|
OTHER ESOPHAGEAL DISORDERS
|
Facility
|
IP
|
$24,611.75
|
|
|
Service Code
|
APR-DRG 2434
|
| Min. Negotiated Rate |
$19,782.61 |
| Max. Negotiated Rate |
$24,611.75 |
| Rate for Payer: Aetna Better Health Medicaid |
$24,129.17
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$24,611.75
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$19,782.61
|
|
|
OTHER FACTORS INFLUENCING HEALTH STATUS
|
Facility
|
IP
|
$27,960.54
|
|
|
Service Code
|
MSDRG 951
|
| Min. Negotiated Rate |
$6,067.40 |
| Max. Negotiated Rate |
$27,960.54 |
| Rate for Payer: Aetna Commercial |
$18,748.27
|
| Rate for Payer: Aetna Medicare Advantage |
$6,067.40
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$16,264.53
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$16,264.53
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$9,320.18
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$16,264.53
|
| Rate for Payer: Cigna Commercial |
$11,965.68
|
| Rate for Payer: Cigna Medicare Advantage |
$9,320.18
|
| Rate for Payer: Clover Medicare Advantage |
$8,854.17
|
| Rate for Payer: EmblemHealth Commercial |
$27,960.54
|
| Rate for Payer: Humana Medicare Advantage |
$9,599.79
|
| Rate for Payer: Oxford Commercial |
$7,478.20
|
| Rate for Payer: UnitedHealthcare Commercial |
$8,488.45
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$9,320.18
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$9,879.39
|
| Rate for Payer: Wellcare Medicare Advantage |
$9,320.18
|
|
|
OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$27,184.59
|
|
|
Service Code
|
APR-DRG 5183
|
| Min. Negotiated Rate |
$19,542.31 |
| Max. Negotiated Rate |
$27,184.59 |
| Rate for Payer: Aetna Better Health Medicaid |
$26,651.56
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$27,184.59
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$19,542.31
|
|
|
OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$16,257.11
|
|
|
Service Code
|
APR-DRG 5182
|
| Min. Negotiated Rate |
$10,704.61 |
| Max. Negotiated Rate |
$16,257.11 |
| Rate for Payer: Aetna Better Health Medicaid |
$15,938.34
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$16,257.11
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$10,704.61
|
|
|
OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$11,348.84
|
|
|
Service Code
|
APR-DRG 5181
|
| Min. Negotiated Rate |
$7,766.94 |
| Max. Negotiated Rate |
$11,348.84 |
| Rate for Payer: Aetna Better Health Medicaid |
$11,126.31
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$11,348.84
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$7,766.94
|
|
|
OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$51,544.99
|
|
|
Service Code
|
APR-DRG 5184
|
| Min. Negotiated Rate |
$44,492.31 |
| Max. Negotiated Rate |
$51,544.99 |
| Rate for Payer: Aetna Better Health Medicaid |
$50,534.30
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$51,544.99
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$44,492.31
|
|
|
OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$86,579.17
|
|
|
Service Code
|
MSDRG 749
|
| Min. Negotiated Rate |
$27,343.76 |
| Max. Negotiated Rate |
$86,579.17 |
| Rate for Payer: Aetna Commercial |
$86,579.17
|
| Rate for Payer: Aetna Medicare Advantage |
$28,019.15
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$69,468.84
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$69,468.84
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$28,782.90
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$69,468.84
|
| Rate for Payer: Cigna Commercial |
$55,257.32
|
| Rate for Payer: Cigna Medicare Advantage |
$28,782.90
|
| Rate for Payer: Clover Medicare Advantage |
$27,343.76
|
| Rate for Payer: EmblemHealth Commercial |
$86,348.70
|
| Rate for Payer: Humana Medicare Advantage |
$29,646.39
|
| Rate for Payer: Oxford Commercial |
