|
CRASH CART PEDIATRIC
|
Facility
|
OP
|
$2,804.85
|
|
| Hospital Charge Code |
270607546
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$364.63 |
| Max. Negotiated Rate |
$1,402.42 |
| Rate for Payer: Aetna Commercial |
$841.46
|
| Rate for Payer: Aetna Medicare Advantage |
$841.46
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$715.24
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$715.24
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$715.24
|
| Rate for Payer: Cigna Commercial |
$1,402.42
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$364.63
|
| Rate for Payer: Oxford Commercial |
$1,402.42
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$420.73
|
| Rate for Payer: UnitedHealthcare Commercial |
$1,402.42
|
|
|
CRASH CART PEDIATRIC
|
Facility
|
IP
|
$2,804.85
|
|
| Hospital Charge Code |
270607546
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$420.73 |
| Max. Negotiated Rate |
$420.73 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$420.73
|
|
|
CRAYOLA CLASSPACK REGULAR MARK
|
Facility
|
IP
|
$324.95
|
|
| Hospital Charge Code |
270663154
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$48.74 |
| Max. Negotiated Rate |
$48.74 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$48.74
|
|
|
CRAYOLA CLASSPACK REGULAR MARK
|
Facility
|
OP
|
$324.95
|
|
| Hospital Charge Code |
270663154
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$42.24 |
| Max. Negotiated Rate |
$162.47 |
| Rate for Payer: Aetna Commercial |
$97.48
|
| Rate for Payer: Aetna Medicare Advantage |
$97.48
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$82.86
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$82.86
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$82.86
|
| Rate for Payer: Cigna Commercial |
$162.47
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$42.24
|
| Rate for Payer: Oxford Commercial |
$162.47
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$48.74
|
| Rate for Payer: UnitedHealthcare Commercial |
$162.47
|
|
|
C REACTIVE PROTEIN
|
Facility
|
IP
|
$240.00
|
|
|
Service Code
|
HCPCS 86140
|
| Hospital Charge Code |
38476009
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$36.00 |
| Max. Negotiated Rate |
$36.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$36.00
|
|
|
C REACTIVE PROTEIN
|
Facility
|
OP
|
$240.00
|
|
|
Service Code
|
HCPCS 86140
|
| Hospital Charge Code |
38476009
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$2.59 |
| Max. Negotiated Rate |
$114.00 |
| Rate for Payer: Aetna Commercial |
$16.78
|
| Rate for Payer: Aetna Medicare Advantage |
$5.18
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$18.98
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$18.98
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$5.18
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$5.61
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$18.98
|
| Rate for Payer: Cigna Commercial |
$5.18
|
| Rate for Payer: Cigna Medicare Advantage |
$2.59
|
| Rate for Payer: Clover Medicare Advantage |
$4.92
|
| Rate for Payer: EmblemHealth Commercial |
$15.54
|
| Rate for Payer: Humana Medicare Advantage |
$5.34
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$31.20
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$36.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$5.18
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$5.49
|
| Rate for Payer: Wellcare Medicare Advantage |
$5.18
|
|
|
C-REACTIVE PROTEIN
|
Facility
|
OP
|
$35.55
|
|
|
Service Code
|
HCPCS 86140
|
| Hospital Charge Code |
39900193
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$2.59 |
| Max. Negotiated Rate |
$114.00 |
| Rate for Payer: Aetna Commercial |
$16.78
|
| Rate for Payer: Aetna Medicare Advantage |
$5.18
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$18.98
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$18.98
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$5.18
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$5.61
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$18.98
|
| Rate for Payer: Cigna Commercial |
$5.18
|
| Rate for Payer: Cigna Medicare Advantage |
$2.59
|
| Rate for Payer: Clover Medicare Advantage |
$4.92
|
| Rate for Payer: EmblemHealth Commercial |
$15.54
|
| Rate for Payer: Humana Medicare Advantage |
$5.34
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$4.62
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$5.33
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$5.18
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$5.49
|
| Rate for Payer: Wellcare Medicare Advantage |
$5.18
|
|
|
C-REACTIVE PROTEIN
|
Facility
|
IP
|
$35.55
|
|
|
Service Code
|
HCPCS 86140
|
| Hospital Charge Code |
39900193
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$5.33 |
| Max. Negotiated Rate |
$5.33 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$5.33
|
|
|
C-REACTIVE PROTEIN, CRP
