|
LYMPH NODE-SUPER-LT
|
Facility
|
OP
|
$6,202.00
|
|
|
Service Code
|
HCPCS 38505LT
|
| Hospital Charge Code |
2250444
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$806.26 |
| Max. Negotiated Rate |
$3,101.00 |
| Rate for Payer: Aetna Commercial |
$1,860.60
|
| Rate for Payer: Aetna Medicare Advantage |
$1,860.60
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1,581.51
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1,581.51
|
| 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 |
$1,581.51
|
| Rate for Payer: Cigna Commercial |
$3,101.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$806.26
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$930.30
|
|
|
LYMPHOCYTE SUBSET 1 I
|
Facility
|
OP
|
$390.00
|
|
|
Service Code
|
HCPCS 86355
|
| Hospital Charge Code |
39990132A
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$18.86 |
| Max. Negotiated Rate |
$138.24 |
| Rate for Payer: Aetna Commercial |
$122.25
|
| Rate for Payer: Aetna Medicare Advantage |
$37.73
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$138.24
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$138.24
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$37.73
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$39.96
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$138.24
|
| Rate for Payer: Cigna Commercial |
$37.73
|
| Rate for Payer: Cigna Medicare Advantage |
$18.86
|
| Rate for Payer: Clover Medicare Advantage |
$35.84
|
| Rate for Payer: EmblemHealth Commercial |
$113.19
|
| Rate for Payer: Humana Medicare Advantage |
$38.86
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$50.70
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$58.50
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$37.73
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$39.99
|
| Rate for Payer: Wellcare Medicare Advantage |
$37.73
|
|
|
LYMPHOCYTE SUBSET 1 I
|
Facility
|
IP
|
$390.00
|
|
|
Service Code
|
HCPCS 86355
|
| Hospital Charge Code |
39990132A
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$58.50 |
| Max. Negotiated Rate |
$58.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$58.50
|
|
|
LYMPHOCYTE SUBSET 1 II
|
Facility
|
OP
|
$390.00
|
|
|
Service Code
|
HCPCS 86357
|
| Hospital Charge Code |
39990132B
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$18.86 |
| Max. Negotiated Rate |
$138.24 |
| Rate for Payer: Aetna Commercial |
$122.25
|
| Rate for Payer: Aetna Medicare Advantage |
$37.73
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$138.24
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$138.24
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$37.73
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$78.84
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$138.24
|
| Rate for Payer: Cigna Commercial |
$37.73
|
| Rate for Payer: Cigna Medicare Advantage |
$18.86
|
| Rate for Payer: Clover Medicare Advantage |
$35.84
|
| Rate for Payer: EmblemHealth Commercial |
$113.19
|
| Rate for Payer: Humana Medicare Advantage |
$38.86
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$50.70
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$58.50
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$37.73
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$39.99
|
| Rate for Payer: Wellcare Medicare Advantage |
$37.73
|
|
|
LYMPHOCYTE SUBSET 1 II
|
Facility
|
IP
|
$390.00
|
|
|
Service Code
|
HCPCS 86357
|
| Hospital Charge Code |
39990132B
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$58.50 |
| Max. Negotiated Rate |
$58.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$58.50
|
|
|
LYMPHOCYTE SUBSET 1 III
|
Facility
|
IP
|
$390.00
|
|
|
Service Code
|
HCPCS 86359
|
| Hospital Charge Code |
39990132C
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$58.50 |
| Max. Negotiated Rate |
$58.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$58.50
|
|
|
LYMPHOCYTE SUBSET 1 III
|
Facility
|
OP
|
$390.00
|
|
|
Service Code
|
HCPCS 86359
|
| Hospital Charge Code |
39990132C
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$18.86 |
| Max. Negotiated Rate |
$138.24 |
| Rate for Payer: Aetna Commercial |
$122.25
|
| Rate for Payer: Aetna Medicare Advantage |
$37.73
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$138.24
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$138.24
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$37.73
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$32.95
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$138.24
|
| Rate for Payer: Cigna Commercial |
$37.73
|
| Rate for Payer: Cigna Medicare Advantage |
$18.86
|
| Rate for Payer: Clover Medicare Advantage |
$35.84
|
| Rate for Payer: EmblemHealth Commercial |
$113.19
|
| Rate for Payer: Humana Medicare Advantage |
$38.86
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$50.70
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$58.50
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$37.73
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$39.99
|
| Rate for Payer: Wellcare Medicare Advantage |
$37.73
|
|
|
LYMPHOCYTE SUBSET 1 IV
|
Facility
|
IP
|
$390.00
|
|
|
Service Code
|
HCPCS 86360
|
| Hospital Charge Code |
39990132D
