|
NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY
|
Facility
|
IP
|
$130,295.67
|
|
|
Service Code
|
APR-DRG 6023
|
| Min. Negotiated Rate |
$91,442.36 |
| Max. Negotiated Rate |
$130,295.67 |
| Rate for Payer: Aetna Better Health Medicaid |
$127,740.85
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$130,295.67
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$91,442.36
|
|
|
NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY
|
Facility
|
IP
|
$101,081.74
|
|
|
Service Code
|
APR-DRG 6022
|
| Min. Negotiated Rate |
$68,882.28 |
| Max. Negotiated Rate |
$101,081.74 |
| Rate for Payer: Aetna Better Health Medicaid |
$99,099.75
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$101,081.74
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$68,882.28
|
|
|
NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY
|
Facility
|
IP
|
$172,479.08
|
|
|
Service Code
|
APR-DRG 6024
|
| Min. Negotiated Rate |
$126,592.18 |
| Max. Negotiated Rate |
$172,479.08 |
| Rate for Payer: Aetna Better Health Medicaid |
$169,097.14
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$172,479.08
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$126,592.18
|
|
|
NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY
|
Facility
|
IP
|
$37,514.39
|
|
|
Service Code
|
APR-DRG 6021
|
| Min. Negotiated Rate |
$15,759.34 |
| Max. Negotiated Rate |
$37,514.39 |
| Rate for Payer: Aetna Better Health Medicaid |
$15,759.34
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$16,074.53
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$37,514.39
|
|
|
NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION
|
Facility
|
IP
|
$51,481.80
|
|
|
Service Code
|
APR-DRG 6082
|
| Min. Negotiated Rate |
$43,547.87 |
| Max. Negotiated Rate |
$51,481.80 |
| Rate for Payer: Aetna Better Health Medicaid |
$50,472.35
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$51,481.80
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$43,547.87
|
|
|
NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION
|
Facility
|
IP
|
$71,591.12
|
|
|
Service Code
|
APR-DRG 6083
|
| Min. Negotiated Rate |
$64,334.94 |
| Max. Negotiated Rate |
$71,591.12 |
| Rate for Payer: Aetna Better Health Medicaid |
$70,187.37
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$71,591.12
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$64,334.94
|
|
|
NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION
|
Facility
|
IP
|
$23,141.71
|
|
|
Service Code
|
APR-DRG 6081
|
| Min. Negotiated Rate |
$10,046.85 |
| Max. Negotiated Rate |
$23,141.71 |
| Rate for Payer: Aetna Better Health Medicaid |
$10,046.85
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$10,247.79
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$23,141.71
|
|
|
NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION
|
Facility
|
IP
|
$94,314.64
|
|
|
Service Code
|
APR-DRG 6084
|
| Min. Negotiated Rate |
$71,788.67 |
| Max. Negotiated Rate |
$94,314.64 |
| Rate for Payer: Aetna Better Health Medicaid |
$71,788.67
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$73,224.44
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$94,314.64
|
|
|
NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY
|
Facility
|
IP
|
$134,077.71
|
|
|
Service Code
|
APR-DRG 6074
|
| Min. Negotiated Rate |
$101,092.19 |
| Max. Negotiated Rate |
$134,077.71 |
| Rate for Payer: Aetna Better Health Medicaid |
$131,448.74
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$134,077.71
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$101,092.19
|
|
|
NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY
|
Facility
|
IP
|
$34,197.76
|
|
|
Service Code
|
APR-DRG 6071
|
| Min. Negotiated Rate |
$29,197.35 |
| Max. Negotiated Rate |
$34,197.76 |
| Rate for Payer: Aetna Better Health Medicaid |
$29,197.35
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$29,781.30
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$34,197.76
|
|
|
NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY
|
Facility
|
IP
|
$100,894.95
|
|
|
Service Code
|
APR-DRG 6073
|
| Min. Negotiated Rate |
$72,310.35 |
| Max. Negotiated Rate |
$100,894.95 |
| Rate for Payer: Aetna Better Health Medicaid |
$98,916.62
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$100,894.95
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$72,310.35
|
|
|
NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY
|
Facility
|
IP
|
$73,404.18
|
|
|
Service Code
|
APR-DRG 6072
|
| Min. Negotiated Rate |
$53,392.81 |
| Max. Negotiated Rate |
$73,404.18 |
| Rate for Payer: Aetna Better Health Medicaid |
$71,964.88
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$73,404.18
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$53,392.81
|
|
|
NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION
|
Facility
|
IP
|
$21,612.06
|
|
|
Service Code
|
APR-DRG 6131
|
| Min. Negotiated Rate |
$20,275.25 |
| Max. Negotiated Rate |
