|
SCREW ZIM MGNA FIX
|
Facility
|
IP
|
$464.28
|
|
| Hospital Charge Code |
207610407
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$69.64 |
| Max. Negotiated Rate |
$112.36 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$92.86
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$112.36
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$102.14
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$69.64
|
|
|
SCREW ZIM MGNA FIX
|
Facility
|
OP
|
$892.85
|
|
| Hospital Charge Code |
270610407
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$21.52 |
| Max. Negotiated Rate |
$446.43 |
| Rate for Payer: Aetna Commercial |
$339.28
|
| Rate for Payer: Aetna Medicare Advantage |
$267.86
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$227.68
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$227.68
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$178.57
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$227.68
|
| Rate for Payer: Cigna Commercial |
$446.43
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$216.07
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$196.43
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$133.93
|
| Rate for Payer: UnitedHealthcare Community & State |
$21.52
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$23.66
|
|
|
SCREW ZIM PRTC 3.5 20 23472020
|
Facility
|
IP
|
$139.25
|
|
| Hospital Charge Code |
270620802
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$20.89 |
| Max. Negotiated Rate |
$33.70 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$27.85
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$33.70
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$30.64
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$20.89
|
|
|
SCREW ZIM PRTC 3.5 20 23472020
|
Facility
|
OP
|
$139.25
|
|
| Hospital Charge Code |
270620802
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$3.36 |
| Max. Negotiated Rate |
$69.62 |
| Rate for Payer: Aetna Commercial |
$52.91
|
| Rate for Payer: Aetna Medicare Advantage |
$41.77
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$35.51
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$35.51
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$27.85
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$35.51
|
| Rate for Payer: Cigna Commercial |
$69.62
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$33.70
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$30.64
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$20.89
|
| Rate for Payer: UnitedHealthcare Community & State |
$3.36
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$3.69
|
|
|
SCREW ZIM PRTC 3.5 22 23472022
|
Facility
|
IP
|
$139.25
|
|
| Hospital Charge Code |
270620803
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$20.89 |
| Max. Negotiated Rate |
$33.70 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$27.85
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$33.70
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$30.64
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$20.89
|
|
|
SCREW ZIM PRTC 3.5 22 23472022
|
Facility
|
OP
|
$139.25
|
|
| Hospital Charge Code |
270620803
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$3.36 |
| Max. Negotiated Rate |
$69.62 |
| Rate for Payer: Aetna Commercial |
$52.91
|
| Rate for Payer: Aetna Medicare Advantage |
$41.77
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$35.51
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$35.51
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$27.85
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$35.51
|
| Rate for Payer: Cigna Commercial |
$69.62
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$33.70
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$30.64
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$20.89
|
| Rate for Payer: UnitedHealthcare Community & State |
$3.36
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$3.69
|
|
|
SCREW ZIM PRTC 3.5 28 23472028
|
Facility
|
IP
|
$139.25
|
|
| Hospital Charge Code |
270620804
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$20.89 |
| Max. Negotiated Rate |
$33.70 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$27.85
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$33.70
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$30.64
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$20.89
|
|
|
SCREW ZIM PRTC 3.5 28 23472028
|
Facility
|
OP
|
$139.25
|
|
| Hospital Charge Code |
270620804
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$3.36 |
| Max. Negotiated Rate |
$69.62 |
| Rate for Payer: Aetna Commercial |
$52.91
|
| Rate for Payer: Aetna Medicare Advantage |
$41.77
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$35.51
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$35.51
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$27.85
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$35.51
|
| Rate for Payer: Cigna Commercial |
$69.62
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$33.70
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$30.64
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$20.89
|
| Rate for Payer: UnitedHealthcare Community & State |
$3.36
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$3.69
|
|
|
SCREW ZIM PRTC 3.5 32 23472032
|
Facility
|
IP
|
$139.25
|
|
| Hospital Charge Code |
270620805
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$20.89 |
| Max. Negotiated Rate |
$33.70 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$27.85
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$33.70
