|
PATIENT WARMING BLANKET PACU**
|
Facility
|
IP
|
$35.00
|
|
| Hospital Charge Code |
8003535
|
|
Hospital Revenue Code
|
279
|
| Min. Negotiated Rate |
$5.25 |
| Max. Negotiated Rate |
$5.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$5.25
|
|
|
PATIENT WARMING BLANKET PACU**
|
Facility
|
OP
|
$35.00
|
|
| Hospital Charge Code |
8003535
|
|
Hospital Revenue Code
|
279
|
| Min. Negotiated Rate |
$4.55 |
| Max. Negotiated Rate |
$17.50 |
| Rate for Payer: Aetna Commercial |
$10.50
|
| Rate for Payer: Aetna Medicare Advantage |
$10.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$8.93
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$8.93
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$8.93
|
| Rate for Payer: Cigna Commercial |
$17.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$4.55
|
| Rate for Payer: Oxford Commercial |
$17.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$5.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$17.50
|
|
|
PATRIENT TRACKER
|
Facility
|
OP
|
$1,025.00
|
|
| Hospital Charge Code |
270685935
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$133.25 |
| Max. Negotiated Rate |
$512.50 |
| Rate for Payer: Aetna Commercial |
$307.50
|
| Rate for Payer: Aetna Medicare Advantage |
$307.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$261.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$261.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$261.38
|
| Rate for Payer: Cigna Commercial |
$512.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$133.25
|
| Rate for Payer: Oxford Commercial |
$512.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$153.75
|
| Rate for Payer: UnitedHealthcare Commercial |
$512.50
|
|
|
PATRIENT TRACKER
|
Facility
|
IP
|
$1,025.00
|
|
| Hospital Charge Code |
270685935
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$153.75 |
| Max. Negotiated Rate |
$153.75 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$153.75
|
|
|
PATTIES CODMAN SURG 1 X 3IN
|
Facility
|
IP
|
$73.10
|
|
| Hospital Charge Code |
270669006
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$10.96 |
| Max. Negotiated Rate |
$10.96 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$10.96
|
|
|
PATTIES CODMAN SURG 1 X 3IN
|
Facility
|
OP
|
$73.10
|
|
| Hospital Charge Code |
270669006
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$9.50 |
| Max. Negotiated Rate |
$36.55 |
| Rate for Payer: Aetna Commercial |
$21.93
|
| Rate for Payer: Aetna Medicare Advantage |
$21.93
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$18.64
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$18.64
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$18.64
|
| Rate for Payer: Cigna Commercial |
$36.55
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$9.50
|
| Rate for Payer: Oxford Commercial |
$36.55
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$10.96
|
| Rate for Payer: UnitedHealthcare Commercial |
$36.55
|
|
|
PATTIES NEURAY STRIPS 1/4x6
|
Facility
|
OP
|
$69.75
|
|
| Hospital Charge Code |
270600195
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$9.07 |
| Max. Negotiated Rate |
$34.88 |
| Rate for Payer: Aetna Commercial |
$20.93
|
| Rate for Payer: Aetna Medicare Advantage |
$20.93
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$17.79
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$17.79
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$17.79
|
| Rate for Payer: Cigna Commercial |
$34.88
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$9.07
|
| Rate for Payer: Oxford Commercial |
$34.88
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$10.46
|
| Rate for Payer: UnitedHealthcare Commercial |
$34.88
|
|
|
PATTIES NEURAY STRIPS 1/4x6
|
Facility
|
IP
|
$69.75
|
|
| Hospital Charge Code |
270600195
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$10.46 |
| Max. Negotiated Rate |
$10.46 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$10.46
|
|
|
PATTIES NEURAY STRIPS 1 X 3
|
Facility
|
OP
|
$37.50
|
|
| Hospital Charge Code |
270671146
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$4.88 |
| Max. Negotiated Rate |
$18.75 |
| Rate for Payer: Aetna Commercial |
$11.25
|
| Rate for Payer: Aetna Medicare Advantage |
$11.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$9.56
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$9.56
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$9.56
|
| Rate for Payer: Cigna Commercial |
$18.75
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$4.88
|
| Rate for Payer: Oxford Commercial |
$18.75
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$5.62
|
| Rate for Payer: UnitedHealthcare Commercial |
$18.75
|
|
|
PATTIES NEURAY STRIPS 1 X 3
|
Facility
|
IP
|
$37.50
|
|
| Hospital Charge Code |
270671146
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$5.62 |
| Max. Negotiated Rate |
$5.62 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$5.62
|
|
|
PATTIES NEURO 1 1/2X6
|
Facility
|
OP
|
$39.25
|
|
| Hospital Charge Code |
270600402
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$5.10 |
| Max. Negotiated Rate |
$19.62 |
| Rate for Payer: Aetna Commercial |
$11.78
|
| Rate for Payer: Aetna Medicare Advantage |
$11.78
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$10.01
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$10.01
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$10.01
|
| Rate for Payer: Cigna Commercial |
$19.62
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$5.10
|
| Rate for Payer: Oxford Commercial |
$19.62
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$5.89
|
| Rate for Payer: UnitedHealthcare Commercial |
$19.62
|
|
|
PATTIES NEURO 1 1/2X6
|
Facility
|
IP
|
$39.25
|
|
| Hospital Charge Code |
270600402
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$5.89 |
| Max. Negotiated Rate |
$5.89 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$5.89
|
|
|
PATTIES NEURO 1/2X1/2
|
Facility
|
IP
|
$35.39
|
|
| Hospital Charge Code |
270600401
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$5.31 |
| Max. Negotiated Rate |
$5.31 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$5.31
|
|
|
PATTIES NEURO 1/2X1/2
|
Facility
|
OP
|
$35.39
|
|
| Hospital Charge Code |
