|
BURR 2X12MM
|
Facility
|
OP
|
$3,553.50
|
|
| Hospital Charge Code |
270702615
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$85.64 |
| Max. Negotiated Rate |
$1,776.75 |
| Rate for Payer: Aetna Commercial |
$1,350.33
|
| Rate for Payer: Aetna Medicare Advantage |
$1,066.05
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$906.14
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$906.14
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$906.14
|
| Rate for Payer: Cigna Commercial |
$1,776.75
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,066.05
|
| Rate for Payer: Oxford Commercial |
$710.70
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$533.02
|
| Rate for Payer: UnitedHealthcare Commercial |
$710.70
|
| Rate for Payer: UnitedHealthcare Community & State |
$85.64
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$94.17
|
|
|
BURR 2X12MM
|
Facility
|
IP
|
$3,553.50
|
|
| Hospital Charge Code |
270702615
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$533.02 |
| Max. Negotiated Rate |
$533.02 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$533.02
|
|
|
BURR 2X13MM
|
Facility
|
OP
|
$1,365.00
|
|
| Hospital Charge Code |
270705563
|
|
Hospital Revenue Code
|
279
|
| Min. Negotiated Rate |
$32.90 |
| Max. Negotiated Rate |
$682.50 |
| Rate for Payer: Aetna Commercial |
$518.70
|
| Rate for Payer: Aetna Medicare Advantage |
$409.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$348.07
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$348.07
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$348.07
|
| Rate for Payer: Cigna Commercial |
$682.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$409.50
|
| Rate for Payer: Oxford Commercial |
$273.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$204.75
|
| Rate for Payer: UnitedHealthcare Commercial |
$273.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$32.90
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$36.17
|
|
|
BURR 2X13MM
|
Facility
|
IP
|
$1,365.00
|
|
| Hospital Charge Code |
270705563
|
|
Hospital Revenue Code
|
279
|
| Min. Negotiated Rate |
$204.75 |
| Max. Negotiated Rate |
$204.75 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$204.75
|
|
|
BURR 4.0 AGRESS
|
Facility
|
IP
|
$392.85
|
|
| Hospital Charge Code |
270703073
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$58.93 |
| Max. Negotiated Rate |
$58.93 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$58.93
|
|
|
BURR 4.0 AGRESS
|
Facility
|
OP
|
$392.85
|
|
| Hospital Charge Code |
270703073
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$9.47 |
| Max. Negotiated Rate |
$196.43 |
| Rate for Payer: Aetna Commercial |
$149.28
|
| Rate for Payer: Aetna Medicare Advantage |
$117.86
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$100.18
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$100.18
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$100.18
|
| Rate for Payer: Cigna Commercial |
$196.43
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$117.86
|
| Rate for Payer: Oxford Commercial |
$78.57
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$58.93
|
| Rate for Payer: UnitedHealthcare Commercial |
$78.57
|
| Rate for Payer: UnitedHealthcare Community & State |
$9.47
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$10.41
|
|
|
BURR 5.0 ROUND FLUTED
|
Facility
|
IP
|
$700.00
|
|
| Hospital Charge Code |
270703074
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$105.00 |
| Max. Negotiated Rate |
$105.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$105.00
|
|
|
BURR 5.0 ROUND FLUTED
|
Facility
|
OP
|
$700.00
|
|
| Hospital Charge Code |
270703074
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$16.87 |
| Max. Negotiated Rate |
$350.00 |
| Rate for Payer: Aetna Commercial |
$266.00
|
| Rate for Payer: Aetna Medicare Advantage |
$210.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$178.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$178.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$178.50
|
| Rate for Payer: Cigna Commercial |
$350.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$210.00
|
| Rate for Payer: Oxford Commercial |
$140.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$105.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$140.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$16.87
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$18.55
|
|
|
BURR ABRADER 4MM
|
Facility
|
IP
|
$569.45
|
|
| Hospital Charge Code |
270676716
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$85.42 |
| Max. Negotiated Rate |
$85.42 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$85.42
|
|
|
BURR ABRADER 4MM
|
Facility
|
OP
|
$569.45
|
|
| Hospital Charge Code |
