|
OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC
|
Facility
|
IP
|
$72,578.91
|
|
|
Service Code
|
MSDRG 867
|
| Min. Negotiated Rate |
$22,842.22 |
| Max. Negotiated Rate |
$72,578.91 |
| Rate for Payer: Aetna Commercial |
$70,582.46
|
| Rate for Payer: Aetna Medicare Advantage |
$22,842.22
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$57,615.03
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$57,615.03
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$24,192.97
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$57,615.03
|
| Rate for Payer: Cigna Commercial |
$45,047.76
|
| Rate for Payer: Cigna Medicare Advantage |
$24,192.97
|
| Rate for Payer: Clover Medicare Advantage |
$22,983.32
|
| Rate for Payer: EmblemHealth Commercial |
$72,578.91
|
| Rate for Payer: Humana Medicare Advantage |
$24,918.76
|
| Rate for Payer: Oxford Commercial |
$28,153.54
|
| Rate for Payer: UnitedHealthcare Commercial |
$31,956.88
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$24,192.97
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$25,644.55
|
| Rate for Payer: Wellcare Medicare Advantage |
$24,192.97
|
|
|
OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$33,002.31
|
|
|
Service Code
|
MSDRG 869
|
| Min. Negotiated Rate |
$7,962.91 |
| Max. Negotiated Rate |
$33,002.31 |
| Rate for Payer: Aetna Commercial |
$24,605.39
|
| Rate for Payer: Aetna Medicare Advantage |
$7,962.91
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$19,021.23
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$19,021.23
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$11,000.77
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$19,021.23
|
| Rate for Payer: Cigna Commercial |
$15,703.87
|
| Rate for Payer: Cigna Medicare Advantage |
$11,000.77
|
| Rate for Payer: Clover Medicare Advantage |
$10,450.73
|
| Rate for Payer: EmblemHealth Commercial |
$33,002.31
|
| Rate for Payer: Humana Medicare Advantage |
$11,330.79
|
| Rate for Payer: Oxford Commercial |
$9,814.47
|
| Rate for Payer: UnitedHealthcare Commercial |
$11,140.33
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$11,000.77
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$11,660.82
|
| Rate for Payer: Wellcare Medicare Advantage |
$11,000.77
|
|
|
OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES
|
Facility
|
IP
|
$7,342.13
|
|
|
Service Code
|
APR-DRG 8152
|
| Min. Negotiated Rate |
$5,021.96 |
| Max. Negotiated Rate |
$7,342.13 |
| Rate for Payer: Aetna Better Health Medicaid |
$7,198.17
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$7,342.13
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$5,021.96
|
|
|
OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES
|
Facility
|
IP
|
$12,590.30
|
|
|
Service Code
|
APR-DRG 8153
|
| Min. Negotiated Rate |
$8,551.18 |
| Max. Negotiated Rate |
$12,590.30 |
| Rate for Payer: Aetna Better Health Medicaid |
$12,343.43
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$12,590.30
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$8,551.18
|
|
|
OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES
|
Facility
|
IP
|
$27,306.10
|
|
|
Service Code
|
APR-DRG 8154
|
| Min. Negotiated Rate |
$26,399.63 |
| Max. Negotiated Rate |
$27,306.10 |
| Rate for Payer: Aetna Better Health Medicaid |
$26,399.63
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$26,927.62
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$27,306.10
|
|
|
OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES
|
Facility
|
IP
|
$5,281.87
|
|
|
Service Code
|
APR-DRG 8151
|
| Min. Negotiated Rate |
$4,728.36 |
| Max. Negotiated Rate |
$5,281.87 |
| Rate for Payer: Aetna Better Health Medicaid |
$5,178.30
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$5,281.87
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$4,728.36
|
|
|
OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC
