|
ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC
|
Facility
|
IP
|
$91,252.74
|
|
|
Service Code
|
MSDRG 288
|
| Min. Negotiated Rate |
$28,617.70 |
| Max. Negotiated Rate |
$91,252.74 |
| Rate for Payer: Aetna Commercial |
$91,252.74
|
| Rate for Payer: Aetna Medicare Advantage |
$29,531.63
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$71,398.53
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$71,398.53
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$30,123.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$71,398.53
|
| Rate for Payer: Cigna Commercial |
$58,240.13
|
| Rate for Payer: Cigna Medicare Advantage |
$30,123.89
|
| Rate for Payer: Clover Medicare Advantage |
$28,617.70
|
| Rate for Payer: EmblemHealth Commercial |
$90,371.67
|
| Rate for Payer: Humana Medicare Advantage |
$31,027.61
|
| Rate for Payer: Oxford Commercial |
$36,398.39
|
| Rate for Payer: UnitedHealthcare Commercial |
$41,315.56
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$30,123.89
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$31,931.32
|
| Rate for Payer: Wellcare Medicare Advantage |
$30,123.89
|
|
|
ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC
|
Facility
|
IP
|
$38,807.46
|
|
|
Service Code
|
MSDRG 290
|
| Min. Negotiated Rate |
$10,145.43 |
| Max. Negotiated Rate |
$38,807.46 |
| Rate for Payer: Aetna Commercial |
$31,349.38
|
| Rate for Payer: Aetna Medicare Advantage |
$10,145.43
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$30,048.03
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$30,048.03
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$12,935.82
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$30,048.03
|
| Rate for Payer: Cigna Commercial |
$20,008.07
|
| Rate for Payer: Cigna Medicare Advantage |
$12,935.82
|
| Rate for Payer: Clover Medicare Advantage |
$12,289.03
|
| Rate for Payer: EmblemHealth Commercial |
$38,807.46
|
| Rate for Payer: Humana Medicare Advantage |
$13,323.89
|
| Rate for Payer: Oxford Commercial |
$12,504.47
|
| Rate for Payer: UnitedHealthcare Commercial |
$14,193.73
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$12,935.82
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$13,711.97
|
| Rate for Payer: Wellcare Medicare Advantage |
$12,935.82
|
|
|
ACUTE ANXIETY AND STRESS SYNDROMES
|
Facility
|
IP
|
$7,649.70
|
|
|
Service Code
|
APR-DRG 7562
|
| Min. Negotiated Rate |
$5,222.08 |
| Max. Negotiated Rate |
$7,649.70 |
| Rate for Payer: Aetna Better Health Medicaid |
$7,499.71
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$7,649.70
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$5,222.08
|
|
|
ACUTE ANXIETY AND STRESS SYNDROMES
|
Facility
|
IP
|
$8,205.79
|
|
|
Service Code
|
APR-DRG 7563
|
| Min. Negotiated Rate |
$6,375.72 |
| Max. Negotiated Rate |
$8,205.79 |
| Rate for Payer: Aetna Better Health Medicaid |
$8,044.89
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$8,205.79
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$6,375.72
|
|
|
ACUTE ANXIETY AND STRESS SYNDROMES
|
Facility
|
IP
|
$18,617.88
|
|
|
Service Code
|
APR-DRG 7564
|
| Min. Negotiated Rate |
$16,738.94 |
| Max. Negotiated Rate |
$18,617.88 |
| Rate for Payer: Aetna Better Health Medicaid |
$18,252.82
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$18,617.88
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$16,738.94
|
|
|
ACUTE ANXIETY AND STRESS SYNDROMES
|
Facility
|
IP
|
$5,915.27
|
|
|
Service Code
|
APR-DRG 7561
|
| Min. Negotiated Rate |
$4,141.46 |
| Max. Negotiated Rate |
$5,915.27 |
| Rate for Payer: Aetna Better Health Medicaid |
$5,799.28
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$5,915.27
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$4,141.46
|
|
|
ACUTE BRONCHITIS AND RELATED SYMPTOMS
|
Facility
|
IP
|
$8,101.91
|
|
|
Service Code
|
APR-DRG 1452
|
| Min. Negotiated Rate |
$7,943.05 |
| Max. Negotiated Rate |
$8,101.91 |
| Rate for Payer: Aetna Better Health Medicaid |
$7,943.05
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$8,101.91
|
|
|
ACUTE BRONCHITIS AND RELATED SYMPTOMS
|
Facility
|
IP
|
$10,698.55
|
|
|
Service Code
|
APR-DRG 1453
|
| Min. Negotiated Rate |
$10,488.77 |