270676716
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$13.72 |
| Max. Negotiated Rate |
$284.73 |
| Rate for Payer: Aetna Commercial |
$216.39
|
| Rate for Payer: Aetna Medicare Advantage |
$170.84
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$145.21
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$145.21
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$145.21
|
| Rate for Payer: Cigna Commercial |
$284.73
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$170.84
|
| Rate for Payer: Oxford Commercial |
$113.89
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$85.42
|
| Rate for Payer: UnitedHealthcare Commercial |
$113.89
|
| Rate for Payer: UnitedHealthcare Community & State |
$13.72
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$15.09
|
|
|
BURR ACORN L 5MM HD LGTH 6.7MM
|
Facility
|
IP
|
$329.00
|
|
| Hospital Charge Code |
270674622
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$49.35 |
| Max. Negotiated Rate |
$49.35 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$49.35
|
|
|
BURR ACORN L 5MM HD LGTH 6.7MM
|
Facility
|
OP
|
$329.00
|
|
| Hospital Charge Code |
270674622
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$7.93 |
| Max. Negotiated Rate |
$164.50 |
| Rate for Payer: Aetna Commercial |
$125.02
|
| Rate for Payer: Aetna Medicare Advantage |
$98.70
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$83.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$83.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$83.89
|
| Rate for Payer: Cigna Commercial |
$164.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$98.70
|
| Rate for Payer: Oxford Commercial |
$65.80
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$49.35
|
| Rate for Payer: UnitedHealthcare Commercial |
$65.80
|
| Rate for Payer: UnitedHealthcare Community & State |
$7.93
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$8.72
|
|
|
BURR ACORN L 6MM HD LGTH 8MM
|
Facility
|
IP
|
$329.00
|
|
| Hospital Charge Code |
270674438
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$49.35 |
| Max. Negotiated Rate |
$49.35 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$49.35
|
|
|
BURR ACORN L 6MM HD LGTH 8MM
|
Facility
|
OP
|
$329.00
|
|
| Hospital Charge Code |
270674438
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$7.93 |
| Max. Negotiated Rate |
$164.50 |
| Rate for Payer: Aetna Commercial |
$125.02
|
| Rate for Payer: Aetna Medicare Advantage |
$98.70
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$83.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$83.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$83.89
|
| Rate for Payer: Cigna Commercial |
$164.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$98.70
|
| Rate for Payer: Oxford Commercial |
$65.80
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$49.35
|
| Rate for Payer: UnitedHealthcare Commercial |
$65.80
|
| Rate for Payer: UnitedHealthcare Community & State |
$7.93
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$8.72
|
|
|
BURR ACORN L 7.5MM HD LGTH 9.5
|
Facility
|
OP
|
$329.00
|
|
| Hospital Charge Code |
270674442
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$7.93 |
| Max. Negotiated Rate |
$164.50 |
| Rate for Payer: Aetna Commercial |
$125.02
|
| Rate for Payer: Aetna Medicare Advantage |
$98.70
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$83.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$83.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$83.89
|
| Rate for Payer: Cigna Commercial |
$164.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$98.70
|
| Rate for Payer: Oxford Commercial |
$65.80
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$49.35
|
| Rate for Payer: UnitedHealthcare Commercial |
$65.80
|
| Rate for Payer: UnitedHealthcare Community & State |
$7.93
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$8.72
|
|
|
BURR ACORN L 7.5MM HD LGTH 9.5
|
Facility
|
IP
|
$329.00
|
|
| Hospital Charge Code |
270674442
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$49.35 |
| Max. Negotiated Rate |
$49.35 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$49.35
|
|
|
BURR ACORN L 9MM HD LTH 11.4MM
|
Facility
|
IP
|
$329.00
|
|
| Hospital Charge Code |
270674445
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$49.35 |
| Max. Negotiated Rate |
$49.35 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$49.35
|
|
|
BURR ACORN L 9MM HD LTH 11.4MM
|
Facility
|
OP
|
$329.00
|
|
| Hospital Charge Code |
270674445
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$7.93 |
| Max. Negotiated Rate |
$164.50 |
| Rate for Payer: Aetna Commercial |
$125.02
|
| Rate for Payer: Aetna Medicare Advantage |
$98.70