|
Facility
|
IP
|
$62,599.86
|
|
|
Service Code
|
MSDRG 922
|
| Min. Negotiated Rate |
$19,090.47 |
| Max. Negotiated Rate |
$62,599.86 |
| Rate for Payer: Aetna Commercial |
$58,989.55
|
| Rate for Payer: Aetna Medicare Advantage |
$19,090.47
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$47,966.58
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$47,966.58
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$20,866.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$47,966.58
|
| Rate for Payer: Cigna Commercial |
$37,648.84
|
| Rate for Payer: Cigna Medicare Advantage |
$20,866.62
|
| Rate for Payer: Clover Medicare Advantage |
$19,823.29
|
| Rate for Payer: EmblemHealth Commercial |
$62,599.86
|
| Rate for Payer: Humana Medicare Advantage |
$21,492.62
|
| Rate for Payer: Oxford Commercial |
$23,529.43
|
| Rate for Payer: UnitedHealthcare Commercial |
$26,708.09
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$20,866.62
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$22,118.62
|
| Rate for Payer: Wellcare Medicare Advantage |
$20,866.62
|
|
|
OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC
|
Facility
|
IP
|
$41,361.72
|
|
|
Service Code
|
MSDRG 923
|
| Min. Negotiated Rate |
$11,105.74 |
| Max. Negotiated Rate |
$41,361.72 |
| Rate for Payer: Aetna Commercial |
$34,316.74
|
| Rate for Payer: Aetna Medicare Advantage |
$11,105.74
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$27,842.67
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$27,842.67
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$13,787.24
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$27,842.67
|
| Rate for Payer: Cigna Commercial |
$21,901.92
|
| Rate for Payer: Cigna Medicare Advantage |
$13,787.24
|
| Rate for Payer: Clover Medicare Advantage |
$13,097.88
|
| Rate for Payer: EmblemHealth Commercial |
$41,361.72
|
| Rate for Payer: Humana Medicare Advantage |
$14,200.86
|
| Rate for Payer: Oxford Commercial |
$13,688.07
|
| Rate for Payer: UnitedHealthcare Commercial |
$15,537.23
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$13,787.24
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$14,614.47
|
| Rate for Payer: Wellcare Medicare Advantage |
$13,787.24
|
|
|
OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS
|
Facility
|
IP
|
$23,592.17
|
|
|
Service Code
|
APR-DRG 4684
|
| Min. Negotiated Rate |
$18,572.28 |
| Max. Negotiated Rate |
$23,592.17 |
| Rate for Payer: Aetna Better Health Medicaid |
$23,129.58
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$23,592.17
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$18,572.28
|
|
|
OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS
|
Facility
|
IP
|
$6,337.98
|
|
|
Service Code
|
APR-DRG 4681
|
| Min. Negotiated Rate |
$4,657.76 |
| 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 |
$4,657.76
|
|
|
OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS
|
Facility
|
IP
|
$8,552.66
|
|
|
Service Code
|
APR-DRG 4682
|
| Min. Negotiated Rate |
$6,324.24 |
| Max. Negotiated Rate |
$8,552.66 |
| Rate for Payer: Aetna Better Health Medicaid |
$8,384.96
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$8,552.66
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$6,324.24
|
|
|
OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS
|
Facility
|
IP
|
$12,480.74
|
|
|
Service Code
|
APR-DRG 4683
|
| Min. Negotiated Rate |
$9,220.23 |
| Max. Negotiated Rate |
$12,480.74 |
| Rate for Payer: Aetna Better Health Medicaid |
$12,236.02
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$12,480.74
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$9,220.23
|
|
|
OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC
|
Facility
|
IP
|
$41,283.36
|
|
|
Service Code
|
MSDRG 699
|
| Min. Negotiated Rate |
$11,076.27 |
| Max. Negotiated Rate |
$41,283.36 |
| Rate for Payer: Aetna Commercial |
$34,225.67
|