270600401
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$4.60 |
| Max. Negotiated Rate |
$17.70 |
| Rate for Payer: Aetna Commercial |
$10.62
|
| Rate for Payer: Aetna Medicare Advantage |
$10.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$9.02
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$9.02
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$9.02
|
| Rate for Payer: Cigna Commercial |
$17.70
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$4.60
|
| Rate for Payer: Oxford Commercial |
$17.70
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$5.31
|
| Rate for Payer: UnitedHealthcare Commercial |
$17.70
|
|
|
PATTIES NEURO 1/2X3 80-04007
|
Facility
|
IP
|
$44.89
|
|
| Hospital Charge Code |
270600208
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$6.73 |
| Max. Negotiated Rate |
$6.73 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$6.73
|
|
|
PATTIES NEURO 1/2X3 80-04007
|
Facility
|
OP
|
$44.89
|
|
| Hospital Charge Code |
270600208
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$5.84 |
| Max. Negotiated Rate |
$22.45 |
| Rate for Payer: Aetna Commercial |
$13.47
|
| Rate for Payer: Aetna Medicare Advantage |
$13.47
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$11.45
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$11.45
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$11.45
|
| Rate for Payer: Cigna Commercial |
$22.45
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$5.84
|
| Rate for Payer: Oxford Commercial |
$22.45
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$6.73
|
| Rate for Payer: UnitedHealthcare Commercial |
$22.45
|
|
|
PATTIES NEURO 1/2X6
|
Facility
|
OP
|
$41.80
|
|
| Hospital Charge Code |
270600330
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$5.43 |
| Max. Negotiated Rate |
$20.90 |
| Rate for Payer: Aetna Commercial |
$12.54
|
| Rate for Payer: Aetna Medicare Advantage |
$12.54
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$10.66
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$10.66
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$10.66
|
| Rate for Payer: Cigna Commercial |
$20.90
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$5.43
|
| Rate for Payer: Oxford Commercial |
$20.90
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$6.27
|
| Rate for Payer: UnitedHealthcare Commercial |
$20.90
|
|
|
PATTIES NEURO 1/2X6
|
Facility
|
IP
|
$41.80
|
|
| Hospital Charge Code |
270600330
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$6.27 |
| Max. Negotiated Rate |
$6.27 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$6.27
|
|
|
PATTIES NEURO 1/4X1/4
|
Facility
|
OP
|
$44.00
|
|
| Hospital Charge Code |
270600400
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$5.72 |
| Max. Negotiated Rate |
$22.00 |
| Rate for Payer: Aetna Commercial |
$13.20
|
| Rate for Payer: Aetna Medicare Advantage |
$13.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$11.22
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$11.22
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$11.22
|
| Rate for Payer: Cigna Commercial |
$22.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$5.72
|
| Rate for Payer: Oxford Commercial |
$22.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$6.60
|
| Rate for Payer: UnitedHealthcare Commercial |
$22.00
|
|
|
PATTIES NEURO 1/4X1/4
|
Facility
|
IP
|
$44.00
|
|
| Hospital Charge Code |
270600400
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$6.60 |
| Max. Negotiated Rate |
$6.60 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$6.60
|
|
|
PATTIES NEURO 1/6
|
Facility
|
OP
|
$23.75
|
|
| Hospital Charge Code |
270600201
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3.09 |
| Max. Negotiated Rate |
$11.88 |
| Rate for Payer: Aetna Commercial |
$7.12
|
| Rate for Payer: Aetna Medicare Advantage |
$7.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$6.06
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$6.06
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$6.06
|
| Rate for Payer: Cigna Commercial |
$11.88
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$3.09
|
| Rate for Payer: Oxford Commercial |
$11.88
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$3.56
|
| Rate for Payer: UnitedHealthcare Commercial |
$11.88
|
|
|
PATTIES NEURO 1/6
|
Facility
|
IP
|
$23.75
|
|
| Hospital Charge Code |
270600201
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3.56 |
| Max. Negotiated Rate |
$3.56 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$3.56
|
|
|
PATTIES NEURO 2/6
|
Facility
|
IP
|
$39.25
|
|
| Hospital Charge Code |
270600403
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$5.89 |
| Max. Negotiated Rate |
$5.89 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$5.89
|
|
|
PATTIES NEURO 2/6
|
Facility
|
OP
|
$39.25
|
|
| Hospital Charge Code |
270600403
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$5.10 |
| Max. Negotiated Rate |
$19.62 |
| Rate for Payer: Aetna Commercial |
$11.78
|
| Rate for Payer: Aetna Medicare Advantage |
$11.78
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$10.01
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$10.01
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$10.01
|
| Rate for Payer: Cigna Commercial |
$19.62
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$5.10
|
| Rate for Payer: Oxford Commercial |
$19.62
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$5.89
|
| Rate for Payer: UnitedHealthcare Commercial |
$19.62
|
|
|
PATTIES NEURO 3 1/2X6
|
Facility
|
OP
|
$39.25
|
|
| Hospital Charge Code |
270600405
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$5.10 |
| Max. Negotiated Rate |
$19.62 |
| Rate for Payer: Aetna Commercial |
$11.78
|
| Rate for Payer: Aetna Medicare Advantage |
$11.78
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$10.01
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$10.01
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$10.01
|
| Rate for Payer: Cigna Commercial |
$19.62
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$5.10
|
| Rate for Payer: Oxford Commercial |
$19.62
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$5.89
|
| Rate for Payer: UnitedHealthcare Commercial |
$19.62
|
|