$34,534.22
|
| Rate for Payer: UnitedHealthcare Commercial |
$39,199.55
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$28,782.90
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$30,509.87
|
| Rate for Payer: Wellcare Medicare Advantage |
$28,782.90
|
|
|
OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$54,658.41
|
|
|
Service Code
|
MSDRG 750
|
| Min. Negotiated Rate |
$16,104.79 |
| Max. Negotiated Rate |
$54,658.41 |
| Rate for Payer: Aetna Commercial |
$49,763.80
|
| Rate for Payer: Aetna Medicare Advantage |
$16,104.79
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$37,491.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$37,491.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$18,219.47
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$37,491.12
|
| Rate for Payer: Cigna Commercial |
$31,760.69
|
| Rate for Payer: Cigna Medicare Advantage |
$18,219.47
|
| Rate for Payer: Clover Medicare Advantage |
$17,308.50
|
| Rate for Payer: EmblemHealth Commercial |
$54,658.41
|
| Rate for Payer: Humana Medicare Advantage |
$18,766.05
|
| Rate for Payer: Oxford Commercial |
$19,849.51
|
| Rate for Payer: UnitedHealthcare Commercial |
$22,531.04
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$18,219.47
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$19,312.64
|
| Rate for Payer: Wellcare Medicare Advantage |
$18,219.47
|
|
|
OTHER GASTROENTERITIS, NAUSEA AND VOMITING
|
Facility
|
IP
|
$11,143.77
|
|
|
Service Code
|
APR-DRG 2493
|
| Min. Negotiated Rate |
$7,171.21 |
| Max. Negotiated Rate |
$11,143.77 |
| Rate for Payer: Aetna Better Health Medicaid |
$10,925.26
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$11,143.77
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$7,171.21
|
|
|
OTHER GASTROENTERITIS, NAUSEA AND VOMITING
|
Facility
|
IP
|
$7,752.19
|
|
|
Service Code
|
APR-DRG 2492
|
| Min. Negotiated Rate |
$5,053.60 |
| Max. Negotiated Rate |
$7,752.19 |
| Rate for Payer: Aetna Better Health Medicaid |
$7,600.19
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$7,752.19
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$5,053.60
|
|
|
OTHER GASTROENTERITIS, NAUSEA AND VOMITING
|
Facility
|
IP
|
$20,511.02
|
|
|
Service Code
|
APR-DRG 2494
|
| Min. Negotiated Rate |
$16,393.08 |
| Max. Negotiated Rate |
$20,511.02 |
| Rate for Payer: Aetna Better Health Medicaid |
$20,108.84
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$20,511.02
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$16,393.08
|
|
|
OTHER GASTROENTERITIS, NAUSEA AND VOMITING
|
Facility
|
IP
|
$6,205.94
|
|
|
Service Code
|
APR-DRG 2491
|
| Min. Negotiated Rate |
$4,157.92 |
| Max. Negotiated Rate |
$6,205.94 |
| Rate for Payer: Aetna Better Health Medicaid |
$6,084.25
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$6,205.94
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$4,157.92
|
|
|
OTHER HEART ASSIST SYSTEM IMPLANT
|
Facility
|
IP
|
$335,748.86
|
|
|
Service Code
|
MSDRG 215
|
| Min. Negotiated Rate |
$95,263.31 |
| Max. Negotiated Rate |
$335,748.86 |
| Rate for Payer: Aetna Commercial |
$335,748.86
|
| Rate for Payer: Aetna Medicare Advantage |
$108,656.59
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$281,459.07
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$281,459.07
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$100,277.17
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$281,459.07
|
| Rate for Payer: Cigna Commercial |
$214,284.60
|
| Rate for Payer: Cigna Medicare Advantage |
$100,277.17
|
| Rate for Payer: Clover Medicare Advantage |
$95,263.31
|
| Rate for Payer: EmblemHealth Commercial |
$300,831.51
|
| Rate for Payer: Humana Medicare Advantage |
$103,285.49
|
| Rate for Payer: Oxford Commercial |
$133,921.65
|
| Rate for Payer: UnitedHealthcare Commercial |
$152,013.52