| Rate for Payer: Aetna Medicare Advantage |
$11,076.27
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$28,118.34
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$28,118.34
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$13,761.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$28,118.34
|
| Rate for Payer: Cigna Commercial |
$21,843.81
|
| Rate for Payer: Cigna Medicare Advantage |
$13,761.12
|
| Rate for Payer: Clover Medicare Advantage |
$13,073.06
|
| Rate for Payer: EmblemHealth Commercial |
$41,283.36
|
| Rate for Payer: Humana Medicare Advantage |
$14,173.95
|
| Rate for Payer: Oxford Commercial |
$13,651.75
|
| Rate for Payer: UnitedHealthcare Commercial |
$15,496.00
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$13,761.12
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$14,586.79
|
| Rate for Payer: Wellcare Medicare Advantage |
$13,761.12
|
|
|
OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC
|
Facility
|
IP
|
$59,842.41
|
|
|
Service Code
|
MSDRG 698
|
| Min. Negotiated Rate |
$18,053.78 |
| Max. Negotiated Rate |
$59,842.41 |
| Rate for Payer: Aetna Commercial |
$55,786.18
|
| Rate for Payer: Aetna Medicare Advantage |
$18,053.78
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$45,485.55
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$45,485.55
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$19,947.47
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$45,485.55
|
| Rate for Payer: Cigna Commercial |
$35,604.34
|
| Rate for Payer: Cigna Medicare Advantage |
$19,947.47
|
| Rate for Payer: Clover Medicare Advantage |
$18,950.10
|
| Rate for Payer: EmblemHealth Commercial |
$59,842.41
|
| Rate for Payer: Humana Medicare Advantage |
$20,545.89
|
| Rate for Payer: Oxford Commercial |
$22,251.68
|
| Rate for Payer: UnitedHealthcare Commercial |
$25,257.72
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$19,947.47
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$21,144.32
|
| Rate for Payer: Wellcare Medicare Advantage |
$19,947.47
|
|
|
OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$31,847.07
|
|
|
Service Code
|
MSDRG 700
|
| Min. Negotiated Rate |
$7,528.59 |
| Max. Negotiated Rate |
$31,847.07 |
| Rate for Payer: Aetna Commercial |
$23,263.34
|
| Rate for Payer: Aetna Medicare Advantage |
$7,528.59
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$19,572.57
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$19,572.57
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$10,615.69
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$19,572.57
|
| Rate for Payer: Cigna Commercial |
$14,847.34
|
| Rate for Payer: Cigna Medicare Advantage |
$10,615.69
|
| Rate for Payer: Clover Medicare Advantage |
$10,084.91
|
| Rate for Payer: EmblemHealth Commercial |
$31,847.07
|
| Rate for Payer: Humana Medicare Advantage |
$10,934.16
|
| Rate for Payer: Oxford Commercial |
$9,279.16
|
| Rate for Payer: UnitedHealthcare Commercial |
$10,532.70
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$10,615.69
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$11,252.63
|
| Rate for Payer: Wellcare Medicare Advantage |
$10,615.69
|
|
|
OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC
|
Facility
|
IP
|
$79,701.81
|
|
|
Service Code
|
MSDRG 674
|
| Min. Negotiated Rate |
$25,238.91 |
| Max. Negotiated Rate |
$79,701.81 |
| Rate for Payer: Aetna Commercial |
$78,857.33
|
| Rate for Payer: Aetna Medicare Advantage |
$25,520.17
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$65,609.46
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$65,609.46
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$26,567.27
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$65,609.46
|
| Rate for Payer: Cigna Commercial |
$50,329.01
|
| Rate for Payer: Cigna Medicare Advantage |
$26,567.27
|
| Rate for Payer: Clover Medicare Advantage |