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$58.50 |
| Max. Negotiated Rate |
$58.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$58.50
|
|
|
LYMPHOCYTE SUBSET 1 IV
|
Facility
|
OP
|
$390.00
|
|
|
Service Code
|
HCPCS 86360
|
| Hospital Charge Code |
39990132D
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$23.49 |
| Max. Negotiated Rate |
$172.13 |
| Rate for Payer: Aetna Commercial |
$152.22
|
| Rate for Payer: Aetna Medicare Advantage |
$46.98
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$172.13
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$172.13
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$46.98
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$102.85
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$172.13
|
| Rate for Payer: Cigna Commercial |
$46.98
|
| Rate for Payer: Cigna Medicare Advantage |
$23.49
|
| Rate for Payer: Clover Medicare Advantage |
$44.63
|
| Rate for Payer: EmblemHealth Commercial |
$140.94
|
| Rate for Payer: Humana Medicare Advantage |
$48.39
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$50.70
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$58.50
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$46.98
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$49.80
|
| Rate for Payer: Wellcare Medicare Advantage |
$46.98
|
|
|
LYMPHOCYTE SUBSET 3 I
|
Facility
|
IP
|
$390.00
|
|
|
Service Code
|
HCPCS 86359
|
| Hospital Charge Code |
39990081A
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$58.50 |
| Max. Negotiated Rate |
$58.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$58.50
|
|
|
LYMPHOCYTE SUBSET 3 I
|
Facility
|
OP
|
$390.00
|
|
|
Service Code
|
HCPCS 86359
|
| Hospital Charge Code |
39990081A
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$18.86 |
| Max. Negotiated Rate |
$138.24 |
| Rate for Payer: Aetna Commercial |
$122.25
|
| Rate for Payer: Aetna Medicare Advantage |
$37.73
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$138.24
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$138.24
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$37.73
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$32.95
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$138.24
|
| Rate for Payer: Cigna Commercial |
$37.73
|
| Rate for Payer: Cigna Medicare Advantage |
$18.86
|
| Rate for Payer: Clover Medicare Advantage |
$35.84
|
| Rate for Payer: EmblemHealth Commercial |
$113.19
|
| Rate for Payer: Humana Medicare Advantage |
$38.86
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$50.70
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$58.50
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$37.73
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$39.99
|
| Rate for Payer: Wellcare Medicare Advantage |
$37.73
|
|
|
LYMPHOCYTE SUBSET 3 II
|
Facility
|
IP
|
$390.00
|
|
|
Service Code
|
HCPCS 86360
|
| Hospital Charge Code |
39990081B
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$58.50 |
| Max. Negotiated Rate |
$58.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$58.50
|
|
|
LYMPHOCYTE SUBSET 3 II
|
Facility
|
OP
|
$390.00
|
|
|
Service Code
|
HCPCS 86360
|
| Hospital Charge Code |
39990081B
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$23.49 |
| Max. Negotiated Rate |
$172.13 |
| Rate for Payer: Aetna Commercial |
$152.22
|
| Rate for Payer: Aetna Medicare Advantage |
$46.98
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$172.13
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$172.13
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$46.98
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$102.85
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$172.13
|
| Rate for Payer: Cigna Commercial |
$46.98
|
| Rate for Payer: Cigna Medicare Advantage |
$23.49
|
| Rate for Payer: Clover Medicare Advantage |
$44.63
|
| Rate for Payer: EmblemHealth Commercial |
$140.94
|
| Rate for Payer: Humana Medicare Advantage |
$48.39
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$50.70
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$58.50
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$46.98
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$49.80
|
| Rate for Payer: Wellcare Medicare Advantage |
$46.98
|
|
|
LYMPHOCYTE SUBSET 4
|
Facility
|
OP
|
$667.59
|
|
|
Service Code
|
HCPCS 86360
|
| Hospital Charge Code |
39900431
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$23.49 |
| Max. Negotiated Rate |
$172.13 |
| Rate for Payer: Aetna Commercial |
$152.22
|
| Rate for Payer: Aetna Medicare Advantage |
$46.98
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$172.13
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$172.13
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$46.98
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$102.85
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$172.13
|
| Rate for Payer: Cigna Commercial |
$46.98
|
| Rate for Payer: Cigna Medicare Advantage |
$23.49
|
| Rate for Payer: Clover Medicare Advantage |
$44.63
|
| Rate for Payer: EmblemHealth Commercial |
$140.94
|
| Rate for Payer: Humana Medicare Advantage |
$48.39
|
| 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 |
$46.98