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$100,277.17
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$106,293.80
|
| Rate for Payer: Wellcare Medicare Advantage |
$100,277.17
|
|
|
OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$75,327.63
|
|
|
Service Code
|
MSDRG 424
|
| Min. Negotiated Rate |
$23,853.75 |
| Max. Negotiated Rate |
$75,327.63 |
| Rate for Payer: Aetna Commercial |
$73,775.73
|
| Rate for Payer: Aetna Medicare Advantage |
$23,875.64
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$58,717.71
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$58,717.71
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$25,109.21
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$58,717.71
|
| Rate for Payer: Cigna Commercial |
$47,085.80
|
| Rate for Payer: Cigna Medicare Advantage |
$25,109.21
|
| Rate for Payer: Clover Medicare Advantage |
$23,853.75
|
| Rate for Payer: EmblemHealth Commercial |
$75,327.63
|
| Rate for Payer: Humana Medicare Advantage |
$25,862.49
|
| Rate for Payer: Oxford Commercial |
$29,427.26
|
| Rate for Payer: UnitedHealthcare Commercial |
$33,402.67
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$25,109.21
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$26,615.76
|
| Rate for Payer: Wellcare Medicare Advantage |
$25,109.21
|
|
|
OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$140,038.68
|
|
|
Service Code
|
MSDRG 423
|
| Min. Negotiated Rate |
$41,915.94 |
| Max. Negotiated Rate |
$140,038.68 |
| Rate for Payer: Aetna Commercial |
$140,038.68
|
| Rate for Payer: Aetna Medicare Advantage |
$45,319.96
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$107,786.97
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$107,786.97
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$44,122.04
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$107,786.97
|
| Rate for Payer: Cigna Commercial |
$89,376.71
|
| Rate for Payer: Cigna Medicare Advantage |
$44,122.04
|
| Rate for Payer: Clover Medicare Advantage |
$41,915.94
|
| Rate for Payer: EmblemHealth Commercial |
$132,366.12
|
| Rate for Payer: Humana Medicare Advantage |
$45,445.70
|
| Rate for Payer: Oxford Commercial |
$55,857.85
|
| Rate for Payer: UnitedHealthcare Commercial |
$63,403.85
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$44,122.04
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$46,769.36
|
| Rate for Payer: Wellcare Medicare Advantage |
$44,122.04
|
|
|
OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$55,369.53
|
|
|
Service Code
|
MSDRG 425
|
| Min. Negotiated Rate |
$16,372.15 |
| Max. Negotiated Rate |
$55,369.53 |
| Rate for Payer: Aetna Commercial |
$50,589.94
|
| Rate for Payer: Aetna Medicare Advantage |
$16,372.15
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$44,107.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$44,107.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$18,456.51
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$44,107.20
|
| Rate for Payer: Cigna Commercial |
$32,287.96
|
| Rate for Payer: Cigna Medicare Advantage |
$18,456.51
|
| Rate for Payer: Clover Medicare Advantage |
$17,533.68
|
| Rate for Payer: EmblemHealth Commercial |
$55,369.53
|
| Rate for Payer: Humana Medicare Advantage |
$19,010.21
|
| Rate for Payer: Oxford Commercial |
$20,179.03
|
| Rate for Payer: UnitedHealthcare Commercial |
$22,905.08
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$18,456.51
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$19,563.90
|
| Rate for Payer: Wellcare Medicare Advantage |
$18,456.51
|
|
|
OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES
|
Facility
|
IP
|
$29,131.09
|
|
|
Service Code
|
APR-DRG 2643
|
| Min. Negotiated Rate |
$23,749.11 |
| Max. Negotiated Rate |
$29,131.09 |
| Rate for Payer: Aetna Better Health Medicaid |