|
Facility
|
OP
|
$77.65
|
|
|
Service Code
|
HCPCS 86140
|
| Hospital Charge Code |
3004728
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$2.59 |
| Max. Negotiated Rate |
$114.00 |
| Rate for Payer: Aetna Commercial |
$16.78
|
| Rate for Payer: Aetna Medicare Advantage |
$5.18
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$18.98
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$18.98
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$5.18
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$5.61
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$18.98
|
| Rate for Payer: Cigna Commercial |
$5.18
|
| Rate for Payer: Cigna Medicare Advantage |
$2.59
|
| Rate for Payer: Clover Medicare Advantage |
$4.92
|
| Rate for Payer: EmblemHealth Commercial |
$15.54
|
| Rate for Payer: Humana Medicare Advantage |
$5.34
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$10.09
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$11.65
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$5.18
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$5.49
|
| Rate for Payer: Wellcare Medicare Advantage |
$5.18
|
|
|
C-REACTIVE PROTEIN, CRP
|
Facility
|
IP
|
$77.65
|
|
|
Service Code
|
HCPCS 86140
|
| Hospital Charge Code |
3004728
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$11.65 |
| Max. Negotiated Rate |
$11.65 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$11.65
|
|
|
C-Reactive Protein, Quant
|
Facility
|
OP
|
$667.59
|
|
|
Service Code
|
HCPCS 86140
|
| Hospital Charge Code |
39888006
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$2.59 |
| Max. Negotiated Rate |
$114.00 |
| Rate for Payer: Aetna Commercial |
$16.78
|
| Rate for Payer: Aetna Medicare Advantage |
$5.18
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$18.98
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$18.98
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$5.18
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$5.61
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$18.98
|
| Rate for Payer: Cigna Commercial |
$5.18
|
| Rate for Payer: Cigna Medicare Advantage |
$2.59
|
| Rate for Payer: Clover Medicare Advantage |
$4.92
|
| Rate for Payer: EmblemHealth Commercial |
$15.54
|
| Rate for Payer: Humana Medicare Advantage |
$5.34
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$86.79
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$100.14
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$5.18
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$5.49
|
| Rate for Payer: Wellcare Medicare Advantage |
$5.18
|
|
|
C-Reactive Protein, Quant
|
Facility
|
IP
|
$667.59
|
|
|
Service Code
|
HCPCS 86140
|
| Hospital Charge Code |
39888006
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$100.14 |
| Max. Negotiated Rate |
$100.14 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$100.14
|
|
|
CREAM ALOE VESTA ANTIFUNGL 2oz
|
Facility
|
IP
|
$12.30
|
|
| Hospital Charge Code |
270649389
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.84 |
| Max. Negotiated Rate |
$1.84 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$1.84
|
|
|
CREAM ALOE VESTA ANTIFUNGL 2oz
|
Facility
|
OP
|
$12.30
|
|
| Hospital Charge Code |
270649389
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.60 |
| Max. Negotiated Rate |
$6.15 |
| Rate for Payer: Aetna Commercial |
$3.69
|
| Rate for Payer: Aetna Medicare Advantage |
$3.69
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$3.14
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$3.14
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$3.14
|
| Rate for Payer: Cigna Commercial |
$6.15
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1.60
|
| Rate for Payer: Oxford Commercial |
$6.15
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1.84
|
| Rate for Payer: UnitedHealthcare Commercial |
$6.15
|
|
|
CREAM ALOE VEST PROTECT 2oz
|
Facility
|
IP
|
$6.59
|
|
| Hospital Charge Code |
270649390
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.99 |
| Max. Negotiated Rate |
$0.99 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$0.99
|
|
|
CREAM ALOE VEST PROTECT 2oz
|
Facility
|
OP
|
$6.59
|
|
| Hospital Charge Code |
270649390
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.86 |
| Max. Negotiated Rate |
$3.29 |
| Rate for Payer: Aetna Commercial |
$1.98
|
| Rate for Payer: Aetna Medicare Advantage |
$1.98
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1.68
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1.68
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1.68
|
| Rate for Payer: Cigna Commercial |
$3.29
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$0.86
|
| Rate for Payer: Oxford Commercial |
$3.29
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$0.99
|
| Rate for Payer: UnitedHealthcare Commercial |
$3.29
|
|
|
CREAM BASE 454 GM
|
Facility
|
IP
|
$93.45
|
|
| Hospital Charge Code |
6001408
