|
PACEMAKER MEDT DR403B
|
Facility
|
OP
|
$24,998.45
|
|
| Hospital Charge Code |
270607710C
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$602.46 |
| Max. Negotiated Rate |
$12,499.23 |
| Rate for Payer: Aetna Commercial |
$9,499.41
|
| Rate for Payer: Aetna Medicare Advantage |
$7,499.53
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$6,374.60
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$6,374.60
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$4,999.69
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$6,374.60
|
| Rate for Payer: Cigna Commercial |
$12,499.23
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$6,049.62
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$5,499.66
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$3,749.77
|
| Rate for Payer: UnitedHealthcare Community & State |
$602.46
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$662.46
|
|
|
PACEMAKER MEDT KDR401B
|
Facility
|
IP
|
$20,000.65
|
|
| Hospital Charge Code |
270609352
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$3,000.10 |
| Max. Negotiated Rate |
$4,840.16 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$4,000.13
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$4,840.16
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$4,400.14
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$3,000.10
|
|
|
PACEMAKER MEDT KDR401B
|
Facility
|
OP
|
$20,000.65
|
|
| Hospital Charge Code |
270609352
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$482.02 |
| Max. Negotiated Rate |
$10,000.33 |
| Rate for Payer: Aetna Commercial |
$7,600.25
|
| Rate for Payer: Aetna Medicare Advantage |
$6,000.19
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$5,100.17
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$5,100.17
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$4,000.13
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$5,100.17
|
| Rate for Payer: Cigna Commercial |
$10,000.33
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$4,840.16
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$4,400.14
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$3,000.10
|
| Rate for Payer: UnitedHealthcare Community & State |
$482.02
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$530.02
|
|
|
PACEMAKER MEDT KDR601
|
Facility
|
IP
|
$21,873.65
|
|
| Hospital Charge Code |
270615845
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$3,281.05 |
| Max. Negotiated Rate |
$5,293.42 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$4,374.73
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$5,293.42
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$4,812.20
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$3,281.05
|
|
|
PACEMAKER MEDT KDR601
|
Facility
|
OP
|
$21,873.65
|
|
| Hospital Charge Code |
270615845
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$527.15 |
| Max. Negotiated Rate |
$10,936.83 |
| Rate for Payer: Aetna Commercial |
$8,311.99
|
| Rate for Payer: Aetna Medicare Advantage |
$6,562.10
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$5,577.78
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$5,577.78
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$4,374.73
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$5,577.78
|
| Rate for Payer: Cigna Commercial |
$10,936.83
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$5,293.42
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$4,812.20
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$3,281.05
|
| Rate for Payer: UnitedHealthcare Community & State |
$527.15
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$579.65
|
|
|
PACEMAKER MEDT KDR601
|
Facility
|
OP
|
$21,873.65
|
|
| Hospital Charge Code |
270615845C
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$527.15 |
| Max. Negotiated Rate |
$10,936.83 |
| Rate for Payer: Aetna Commercial |
$8,311.99
|
| Rate for Payer: Aetna Medicare Advantage |
$6,562.10
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$5,577.78
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$5,577.78
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$4,374.73
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$5,577.78
|
| Rate for Payer: Cigna Commercial |
$10,936.83
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$5,293.42
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$4,812.20
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$3,281.05
|
| Rate for Payer: UnitedHealthcare Community & State |
$527.15
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$579.65
|
|
|
PACEMAKER MEDT KDR601
|
Facility
|
IP
|
$21,873.65
|
|
| Hospital Charge Code |
270615845C
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$3,281.05 |
| Max. Negotiated Rate |
$5,293.42 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$4,374.73
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$5,293.42
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$4,812.20
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$3,281.05
|
|
|
PACEMAKER MEDT KDR603
|
Facility
|
IP
|
$21,873.65
|
|
| Hospital Charge Code |
270616773
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$3,281.05 |
| Max. Negotiated Rate |
$5,293.42 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$4,374.73
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$5,293.42
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$4,812.20
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$3,281.05
|
|
|
PACEMAKER MEDT KDR603
|
Facility
|
OP
|
$21,873.65
|
|
| Hospital Charge Code |
270616773
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$527.15 |
| Max. Negotiated Rate |
$10,936.83 |
| Rate for Payer: Aetna Commercial |
$8,311.99
|
| Rate for Payer: Aetna Medicare Advantage |
$6,562.10