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$49.80
|
| Rate for Payer: Wellcare Medicare Advantage |
$46.98
|
|
|
LYMPHOCYTE SUBSET 4
|
Facility
|
IP
|
$667.59
|
|
|
Service Code
|
HCPCS 86360
|
| Hospital Charge Code |
39900431
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$100.14 |
| Max. Negotiated Rate |
$100.14 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$100.14
|
|
|
LYMPHOCYTE SUBSTATS
|
Facility
|
IP
|
$543.00
|
|
| Hospital Charge Code |
38473051
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$81.45 |
| Max. Negotiated Rate |
$81.45 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$81.45
|
|
|
LYMPHOCYTE SUBSTATS
|
Facility
|
OP
|
$543.00
|
|
| Hospital Charge Code |
38473051
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$70.59 |
| Max. Negotiated Rate |
$271.50 |
| Rate for Payer: Aetna Commercial |
$162.90
|
| Rate for Payer: Aetna Medicare Advantage |
$162.90
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$138.47
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$138.47
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$138.47
|
| Rate for Payer: Cigna Commercial |
$271.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$70.59
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$81.45
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
|
|
LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$76,799.25
|
|
|
Service Code
|
MSDRG 821
|
| Min. Negotiated Rate |
$24,319.76 |
| Max. Negotiated Rate |
$76,799.25 |
| Rate for Payer: Aetna Commercial |
$75,485.33
|
| Rate for Payer: Aetna Medicare Advantage |
$24,428.91
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$61,474.41
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$61,474.41
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$25,599.75
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$61,474.41
|
| Rate for Payer: Cigna Commercial |
$48,176.91
|
| Rate for Payer: Cigna Medicare Advantage |
$25,599.75
|
| Rate for Payer: Clover Medicare Advantage |
$24,319.76
|
| Rate for Payer: EmblemHealth Commercial |
$76,799.25
|
| Rate for Payer: Humana Medicare Advantage |
$26,367.74
|
| Rate for Payer: Oxford Commercial |
$30,109.17
|
| Rate for Payer: UnitedHealthcare Commercial |
$34,176.71
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$25,599.75
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$27,135.74
|
| Rate for Payer: Wellcare Medicare Advantage |
$25,599.75
|
|
|
LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$197,760.37
|
|
|
Service Code
|
MSDRG 820
|
| Min. Negotiated Rate |
$57,649.92 |
| Max. Negotiated Rate |
$197,760.37 |
| Rate for Payer: Aetna Commercial |
$197,760.37
|
| Rate for Payer: Aetna Medicare Advantage |
$64,000.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$166,780.35
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$166,780.35
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$60,684.13
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$166,780.35
|
| Rate for Payer: Cigna Commercial |
$126,216.36
|
| Rate for Payer: Cigna Medicare Advantage |
$60,684.13
|
| Rate for Payer: Clover Medicare Advantage |
$57,649.92
|
| Rate for Payer: EmblemHealth Commercial |
$182,052.39
|
| Rate for Payer: Humana Medicare Advantage |
$62,504.65
|
| Rate for Payer: Oxford Commercial |
$78,881.56
|
| Rate for Payer: UnitedHealthcare Commercial |
$89,537.90
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$60,684.13
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$64,325.18
|
| Rate for Payer: Wellcare Medicare Advantage |
$60,684.13
|
|
|
LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$46,769.22
|
|
|
Service Code
|
MSDRG 822
|
| Min. Negotiated Rate |
$13,138.75 |
| Max. Negotiated Rate |
$46,769.22 |
| Rate for Payer: Aetna Commercial |
$40,598.74
|
| Rate for Payer: Aetna Medicare Advantage |
$13,138.75
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$34,183.08
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$34,183.08
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$15,589.74
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$34,183.08
|
| Rate for Payer: Cigna Commercial |
$25,911.28
|
| Rate for Payer: Cigna Medicare Advantage |
$15,589.74
|
| Rate for Payer: Clover Medicare Advantage |
$14,810.25
|
| Rate for Payer: EmblemHealth Commercial |
$46,769.22
|
| Rate for Payer: Humana Medicare Advantage |
$16,057.43
|
| Rate for Payer: Oxford Commercial |
$16,193.80
|
| Rate for Payer: UnitedHealthcare Commercial |
$18,381.47
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$15,589.74
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$16,525.12
|
| Rate for Payer: Wellcare Medicare Advantage |
$15,589.74
|
|
|
LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC
|
Facility
|
IP
|
$59,174.82
|
|
|
Service Code
|
MSDRG 841
|
| Min. Negotiated Rate |
$17,802.79 |
| Max. Negotiated Rate |
$59,174.82 |
| Rate for Payer: Aetna Commercial |
$55,010.62
|
| Rate for Payer: Aetna Medicare Advantage |
$17,802.79
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$43,280.19
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$43,280.19
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$19,724.94