$25,238.91
|
| Rate for Payer: EmblemHealth Commercial |
$79,701.81
|
| Rate for Payer: Humana Medicare Advantage |
$27,364.29
|
| Rate for Payer: Oxford Commercial |
$31,454.17
|
| Rate for Payer: UnitedHealthcare Commercial |
$35,703.41
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$26,567.27
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$28,161.31
|
| Rate for Payer: Wellcare Medicare Advantage |
$26,567.27
|
|
|
OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC
|
Facility
|
IP
|
$141,677.46
|
|
|
Service Code
|
MSDRG 673
|
| Min. Negotiated Rate |
$42,362.65 |
| Max. Negotiated Rate |
$141,677.46 |
| Rate for Payer: Aetna Commercial |
$141,677.46
|
| Rate for Payer: Aetna Medicare Advantage |
$45,850.31
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$101,997.90
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$101,997.90
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$44,592.26
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$101,997.90
|
| Rate for Payer: Cigna Commercial |
$90,422.63
|
| Rate for Payer: Cigna Medicare Advantage |
$44,592.26
|
| Rate for Payer: Clover Medicare Advantage |
$42,362.65
|
| Rate for Payer: EmblemHealth Commercial |
$133,776.78
|
| Rate for Payer: Humana Medicare Advantage |
$45,930.03
|
| Rate for Payer: Oxford Commercial |
$56,511.52
|
| Rate for Payer: UnitedHealthcare Commercial |
$64,145.83
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$44,592.26
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$47,267.80
|
| Rate for Payer: Wellcare Medicare Advantage |
$44,592.26
|
|
|
OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$59,465.07
|
|
|
Service Code
|
MSDRG 675
|
| Min. Negotiated Rate |
$17,911.91 |
| Max. Negotiated Rate |
$59,465.07 |
| Rate for Payer: Aetna Commercial |
$55,347.80
|
| Rate for Payer: Aetna Medicare Advantage |
$17,911.91
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$43,831.53
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$43,831.53
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$19,821.69
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$43,831.53
|
| Rate for Payer: Cigna Commercial |
$35,324.57
|
| Rate for Payer: Cigna Medicare Advantage |
$19,821.69
|
| Rate for Payer: Clover Medicare Advantage |
$18,830.61
|
| Rate for Payer: EmblemHealth Commercial |
$59,465.07
|
| Rate for Payer: Humana Medicare Advantage |
$20,416.34
|
| Rate for Payer: Oxford Commercial |
$22,076.83
|
| Rate for Payer: UnitedHealthcare Commercial |
$25,059.25
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$19,821.69
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$21,010.99
|
| Rate for Payer: Wellcare Medicare Advantage |
$19,821.69
|
|
|
OTHER KIDNEY, URINARY TRACT AND RELATED NON-PERCUTANEOUS PROCEDURES
|
Facility
|
IP
|
$28,216.84
|
|
|
Service Code
|
APR-DRG 4473
|
| Min. Negotiated Rate |
$20,808.36 |
| Max. Negotiated Rate |
$28,216.84 |
| Rate for Payer: Aetna Better Health Medicaid |
$27,663.57
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$28,216.84
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$20,808.36
|
|
|
OTHER KIDNEY, URINARY TRACT AND RELATED NON-PERCUTANEOUS PROCEDURES
|
Facility
|
IP
|
$56,336.78
|
|
|
Service Code
|
APR-DRG 4474
|
| Min. Negotiated Rate |
$47,551.52 |
| Max. Negotiated Rate |
$56,336.78 |
| Rate for Payer: Aetna Better Health Medicaid |
$55,232.14
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$56,336.78
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$47,551.52
|
|
|
OTHER KIDNEY, URINARY TRACT AND RELATED NON-PERCUTANEOUS PROCEDURES
|
Facility
|
IP
|
$20,537.66
|
|
|
Service Code
|
APR-DRG 4472
|
| Min. Negotiated Rate |
$14,560.53 |
| Max. Negotiated Rate |
$20,537.66 |
| Rate for Payer: Aetna Better Health Medicaid |
$20,134.96
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$20,537.66