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$5,577.78
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$5,577.78
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$4,374.73
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$5,577.78
|
| Rate for Payer: Cigna Commercial |
$10,936.83
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$5,293.42
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$4,812.20
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$3,281.05
|
| Rate for Payer: UnitedHealthcare Community & State |
$527.15
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$579.65
|
|
|
PACEMAKER MEDT KDR603
|
Facility
|
OP
|
$21,873.65
|
|
| Hospital Charge Code |
270616773C
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$527.15 |
| Max. Negotiated Rate |
$10,936.83 |
| Rate for Payer: Aetna Commercial |
$8,311.99
|
| Rate for Payer: Aetna Medicare Advantage |
$6,562.10
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$5,577.78
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$5,577.78
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$4,374.73
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$5,577.78
|
| Rate for Payer: Cigna Commercial |
$10,936.83
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$5,293.42
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$4,812.20
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$3,281.05
|
| Rate for Payer: UnitedHealthcare Community & State |
$527.15
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$579.65
|
|
|
PACEMAKER MEDT KDR603
|
Facility
|
IP
|
$21,873.65
|
|
| Hospital Charge Code |
270616773C
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$3,281.05 |
| Max. Negotiated Rate |
$5,293.42 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$4,374.73
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$5,293.42
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$4,812.20
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$3,281.05
|
|
|
PACEMAKER MEDT KDR701
|
Facility
|
OP
|
$24,998.45
|
|
| Hospital Charge Code |
270616251
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$602.46 |
| Max. Negotiated Rate |
$12,499.23 |
| Rate for Payer: Aetna Commercial |
$9,499.41
|
| Rate for Payer: Aetna Medicare Advantage |
$7,499.53
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$6,374.60
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$6,374.60
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$4,999.69
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$6,374.60
|
| Rate for Payer: Cigna Commercial |
$12,499.23
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$6,049.62
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$5,499.66
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$3,749.77
|
| Rate for Payer: UnitedHealthcare Community & State |
$602.46
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$662.46
|
|
|
PACEMAKER MEDT KDR701
|
Facility
|
IP
|
$24,998.45
|
|
| Hospital Charge Code |
270616251
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$3,749.77 |
| Max. Negotiated Rate |
$6,049.62 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$4,999.69
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$6,049.62
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$5,499.66
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$3,749.77
|
|
|
PACEMAKER MEDT KDR701
|
Facility
|
OP
|
$24,998.45
|
|
| Hospital Charge Code |
270616251C
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$602.46 |
| Max. Negotiated Rate |
$12,499.23 |
| Rate for Payer: Aetna Commercial |
$9,499.41
|
| Rate for Payer: Aetna Medicare Advantage |
$7,499.53
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$6,374.60
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$6,374.60
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$4,999.69
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$6,374.60
|
| Rate for Payer: Cigna Commercial |
$12,499.23
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$6,049.62
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$5,499.66
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$3,749.77
|
| Rate for Payer: UnitedHealthcare Community & State |
$602.46
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$662.46
|
|
|
PACEMAKER MEDT KDR701
|
Facility
|
IP
|
$24,998.45
|
|
| Hospital Charge Code |
270616251C
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$3,749.77 |
| Max. Negotiated Rate |
$6,049.62 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$4,999.69
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$6,049.62
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$5,499.66
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$3,749.77
|
|
|
PACEMAKER MEDT KDR703
|
Facility
|
OP
|
$24,998.45
|
|
| Hospital Charge Code |
270617172
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$602.46 |
| Max. Negotiated Rate |
$12,499.23 |
| Rate for Payer: Aetna Commercial |
$9,499.41
|
| Rate for Payer: Aetna Medicare Advantage |
$7,499.53
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$6,374.60
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$6,374.60
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$4,999.69
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$6,374.60
|
| Rate for Payer: Cigna Commercial |
$12,499.23
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$6,049.62
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$5,499.66
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$3,749.77
|
| Rate for Payer: UnitedHealthcare Community & State |
$602.46
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$662.46
|
|
|
PACEMAKER MEDT KDR703
|
Facility
|
IP
|
$24,998.45
|
|
| Hospital Charge Code |
270617172
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$3,749.77 |