| Max. Negotiated Rate |
$10,698.55 |
| Rate for Payer: Aetna Better Health Medicaid |
$10,488.77
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$10,698.55
|
|
|
ACUTE BRONCHITIS AND RELATED SYMPTOMS
|
Facility
|
IP
|
$6,412.38
|
|
|
Service Code
|
APR-DRG 1451
|
| Min. Negotiated Rate |
$6,286.65 |
| Max. Negotiated Rate |
$6,412.38 |
| Rate for Payer: Aetna Better Health Medicaid |
$6,286.65
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$6,412.38
|
|
|
ACUTE BRONCHITIS AND RELATED SYMPTOMS
|
Facility
|
IP
|
$19,165.60
|
|
|
Service Code
|
APR-DRG 1454
|
| Min. Negotiated Rate |
$18,789.80 |
| Max. Negotiated Rate |
$19,165.60 |
| Rate for Payer: Aetna Better Health Medicaid |
$18,789.80
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$19,165.60
|
|
|
ACUTE KIDNEY INJURY
|
Facility
|
IP
|
$8,256.38
|
|
|
Service Code
|
APR-DRG 4692
|
| Min. Negotiated Rate |
$5,893.61 |
| Max. Negotiated Rate |
$8,256.38 |
| Rate for Payer: Aetna Better Health Medicaid |
$8,094.49
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$8,256.38
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$5,893.61
|
|
|
ACUTE KIDNEY INJURY
|
Facility
|
IP
|
$25,972.61
|
|
|
Service Code
|
APR-DRG 4694
|
| Min. Negotiated Rate |
$21,652.43 |
| Max. Negotiated Rate |
$25,972.61 |
| Rate for Payer: Aetna Better Health Medicaid |
$25,463.34
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$25,972.61
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$21,652.43
|
|
|
ACUTE KIDNEY INJURY
|
Facility
|
IP
|
$6,337.98
|
|
|
Service Code
|
APR-DRG 4691
|
| Min. Negotiated Rate |
$4,410.44 |
| Max. Negotiated Rate |
$6,337.98 |
| Rate for Payer: Aetna Better Health Medicaid |
$6,213.71
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$6,337.98
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$4,410.44
|
|
|
ACUTE KIDNEY INJURY
|
Facility
|
IP
|
$13,152.06
|
|
|
Service Code
|
APR-DRG 4693
|
| Min. Negotiated Rate |
$9,543.83 |
| Max. Negotiated Rate |
$13,152.06 |
| Rate for Payer: Aetna Better Health Medicaid |
$12,894.18
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$13,152.06
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$9,543.83
|
|
|
ACUTE LEUKEMIA
|
Facility
|
IP
|
$75,691.94
|
|
|
Service Code
|
APR-DRG 6904
|
| Min. Negotiated Rate |
$74,207.78 |
| Max. Negotiated Rate |
$75,691.94 |
| Rate for Payer: Aetna Better Health Medicaid |
$74,207.78
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$75,691.94
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$74,436.56
|
|
|
ACUTE LEUKEMIA
|
Facility
|
IP
|
$39,042.15
|
|
|
Service Code
|
APR-DRG 6903
|
| Min. Negotiated Rate |
$37,439.15 |
| Max. Negotiated Rate |
$39,042.15 |
| Rate for Payer: Aetna Better Health Medicaid |
$37,439.15
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$38,187.93
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$39,042.15
|
|
|
ACUTE LEUKEMIA
|
Facility
|
IP
|
$12,300.86
|
|
|
Service Code
|
APR-DRG 6901
|
| Min. Negotiated Rate |
$11,543.45 |
| Max. Negotiated Rate |
$12,300.86 |
| Rate for Payer: Aetna Better Health Medicaid |
$11,543.45
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$11,774.32
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$12,300.86
|
|
|
ACUTE LEUKEMIA
|
Facility
|
IP
|
$21,638.70
|
|
|
Service Code
|
APR-DRG 6902
|
| Min. Negotiated Rate |
$20,309.31 |
| Max. Negotiated Rate |
$21,638.70 |
| Rate for Payer: Aetna Better Health Medicaid |
$21,214.41
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$21,638.70
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$20,309.31
|
|
|
ACUTE LEUKEMIA WITH CC
|
Facility
|
IP
|
$72,364.11
|
|
|
Service Code
|
MSDRG 835
|
| Min. Negotiated Rate |
$22,761.47 |
| Max. Negotiated Rate |
$72,364.11 |
| Rate for Payer: Aetna Commercial |
$70,332.94
|
| Rate for Payer: Aetna Medicare Advantage |
$22,761.47
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$24,121.37
|
| Rate for Payer: Cigna Commercial |
$44,888.50
|
| Rate for Payer: Cigna Medicare Advantage |
$24,121.37
|
| Rate for Payer: Clover Medicare Advantage |
$22,915.30
|
| Rate for Payer: EmblemHealth Commercial |
$72,364.11
|
| Rate for Payer: Humana Medicare Advantage |
$24,845.01
|