$28,559.89
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$29,131.09
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$23,749.11
|
|
|
OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES
|
Facility
|
IP
|
$19,218.95
|
|
|
Service Code
|
APR-DRG 2642
|
| Min. Negotiated Rate |
$15,350.45 |
| Max. Negotiated Rate |
$19,218.95 |
| Rate for Payer: Aetna Better Health Medicaid |
$18,842.11
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$19,218.95
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$15,350.45
|
|
|
OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES
|
Facility
|
IP
|
$59,740.94
|
|
|
Service Code
|
APR-DRG 2644
|
| Min. Negotiated Rate |
$51,580.70 |
| Max. Negotiated Rate |
$59,740.94 |
| Rate for Payer: Aetna Better Health Medicaid |
$58,569.55
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$59,740.94
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$51,580.70
|
|
|
OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES
|
Facility
|
IP
|
$18,098.26
|
|
|
Service Code
|
APR-DRG 2641
|
| Min. Negotiated Rate |
$12,532.69 |
| Max. Negotiated Rate |
$18,098.26 |
| Rate for Payer: Aetna Better Health Medicaid |
$17,743.39
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$18,098.26
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$12,532.69
|
|
|
OTHER INFECTIOUS AND PARASITIC DISEASES
|
Facility
|
IP
|
$9,351.74
|
|
|
Service Code
|
APR-DRG 7242
|
| Min. Negotiated Rate |
$7,629.91 |
| Max. Negotiated Rate |
$9,351.74 |
| Rate for Payer: Aetna Better Health Medicaid |
$9,168.37
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$9,351.74
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$7,629.91
|
|
|
OTHER INFECTIOUS AND PARASITIC DISEASES
|
Facility
|
IP
|
$30,868.29
|
|
|
Service Code
|
APR-DRG 7244
|
| Min. Negotiated Rate |
$27,824.45 |
| Max. Negotiated Rate |
$30,868.29 |
| Rate for Payer: Aetna Better Health Medicaid |
$30,263.03
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$30,868.29
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$27,824.45
|
|
|
OTHER INFECTIOUS AND PARASITIC DISEASES
|
Facility
|
IP
|
$7,843.48
|
|
|
Service Code
|
APR-DRG 7241
|
| Min. Negotiated Rate |
$6,467.38 |
| Max. Negotiated Rate |
$7,843.48 |
| Rate for Payer: Aetna Better Health Medicaid |
$7,689.69
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$7,843.48
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$6,467.38
|
|
|
OTHER INFECTIOUS AND PARASITIC DISEASES
|
Facility
|
IP
|
$15,358.29
|
|
|
Service Code
|
APR-DRG 7243
|
| Min. Negotiated Rate |
$12,025.95 |
| Max. Negotiated Rate |
$15,358.29 |
| Rate for Payer: Aetna Better Health Medicaid |
$15,057.15
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$15,358.29
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$12,025.95
|
|
|
OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC
|
Facility
|
IP
|
$41,750.67
|
|
|
Service Code
|
MSDRG 868
|
| Min. Negotiated Rate |
$11,251.96 |
| Max. Negotiated Rate |
$41,750.67 |
| Rate for Payer: Aetna Commercial |
$34,768.56
|
| Rate for Payer: Aetna Medicare Advantage |
$11,251.96
|
| 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 |
$13,916.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$30,048.03
|
| Rate for Payer: Cigna Commercial |
$22,190.30
|
| Rate for Payer: Cigna Medicare Advantage |
$13,916.89
|
| Rate for Payer: Clover Medicare Advantage |
$13,221.05
|
| Rate for Payer: EmblemHealth Commercial |
$41,750.67
|
| Rate for Payer: Humana Medicare Advantage |
$14,334.40
|
| Rate for Payer: Oxford Commercial |
$13,868.30
|
| Rate for Payer: UnitedHealthcare Commercial |
$15,741.80
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$13,916.89
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$14,751.90
|
| Rate for Payer: Wellcare Medicare Advantage |
$13,916.89
|
|