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$30.64
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$20.89
|
|
|
SCREW ZIM PRTC 3.5 32 23472032
|
Facility
|
OP
|
$139.25
|
|
| Hospital Charge Code |
270620805
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$3.36 |
| Max. Negotiated Rate |
$69.62 |
| Rate for Payer: Aetna Commercial |
$52.91
|
| Rate for Payer: Aetna Medicare Advantage |
$41.77
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$35.51
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$35.51
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$27.85
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$35.51
|
| Rate for Payer: Cigna Commercial |
$69.62
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$33.70
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$30.64
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$20.89
|
| Rate for Payer: UnitedHealthcare Community & State |
$3.36
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$3.69
|
|
|
SCREW ZIM PRTC 3.5 36 23472036
|
Facility
|
IP
|
$139.25
|
|
| Hospital Charge Code |
270620806
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$20.89 |
| Max. Negotiated Rate |
$33.70 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$27.85
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$33.70
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$30.64
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$20.89
|
|
|
SCREW ZIM PRTC 3.5 36 23472036
|
Facility
|
OP
|
$139.25
|
|
| Hospital Charge Code |
270620806
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$3.36 |
| Max. Negotiated Rate |
$69.62 |
| Rate for Payer: Aetna Commercial |
$52.91
|
| Rate for Payer: Aetna Medicare Advantage |
$41.77
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$35.51
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$35.51
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$27.85
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$35.51
|
| Rate for Payer: Cigna Commercial |
$69.62
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$33.70
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$30.64
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$20.89
|
| Rate for Payer: UnitedHealthcare Community & State |
$3.36
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$3.69
|
|
|
SCREW ZIM PRTC 3.5 38 23472038
|
Facility
|
OP
|
$139.25
|
|
| Hospital Charge Code |
270620807
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$3.36 |
| Max. Negotiated Rate |
$69.62 |
| Rate for Payer: Aetna Commercial |
$52.91
|
| Rate for Payer: Aetna Medicare Advantage |
$41.77
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$35.51
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$35.51
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$27.85
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$35.51
|
| Rate for Payer: Cigna Commercial |
$69.62
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$33.70
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$30.64
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$20.89
|
| Rate for Payer: UnitedHealthcare Community & State |
$3.36
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$3.69
|
|
|
SCREW ZIM PRTC 3.5 38 23472038
|
Facility
|
IP
|
$139.25
|
|
| Hospital Charge Code |
270620807
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$20.89 |
| Max. Negotiated Rate |
$33.70 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$27.85
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$33.70
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$30.64
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$20.89
|
|
|
SCREW ZIM PRTC 3.5 44 23472044
|
Facility
|
OP
|
$139.25
|
|
| Hospital Charge Code |
270620808
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$3.36 |
| Max. Negotiated Rate |
$69.62 |
| Rate for Payer: Aetna Commercial |
$52.91
|
| Rate for Payer: Aetna Medicare Advantage |
$41.77
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$35.51
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$35.51
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$27.85
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$35.51
|
| Rate for Payer: Cigna Commercial |
$69.62
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$33.70
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$30.64
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$20.89
|
| Rate for Payer: UnitedHealthcare Community & State |
$3.36
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$3.69
|
|
|
SCREW ZIM PRTC 3.5 44 23472044
|
Facility
|
IP
|
$139.25
|
|
| Hospital Charge Code |
270620808
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$20.89 |
| Max. Negotiated Rate |
$33.70 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$27.85
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$33.70
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$30.64
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$20.89
|
|
|
SCREW ZIM PRTC 4.0 45 23472145
|
Facility
|
OP
|
$139.25
|
|
| Hospital Charge Code |
270620809
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$3.36 |
| Max. Negotiated Rate |
$69.62 |
| Rate for Payer: Aetna Commercial |
$52.91
|
| Rate for Payer: Aetna Medicare Advantage |
$41.77
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$35.51
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$35.51
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$27.85
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$35.51
|
| Rate for Payer: Cigna Commercial |
$69.62
