511.54 |
| Rate for Payer: UnitedHealthcare Community & State |
$24,030.92
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$24,511.54
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$24,030.92
|
|
|
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION
|
Facility
|
IP
|
$36,485.82
|
|
|
Service Code
|
APR-DRG 6364
|
| Min. Negotiated Rate |
$35,770.41 |
| Max. Negotiated Rate |
$36,485.82 |
| Rate for Payer: UnitedHealthcare Community & State |
$35,770.41
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$36,485.82
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$35,770.41
|
|
|
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION
|
Facility
|
IP
|
$10,941.37
|
|
|
Service Code
|
APR-DRG 6362
|
| Min. Negotiated Rate |
$10,726.83 |
| Max. Negotiated Rate |
$10,941.37 |
| Rate for Payer: UnitedHealthcare Community & State |
$10,726.83
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$10,941.37
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$10,726.83
|
|
|
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION
|
Facility
|
IP
|
$6,269.92
|
|
|
Service Code
|
APR-DRG 6361
|
| Min. Negotiated Rate |
$6,146.98 |
| Max. Negotiated Rate |
$6,269.92 |
| Rate for Payer: UnitedHealthcare Community & State |
$6,146.98
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$6,269.92
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$6,146.98
|
|
|
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION
|
Facility
|
IP
|
$24,377.46
|
|
|
Service Code
|
APR-DRG 6363
|
| Min. Negotiated Rate |
$23,899.47 |
| Max. Negotiated Rate |
$24,377.46 |
| Rate for Payer: UnitedHealthcare Community & State |
$23,899.47
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$24,377.46
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$23,899.47
|
|
|
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY
|
Facility
|
IP
|
$6,497.18
|
|
|
Service Code
|
APR-DRG 6332
|
| Min. Negotiated Rate |
$6,369.78 |
| Max. Negotiated Rate |
$6,497.18 |
| Rate for Payer: UnitedHealthcare Community & State |
$6,369.78
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$6,497.18
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$6,369.78
|
|
|
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY
|
Facility
|
IP
|
$23,751.87
|
|
|
Service Code
|
APR-DRG 6333
|
| Min. Negotiated Rate |
$23,286.15 |
| Max. Negotiated Rate |
$23,751.87 |
| Rate for Payer: UnitedHealthcare Community & State |
$23,286.15
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$23,751.87
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$23,286.15
|
|
|
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY
|
Facility
|
IP
|
$67,947.78
|
|
|
Service Code
|
APR-DRG 6334
|
| Min. Negotiated Rate |
$66,615.47 |
| Max. Negotiated Rate |
$67,947.78 |
| Rate for Payer: UnitedHealthcare Community & State |
$66,615.47
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$67,947.78
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$66,615.47
|
|
|
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY
|
Facility
|
IP
|
$2,221.47
|
|
|
Service Code
|
APR-DRG 6331
|
| Min. Negotiated Rate |
$2,177.91 |
| Max. Negotiated Rate |
$2,221.47 |
| Rate for Payer: UnitedHealthcare Community & State |
$2,177.91
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$2,221.47
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$2,177.91
|
|
|
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR CARDIOVASCULAR PROCEDURE
|
Facility
|
IP
|
$59,378.50
|
|
|
Service Code
|
APR-DRG 6302
|
| Min. Negotiated Rate |
$58,214.22 |
| Max. Negotiated Rate |
$59,378.50 |
| Rate for Payer: UnitedHealthcare Community & State |
$58,214.22
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$59,378.50
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$58,214.22
|
|