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$14,560.53
|
|
|
OTHER KIDNEY, URINARY TRACT AND RELATED NON-PERCUTANEOUS PROCEDURES
|
Facility
|
IP
|
$17,297.79
|
|
|
Service Code
|
APR-DRG 4471
|
| Min. Negotiated Rate |
$11,501.43 |
| Max. Negotiated Rate |
$17,297.79 |
| Rate for Payer: Aetna Better Health Medicaid |
$16,958.62
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$17,297.79
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$11,501.43
|
|
|
OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC
|
Facility
|
IP
|
$119,918.02
|
|
|
Service Code
|
MSDRG 271
|
| Min. Negotiated Rate |
$36,431.38 |
| Max. Negotiated Rate |
$119,918.02 |
| Rate for Payer: Aetna Medicare Advantage |
$38,808.42
|
| Rate for Payer: Aetna Commercial |
$119,918.02
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$95,381.82
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$95,381.82
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$38,348.82
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$95,381.82
|
| Rate for Payer: Cigna Commercial |
$76,535.13
|
| Rate for Payer: Cigna Medicare Advantage |
$38,348.82
|
| Rate for Payer: Clover Medicare Advantage |
$36,431.38
|
| Rate for Payer: EmblemHealth Commercial |
$115,046.46
|
| Rate for Payer: Humana Medicare Advantage |
$39,499.28
|
| Rate for Payer: Oxford Commercial |
$47,832.24
|
| Rate for Payer: UnitedHealthcare Commercial |
$54,294.03
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$38,348.82
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$40,649.75
|
| Rate for Payer: Wellcare Medicare Advantage |
$38,348.82
|
|
|
OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC
|
Facility
|
IP
|
$177,916.21
|
|
|
Service Code
|
MSDRG 270
|
| Min. Negotiated Rate |
$52,240.73 |
| Max. Negotiated Rate |
$177,916.21 |
| Rate for Payer: Aetna Commercial |
$177,916.21
|
| Rate for Payer: Aetna Medicare Advantage |
$57,578.06
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$139,489.02
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$139,489.02
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$54,990.24
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$139,489.02
|
| Rate for Payer: Cigna Commercial |
$113,551.25
|
| Rate for Payer: Cigna Medicare Advantage |
$54,990.24
|
| Rate for Payer: Clover Medicare Advantage |
$52,240.73
|
| Rate for Payer: EmblemHealth Commercial |
$164,970.72
|
| Rate for Payer: Humana Medicare Advantage |
$56,639.95
|
| Rate for Payer: Oxford Commercial |
$70,966.24
|
| Rate for Payer: UnitedHealthcare Commercial |
$80,553.27
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$54,990.24
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$58,289.65
|
| Rate for Payer: Wellcare Medicare Advantage |
$54,990.24
|
|
|
OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$86,086.84
|
|
|
Service Code
|
MSDRG 272
|
| Min. Negotiated Rate |
$27,209.56 |
| Max. Negotiated Rate |
$86,086.84 |
| Rate for Payer: Aetna Commercial |
$86,086.84
|
| Rate for Payer: Aetna Medicare Advantage |
$27,859.82
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$67,263.48
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$67,263.48
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$28,641.64
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$67,263.48
|
| Rate for Payer: Cigna Commercial |
$54,943.11
|
| Rate for Payer: Cigna Medicare Advantage |
$28,641.64
|
| Rate for Payer: Clover Medicare Advantage |
$27,209.56
|
| Rate for Payer: EmblemHealth Commercial |
$85,924.92
|
| Rate for Payer: Humana Medicare Advantage |
$29,500.89
|
| Rate for Payer: Oxford Commercial |
$34,337.85
|
| Rate for Payer: UnitedHealthcare Commercial |
$38,976.65
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$28,641.64
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$30,360.14
|
| Rate for Payer: Wellcare Medicare Advantage |
$28,641.64
|
|