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$43,280.19
|
| Rate for Payer: Cigna Commercial |
$35,109.36
|
| Rate for Payer: Cigna Medicare Advantage |
$19,724.94
|
| Rate for Payer: Clover Medicare Advantage |
$18,738.69
|
| Rate for Payer: EmblemHealth Commercial |
$59,174.82
|
| Rate for Payer: Humana Medicare Advantage |
$20,316.69
|
| Rate for Payer: Oxford Commercial |
$21,942.33
|
| Rate for Payer: UnitedHealthcare Commercial |
$24,906.58
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$19,724.94
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$20,908.44
|
| Rate for Payer: Wellcare Medicare Advantage |
$19,724.94
|
|
|
LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC
|
Facility
|
IP
|
$109,080.43
|
|
|
Service Code
|
MSDRG 840
|
| Min. Negotiated Rate |
$33,477.24 |
| Max. Negotiated Rate |
$109,080.43 |
| Rate for Payer: Aetna Commercial |
$109,080.43
|
| Rate for Payer: Aetna Medicare Advantage |
$35,301.11
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$86,284.71
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$86,284.71
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$35,239.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$86,284.71
|
| Rate for Payer: Cigna Commercial |
$69,618.28
|
| Rate for Payer: Cigna Medicare Advantage |
$35,239.20
|
| Rate for Payer: Clover Medicare Advantage |
$33,477.24
|
| Rate for Payer: EmblemHealth Commercial |
$105,717.60
|
| Rate for Payer: Humana Medicare Advantage |
$36,296.38
|
| Rate for Payer: Oxford Commercial |
$43,509.40
|
| Rate for Payer: UnitedHealthcare Commercial |
$49,387.22
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$35,239.20
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$37,353.55
|
| Rate for Payer: Wellcare Medicare Advantage |
$35,239.20
|
|
|
LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC
|
Facility
|
IP
|
$77,582.94
|
|
|
Service Code
|
MSDRG 824
|
| Min. Negotiated Rate |
$24,567.93 |
| Max. Negotiated Rate |
$77,582.94 |
| Rate for Payer: Aetna Commercial |
$76,395.77
|
| Rate for Payer: Aetna Medicare Advantage |
$24,723.55
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$61,474.41
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$61,474.41
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$25,860.98
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$61,474.41
|
| Rate for Payer: Cigna Commercial |
$48,757.98
|
| Rate for Payer: Cigna Medicare Advantage |
$25,860.98
|
| Rate for Payer: Clover Medicare Advantage |
$24,567.93
|
| Rate for Payer: EmblemHealth Commercial |
$77,582.94
|
| Rate for Payer: Humana Medicare Advantage |
$26,636.81
|
| Rate for Payer: Oxford Commercial |
$30,472.32
|
| Rate for Payer: UnitedHealthcare Commercial |
$34,588.92
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$25,860.98
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$27,412.64
|
| Rate for Payer: Wellcare Medicare Advantage |
$25,860.98
|
|
|
LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC
|
Facility
|
IP
|
$154,598.91
|
|
|
Service Code
|
MSDRG 823
|
| Min. Negotiated Rate |
$45,884.82 |
| Max. Negotiated Rate |
$154,598.91 |
| Rate for Payer: Aetna Commercial |
$154,598.91
|
| Rate for Payer: Aetna Medicare Advantage |
$50,032.01
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$124,051.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$124,051.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$48,299.81
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$124,051.50
|
| Rate for Payer: Cigna Commercial |
$98,669.48
|
| Rate for Payer: Cigna Medicare Advantage |
$48,299.81
|
| Rate for Payer: Clover Medicare Advantage |
$45,884.82
|
| Rate for Payer: EmblemHealth Commercial |
$144,899.43
|
| Rate for Payer: Humana Medicare Advantage |
$49,748.80
|
| Rate for Payer: Oxford Commercial |
$61,665.56
|
| Rate for Payer: UnitedHealthcare Commercial |
$69,996.14
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$48,299.81
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$51,197.80
|
| Rate for Payer: Wellcare Medicare Advantage |
$48,299.81
|
|
|
LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$50,989.56
|
|
|
Service Code
|
MSDRG 825
|
| Min. Negotiated Rate |
$14,725.44 |
| Max. Negotiated Rate |
$50,989.56 |
| Rate for Payer: Cigna Medicare Advantage |
$16,996.52
|
| Rate for Payer: Aetna Commercial |
$45,501.61
|
| Rate for Payer: Aetna Medicare Advantage |
$14,725.44
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$35,561.43
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$35,561.43
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$16,996.52
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$35,561.43
|
| Rate for Payer: Cigna Commercial |
$29,040.44
|
| Rate for Payer: Clover Medicare Advantage |
$16,146.69
|
| Rate for Payer: EmblemHealth Commercial |
$50,989.56
|
| Rate for Payer: Humana Medicare Advantage |
$17,506.42
|
| Rate for Payer: Oxford Commercial |
$18,149.43
|
| Rate for Payer: UnitedHealthcare Commercial |
$20,601.29
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$16,996.52
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$18,016.31
|
| Rate for Payer: Wellcare Medicare Advantage |
$16,996.52
|
|