| Max. Negotiated Rate |
$6,049.62 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$4,999.69
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$6,049.62
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$5,499.66
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$3,749.77
|
|
|
PACEMAKER MEDT KDR703
|
Facility
|
IP
|
$24,998.45
|
|
| Hospital Charge Code |
270617172C
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$3,749.77 |
| Max. Negotiated Rate |
$6,049.62 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$4,999.69
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$6,049.62
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$5,499.66
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$3,749.77
|
|
|
PACEMAKER MEDT KDR703
|
Facility
|
OP
|
$24,998.45
|
|
| Hospital Charge Code |
270617172C
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$602.46 |
| Max. Negotiated Rate |
$12,499.23 |
| Rate for Payer: Aetna Commercial |
$9,499.41
|
| Rate for Payer: Aetna Medicare Advantage |
$7,499.53
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$6,374.60
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$6,374.60
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$4,999.69
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$6,374.60
|
| Rate for Payer: Cigna Commercial |
$12,499.23
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$6,049.62
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$5,499.66
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$3,749.77
|
| Rate for Payer: UnitedHealthcare Community & State |
$602.46
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$662.46
|
|
|
PACEMAKER MEDT KDR706
|
Facility
|
OP
|
$19,998.75
|
|
| Hospital Charge Code |
270622589
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$481.97 |
| Max. Negotiated Rate |
$9,999.38 |
| Rate for Payer: Aetna Commercial |
$7,599.52
|
| Rate for Payer: Aetna Medicare Advantage |
$5,999.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$5,099.68
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$5,099.68
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$3,999.75
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$5,099.68
|
| Rate for Payer: Cigna Commercial |
$9,999.38
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$4,839.70
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$4,399.73
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$2,999.81
|
| Rate for Payer: UnitedHealthcare Community & State |
$481.97
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$529.97
|
|
|
PACEMAKER MEDT KDR706
|
Facility
|
IP
|
$19,998.75
|
|
| Hospital Charge Code |
270622589
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$2,999.81 |
| Max. Negotiated Rate |
$4,839.70 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$3,999.75
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$4,839.70
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$4,399.73
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$2,999.81
|
|
|
PACEMAKER MEDT KDR706
|
Facility
|
IP
|
$25,718.45
|
|
| Hospital Charge Code |
270622589C
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$3,857.77 |
| Max. Negotiated Rate |
$6,223.86 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$5,143.69
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$6,223.86
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$5,658.06
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$3,857.77
|
|
|
PACEMAKER MEDT KDR706
|
Facility
|
OP
|
$25,718.45
|
|
| Hospital Charge Code |
270622589C
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$619.81 |
| Max. Negotiated Rate |
$12,859.23 |
| Rate for Payer: Aetna Commercial |
$9,773.01
|
| Rate for Payer: Aetna Medicare Advantage |
$7,715.53
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$6,558.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$6,558.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$5,143.69
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$6,558.20
|
| Rate for Payer: Cigna Commercial |
$12,859.23
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$6,223.86
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$5,658.06
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$3,857.77
|
| Rate for Payer: UnitedHealthcare Community & State |
$619.81
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$681.54
|
|
|
PACEMAKER MEDT KDR901
|
Facility
|
OP
|
$32,177.65
|
|
| Hospital Charge Code |
270626858
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$775.48 |
| Max. Negotiated Rate |
$16,088.83 |
| Rate for Payer: Aetna Commercial |
$12,227.51
|
| Rate for Payer: Aetna Medicare Advantage |
$9,653.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$8,205.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$8,205.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$6,435.53
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$8,205.30
|
| Rate for Payer: Cigna Commercial |
$16,088.83
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$7,786.99
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$7,079.08
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$4,826.65
|
| Rate for Payer: UnitedHealthcare Community & State |
$775.48
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$852.71
|
|
|
PACEMAKER MEDT KDR901
|
Facility
|
IP
|
$32,177.65
|
|
| Hospital Charge Code |
270626858
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$4,826.65 |
| Max. Negotiated Rate |
$7,786.99 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$6,435.53
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$7,786.99
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$7,079.08
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$4,826.65
|
|