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$33.70
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$30.64
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$20.89
|
| Rate for Payer: UnitedHealthcare Community & State |
$3.36
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$3.69
|
|
|
SCREW ZIM PRTC 4.0 45 23472145
|
Facility
|
IP
|
$139.25
|
|
| Hospital Charge Code |
270620809
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$20.89 |
| Max. Negotiated Rate |
$33.70 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$27.85
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$33.70
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$30.64
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$20.89
|
|
|
SCREW ZIM PRTC 44MM 234702344
|
Facility
|
OP
|
$139.25
|
|
| Hospital Charge Code |
270615652
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$3.36 |
| Max. Negotiated Rate |
$69.62 |
| Rate for Payer: Aetna Commercial |
$52.91
|
| Rate for Payer: Aetna Medicare Advantage |
$41.77
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$35.51
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$35.51
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$27.85
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$35.51
|
| Rate for Payer: Cigna Commercial |
$69.62
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$33.70
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$30.64
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$20.89
|
| Rate for Payer: UnitedHealthcare Community & State |
$3.36
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$3.69
|
|
|
SCREW ZIM PRTC 44MM 234702344
|
Facility
|
IP
|
$139.25
|
|
| Hospital Charge Code |
270615652
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$20.89 |
| Max. Negotiated Rate |
$33.70 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$27.85
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$33.70
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$30.64
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$20.89
|
|
|
SCREW ZIM PRTC 4.5 5 23472350
|
Facility
|
OP
|
$139.25
|
|
| Hospital Charge Code |
270615653
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$3.36 |
| Max. Negotiated Rate |
$69.62 |
| Rate for Payer: Aetna Commercial |
$52.91
|
| Rate for Payer: Aetna Medicare Advantage |
$41.77
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$35.51
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$35.51
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$27.85
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$35.51
|
| Rate for Payer: Cigna Commercial |
$69.62
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$33.70
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$30.64
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$20.89
|
| Rate for Payer: UnitedHealthcare Community & State |
$3.36
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$3.69
|
|
|
SCREW ZIM PRTC 4.5 5 23472350
|
Facility
|
IP
|
$139.25
|
|
| Hospital Charge Code |
270615653
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$20.89 |
| Max. Negotiated Rate |
$33.70 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$27.85
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$33.70
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$30.64
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$20.89
|
|
|
SCREW ZIM PRTC 4.5 6 23472360
|
Facility
|
OP
|
$139.25
|
|
| Hospital Charge Code |
270615654
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$3.36 |
| Max. Negotiated Rate |
$69.62 |
| Rate for Payer: Aetna Commercial |
$52.91
|
| Rate for Payer: Aetna Medicare Advantage |
$41.77
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$35.51
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$35.51
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$27.85
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$35.51
|
| Rate for Payer: Cigna Commercial |
$69.62
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$33.70
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$30.64
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$20.89
|
| Rate for Payer: UnitedHealthcare Community & State |
$3.36
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$3.69
|
|
|
SCREW ZIM PRTC 4.5 6 23472360
|
Facility
|
IP
|
$139.25
|
|
| Hospital Charge Code |
270615654
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$20.89 |
| Max. Negotiated Rate |
$33.70 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$27.85
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$33.70
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$30.64
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$20.89
|
|
|
SCREW ZIM PRTC 4.5 6 23472365
|
Facility
|
OP
|
$139.25
|
|
| Hospital Charge Code |
270615655
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$3.36 |
| Max. Negotiated Rate |
$69.62 |
| Rate for Payer: Aetna Commercial |
$52.91
|
| Rate for Payer: Aetna Medicare Advantage |
$41.77
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$35.51
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$35.51
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$27.85
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$35.51
|
| Rate for Payer: Cigna Commercial |
$69.62
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$33.70
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$30.64
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$20.89
|
| Rate for Payer: UnitedHealthcare Community & State |
$3.36
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$3.69
|
|