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$83.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$83.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$83.89
|
| Rate for Payer: Cigna Commercial |
$164.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$98.70
|
| Rate for Payer: Oxford Commercial |
$65.80
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$49.35
|
| Rate for Payer: UnitedHealthcare Commercial |
$65.80
|
| Rate for Payer: UnitedHealthcare Community & State |
$7.93
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$8.72
|
|
|
BURR ACORN M 5MM HD LGTH 6.7MM
|
Facility
|
IP
|
$329.00
|
|
| Hospital Charge Code |
270674621
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$49.35 |
| Max. Negotiated Rate |
$49.35 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$49.35
|
|
|
BURR ACORN M 5MM HD LGTH 6.7MM
|
Facility
|
OP
|
$329.00
|
|
| Hospital Charge Code |
270674621
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$7.93 |
| Max. Negotiated Rate |
$164.50 |
| Rate for Payer: Aetna Commercial |
$125.02
|
| Rate for Payer: Aetna Medicare Advantage |
$98.70
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$83.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$83.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$83.89
|
| Rate for Payer: Cigna Commercial |
$164.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$98.70
|
| Rate for Payer: Oxford Commercial |
$65.80
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$49.35
|
| Rate for Payer: UnitedHealthcare Commercial |
$65.80
|
| Rate for Payer: UnitedHealthcare Community & State |
$7.93
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$8.72
|
|
|
BURR ACORN M 6MM HD LGTH 8MM
|
Facility
|
IP
|
$329.00
|
|
| Hospital Charge Code |
270674437
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$49.35 |
| Max. Negotiated Rate |
$49.35 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$49.35
|
|
|
BURR ACORN M 6MM HD LGTH 8MM
|
Facility
|
OP
|
$329.00
|
|
| Hospital Charge Code |
270674437
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$7.93 |
| Max. Negotiated Rate |
$164.50 |
| Rate for Payer: Aetna Commercial |
$125.02
|
| Rate for Payer: Aetna Medicare Advantage |
$98.70
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$83.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$83.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$83.89
|
| Rate for Payer: Cigna Commercial |
$164.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$98.70
|
| Rate for Payer: Oxford Commercial |
$65.80
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$49.35
|
| Rate for Payer: UnitedHealthcare Commercial |
$65.80
|
| Rate for Payer: UnitedHealthcare Community & State |
$7.93
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$8.72
|
|
|
BURR ACORN M 7.5MM HD LGTH 9.5
|
Facility
|
IP
|
$329.00
|
|
| Hospital Charge Code |
270674441
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$49.35 |
| Max. Negotiated Rate |
$49.35 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$49.35
|
|
|
BURR ACORN M 7.5MM HD LGTH 9.5
|
Facility
|
OP
|
$329.00
|
|
| Hospital Charge Code |
270674441
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$7.93 |
| Max. Negotiated Rate |
$164.50 |
| Rate for Payer: Aetna Commercial |
$125.02
|
| Rate for Payer: Aetna Medicare Advantage |
$98.70
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$83.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$83.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$83.89
|
| Rate for Payer: Cigna Commercial |
$164.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$98.70
|
| Rate for Payer: Oxford Commercial |
$65.80
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$49.35
|
| Rate for Payer: UnitedHealthcare Commercial |
$65.80
|
| Rate for Payer: UnitedHealthcare Community & State |
$7.93
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$8.72
|
|
|
BURR ACORN M 9MM HD LTH 11.4MM
|
Facility
|
OP
|
$329.00
|
|
| Hospital Charge Code |
270674444
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$7.93 |
| Max. Negotiated Rate |
$164.50 |
| Rate for Payer: Aetna Commercial |
$125.02
|
| Rate for Payer: Aetna Medicare Advantage |
$98.70
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$83.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$83.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$83.89
|
| Rate for Payer: Cigna Commercial |
$164.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$98.70
|
| Rate for Payer: Oxford Commercial |
$65.80
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$49.35
|
| Rate for Payer: UnitedHealthcare Commercial |
$65.80
|
| Rate for Payer: UnitedHealthcare Community & State |
$7.93
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$8.72
|
|