|
|
Hospital Revenue Code
|
252
|
| Min. Negotiated Rate |
$14.02 |
| Max. Negotiated Rate |
$14.02 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$14.02
|
|
|
CREAM BASE 454 GM
|
Facility
|
OP
|
$93.45
|
|
| Hospital Charge Code |
6001408
|
|
Hospital Revenue Code
|
252
|
| Min. Negotiated Rate |
$12.15 |
| Max. Negotiated Rate |
$46.73 |
| Rate for Payer: Aetna Commercial |
$28.04
|
| Rate for Payer: Aetna Medicare Advantage |
$28.04
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$23.83
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$23.83
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$23.83
|
| Rate for Payer: Cigna Commercial |
$46.73
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$12.15
|
| Rate for Payer: Oxford Commercial |
$46.73
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$14.02
|
| Rate for Payer: UnitedHealthcare Commercial |
$46.73
|
|
|
CREAM OMNI PREP 4OZ
|
Facility
|
OP
|
$69.40
|
|
| Hospital Charge Code |
270654267
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$9.02 |
| Max. Negotiated Rate |
$34.70 |
| Rate for Payer: Aetna Commercial |
$20.82
|
| Rate for Payer: Aetna Medicare Advantage |
$20.82
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$17.70
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$17.70
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$17.70
|
| Rate for Payer: Cigna Commercial |
$34.70
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$9.02
|
| Rate for Payer: Oxford Commercial |
$34.70
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$10.41
|
| Rate for Payer: UnitedHealthcare Commercial |
$34.70
|
|
|
CREAM OMNI PREP 4OZ
|
Facility
|
IP
|
$69.40
|
|
| Hospital Charge Code |
270654267
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$10.41 |
| Max. Negotiated Rate |
$10.41 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$10.41
|
|
|
CREAM SENSI-CARE BARRIER 2oz
|
Facility
|
IP
|
$16.70
|
|
| Hospital Charge Code |
270649391
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2.50 |
| Max. Negotiated Rate |
$2.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$2.50
|
|
|
CREAM SENSI-CARE BARRIER 2oz
|
Facility
|
OP
|
$16.70
|
|
| Hospital Charge Code |
270649391
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2.17 |
| Max. Negotiated Rate |
$8.35 |
| Rate for Payer: Aetna Commercial |
$5.01
|
| Rate for Payer: Aetna Medicare Advantage |
$5.01
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$4.26
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$4.26
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$4.26
|
| Rate for Payer: Cigna Commercial |
$8.35
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$2.17
|
| Rate for Payer: Oxford Commercial |
$8.35
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$2.50
|
| Rate for Payer: UnitedHealthcare Commercial |
$8.35
|
|
|
CREATE AV FISTLA,AUTOGENS GRFT
|
Facility
|
OP
|
$38,857.60
|
|
|
Service Code
|
HCPCS 36825
|
| Hospital Charge Code |
1600000757
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$1,864.00 |
| Max. Negotiated Rate |
$13,251.23 |
| Rate for Payer: Aetna Commercial |
$11,657.28
|
| Rate for Payer: Aetna Medicare Advantage |
$11,657.28
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$9,908.69
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$9,908.69
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,864.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$9,908.69
|
| Rate for Payer: Cigna Commercial |
$13,251.23
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$5,051.49
|
| Rate for Payer: Oxford Commercial |
$8,679.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$5,828.64
|
| Rate for Payer: UnitedHealthcare Commercial |
$9,851.00
|
|
|
CREATE AV FISTLA,AUTOGENS GRFT
|
Facility
|
IP
|
$38,857.60
|
|
|
Service Code
|
HCPCS 36825
|
| Hospital Charge Code |
1600000757
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$5,828.64 |
| Max. Negotiated Rate |
$5,828.64 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$5,828.64
|
|
|
CREATE AV FSTLA,NT AGENS GRFT
|
Facility
|
OP
|
$38,857.60
|
|
|
Service Code
|
HCPCS 36830
|
| Hospital Charge Code |
1600000423
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$1,864.00 |
| Max. Negotiated Rate |
$13,251.23 |
| Rate for Payer: Aetna Commercial |
$11,657.28
|
| Rate for Payer: Aetna Medicare Advantage |
$11,657.28
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$9,908.69
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$9,908.69
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,864.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$9,908.69
|
| Rate for Payer: Cigna Commercial |
$13,251.23
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$5,051.49
|
| Rate for Payer: Oxford Commercial |
$8,679.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$5,828.64
|
| Rate for Payer: UnitedHealthcare Commercial |
$9,851.00
|
|