$21,612.06 |
| Rate for Payer: Aetna Better Health Medicaid |
$21,188.29
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$21,612.06
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$20,275.25
|
|
|
NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION
|
Facility
|
IP
|
$59,441.83
|
|
|
Service Code
|
APR-DRG 6133
|
| Min. Negotiated Rate |
$52,210.49 |
| Max. Negotiated Rate |
$59,441.83 |
| Rate for Payer: Aetna Better Health Medicaid |
$58,276.30
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$59,441.83
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$52,210.49
|
|
|
NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION
|
Facility
|
IP
|
$33,564.72
|
|
|
Service Code
|
APR-DRG 6132
|
| Min. Negotiated Rate |
$31,402.44 |
| Max. Negotiated Rate |
$33,564.72 |
| Rate for Payer: Aetna Better Health Medicaid |
$32,906.59
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$33,564.72
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$31,402.44
|
|
|
NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION
|
Facility
|
IP
|
$82,848.66
|
|
|
Service Code
|
APR-DRG 6134
|
| Min. Negotiated Rate |
$69,610.14 |
| Max. Negotiated Rate |
$82,848.66 |
| Rate for Payer: Aetna Better Health Medicaid |
$81,224.18
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$82,848.66
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$69,610.14
|
|
|
NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY
|
Facility
|
IP
|
$101,689.81
|
|
|
Service Code
|
APR-DRG 6114
|
| Min. Negotiated Rate |
$81,504.02 |
| Max. Negotiated Rate |
$101,689.81 |
| Rate for Payer: Aetna Better Health Medicaid |
$99,695.89
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$101,689.81
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$81,504.02
|
|
|
NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY
|
Facility
|
IP
|
$61,010.50
|
|
|
Service Code
|
APR-DRG 6113
|
| Min. Negotiated Rate |
$51,878.60 |
| Max. Negotiated Rate |
$61,010.50 |
| Rate for Payer: Aetna Better Health Medicaid |
$59,814.22
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$61,010.50
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$51,878.60
|
|
|
NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY
|
Facility
|
IP
|
$34,434.06
|
|
|
Service Code
|
APR-DRG 6112
|
| Min. Negotiated Rate |
$32,042.63 |
| Max. Negotiated Rate |
$34,434.06 |
| Rate for Payer: Aetna Better Health Medicaid |
$33,758.88
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$34,434.06
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$32,042.63
|
|
|
NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY
|
Facility
|
IP
|
$19,926.11
|
|
|
Service Code
|
APR-DRG 6111
|
| Min. Negotiated Rate |
$14,916.77 |
| Max. Negotiated Rate |
$19,926.11 |
| Rate for Payer: Aetna Better Health Medicaid |
$14,916.77
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$15,215.11
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$19,926.11
|
|
|
NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION
|
Facility
|
IP
|
$28,735.07
|
|
|
Service Code
|
APR-DRG 6142
|
| Min. Negotiated Rate |
$26,579.34 |
| Max. Negotiated Rate |
$28,735.07 |
| Rate for Payer: Aetna Better Health Medicaid |
$28,171.64
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$28,735.07
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$26,579.34
|
|
|
NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION
|
Facility
|
IP
|
$53,803.27
|
|
|
Service Code
|
APR-DRG 6143
|
| Min. Negotiated Rate |
$43,593.49 |
| Max. Negotiated Rate |
$53,803.27 |
| Rate for Payer: Aetna Better Health Medicaid |
$52,748.30
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$53,803.27
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$43,593.49
|
|
|
NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION
|
Facility
|
IP
|
$13,309.54
|
|
|
Service Code
|
APR-DRG 6141
|
| Min. Negotiated Rate |
$11,802.31 |
| Max. Negotiated Rate |
$13,309.54 |
| Rate for Payer: Aetna Better Health Medicaid |
$11,802.31
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$12,038.36
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$13,309.54
|
|
|
NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION
|
Facility
|
IP
|
$69,383.43
|
|
|
Service Code
|
APR-DRG 6144
|
| Min. Negotiated Rate |
$46,630.08 |
| Max. Negotiated Rate |
$69,383.43 |
| Rate for Payer: Aetna Better Health Medicaid |
$68,022.97
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$69,383.43
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$46,630.08
|
|
|
NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION
|
Facility
|
IP
|
$61,472.54
|
|
|
Service Code
|
APR-DRG 6123
|
| Min. Negotiated Rate |
$51,054.43 |
| Max. Negotiated Rate |
$61,472.54 |
| Rate for Payer: Aetna Better Health Medicaid |
$60,267.20
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$61,472.54
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$51,054.43
|
|