| Rate for Payer: Oxford Commercial |
$28,054.01
|
| Rate for Payer: UnitedHealthcare Commercial |
$31,843.91
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$24,121.37
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$25,568.65
|
| Rate for Payer: Wellcare Medicare Advantage |
$24,121.37
|
|
|
ACUTE LEUKEMIA WITH MCC
|
Facility
|
IP
|
$185,118.78
|
|
|
Service Code
|
MSDRG 834
|
| Min. Negotiated Rate |
$54,204.04 |
| Max. Negotiated Rate |
$185,118.78 |
| Rate for Payer: Aetna Commercial |
$185,118.78
|
| Rate for Payer: Aetna Medicare Advantage |
$59,908.99
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$57,056.88
|
| Rate for Payer: Cigna Commercial |
$118,148.14
|
| Rate for Payer: Cigna Medicare Advantage |
$57,056.88
|
| Rate for Payer: Clover Medicare Advantage |
$54,204.04
|
| Rate for Payer: EmblemHealth Commercial |
$171,170.64
|
| Rate for Payer: Humana Medicare Advantage |
$58,768.59
|
| Rate for Payer: Oxford Commercial |
$73,839.15
|
| Rate for Payer: UnitedHealthcare Commercial |
$83,814.30
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$57,056.88
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$60,480.29
|
| Rate for Payer: Wellcare Medicare Advantage |
$57,056.88
|
|
|
ACUTE LEUKEMIA WITH OTHER PROCEDURES
|
Facility
|
IP
|
$291,997.31
|
|
|
Service Code
|
MSDRG 850
|
| Min. Negotiated Rate |
$83,337.36 |
| Max. Negotiated Rate |
$291,997.31 |
| Rate for Payer: Aetna Commercial |
$291,997.31
|
| Rate for Payer: Aetna Medicare Advantage |
$94,497.51
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$87,723.54
|
| Rate for Payer: Cigna Commercial |
$186,361.10
|
| Rate for Payer: Cigna Medicare Advantage |
$87,723.54
|
| Rate for Payer: Clover Medicare Advantage |
$83,337.36
|
| Rate for Payer: EmblemHealth Commercial |
$263,170.62
|
| Rate for Payer: Humana Medicare Advantage |
$90,355.25
|
| Rate for Payer: Oxford Commercial |
$116,470.27
|
| Rate for Payer: UnitedHealthcare Commercial |
$132,204.59
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$87,723.54
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$92,986.95
|
| Rate for Payer: Wellcare Medicare Advantage |
$87,723.54
|
|
|
ACUTE LEUKEMIA WITHOUT CC/MCC
|
Facility
|
IP
|
$47,219.10
|
|
|
Service Code
|
MSDRG 836
|
| Min. Negotiated Rate |
$13,307.89 |
| Max. Negotiated Rate |
$47,219.10 |
| Rate for Payer: Aetna Commercial |
$41,121.38
|
| Rate for Payer: Aetna Medicare Advantage |
$13,307.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$15,739.70
|
| Rate for Payer: Cigna Commercial |
$26,244.86
|
| Rate for Payer: Cigna Medicare Advantage |
$15,739.70
|
| Rate for Payer: Clover Medicare Advantage |
$14,952.72
|
| Rate for Payer: EmblemHealth Commercial |
$47,219.10
|
| Rate for Payer: Humana Medicare Advantage |
$16,211.89
|
| Rate for Payer: Oxford Commercial |
$16,402.28
|
| Rate for Payer: UnitedHealthcare Commercial |
$18,618.11
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$15,739.70
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$16,684.08
|
| Rate for Payer: Wellcare Medicare Advantage |
$15,739.70
|
|
|
ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$72,364.11
|
|
|
Service Code
|
MSDRG 835
|
| Min. Negotiated Rate |
$22,761.47 |
| Max. Negotiated Rate |
$72,364.11 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$61,750.08
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$61,750.08
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$61,750.08
|
|
|
ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$185,118.78
|
|
|
Service Code
|
MSDRG 834
|
| Min. Negotiated Rate |
$54,204.04 |
| Max. Negotiated Rate |
$185,118.78 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$154,375.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$154,375.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$154,375.20
|
|
|
ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$47,219.10
|
|
|
Service Code
|
MSDRG 836
|
| Min. Negotiated Rate |
$13,307.89 |
| Max. Negotiated Rate |
$47,219.10 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$38,869.47
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$38,869.47
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$38,869.47
|
|