|
RING 3/4 140mm ID 393734
|
Facility
|
IP
|
$1,580.95
|
|
| Hospital Charge Code |
270633840
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$237.14 |
| Max. Negotiated Rate |
$237.14 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$237.14
|
|
|
RING 3/4 165mm ID
|
Facility
|
IP
|
$2,159.90
|
|
| Hospital Charge Code |
270632997
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$323.99 |
| Max. Negotiated Rate |
$522.70 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$431.98
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$522.70
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$323.99
|
|
|
RING 3/4 165mm ID
|
Facility
|
OP
|
$2,159.90
|
|
| Hospital Charge Code |
270632997
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$323.99 |
| Max. Negotiated Rate |
$1,079.95 |
| Rate for Payer: Aetna Commercial |
$647.97
|
| Rate for Payer: Aetna Medicare Advantage |
$647.97
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$550.77
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$550.77
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$431.98
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$550.77
|
| Rate for Payer: Cigna Commercial |
$1,079.95
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$522.70
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$323.99
|
|
|
RING BASIN GUIDEWIRE BOWL
|
Facility
|
IP
|
$32.55
|
|
| Hospital Charge Code |
270694935S
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$4.88 |
| Max. Negotiated Rate |
$4.88 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$4.88
|
|
|
RING BASIN GUIDEWIRE BOWL
|
Facility
|
OP
|
$32.55
|
|
| Hospital Charge Code |
270694935S
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$4.23 |
| Max. Negotiated Rate |
$16.27 |
| Rate for Payer: Aetna Commercial |
$9.77
|
| Rate for Payer: Aetna Medicare Advantage |
$9.77
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$8.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$8.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$8.30
|
| Rate for Payer: Cigna Commercial |
$16.27
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$4.23
|
| Rate for Payer: Oxford Commercial |
$16.27
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$4.88
|
| Rate for Payer: UnitedHealthcare Commercial |
$16.27
|
|
|
RING CAPSULAR TENSION 12MM
|
Facility
|
IP
|
$1,000.00
|
|
| Hospital Charge Code |
270660024
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$150.00 |
| Max. Negotiated Rate |
$150.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$150.00
|
|
|
RING CAPSULAR TENSION 12MM
|
Facility
|
OP
|
$1,000.00
|
|
| Hospital Charge Code |
270660024
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$130.00 |
| Max. Negotiated Rate |
$500.00 |
| Rate for Payer: Aetna Commercial |
$300.00
|
| Rate for Payer: Aetna Medicare Advantage |
$300.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$255.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$255.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$255.00
|
| Rate for Payer: Cigna Commercial |
$500.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$130.00
|
| Rate for Payer: Oxford Commercial |
$500.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$150.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$500.00
|
|
|
RING CAPSULAR TENSION 13MM
|
Facility
|
OP
|
$5.00
|
|
| Hospital Charge Code |
270660015
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$0.65 |
| Max. Negotiated Rate |
$2.50 |
| Rate for Payer: Aetna Commercial |
$1.50
|
| Rate for Payer: Aetna Medicare Advantage |
$1.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1.27
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1.27
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1.27
|
| Rate for Payer: Cigna Commercial |
$2.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$0.65
|
| Rate for Payer: Oxford Commercial |
$2.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$0.75
|
| Rate for Payer: UnitedHealthcare Commercial |
$2.50
|
|
|
RING CAPSULAR TENSION 13MM
|
Facility
|
IP
|
$5.00
|
|
| Hospital Charge Code |
270660015
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$0.75 |
| Max. Negotiated Rate |
$0.75 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$0.75
|
|
|
RING CK TRANSJUG HEPAT 179780
|
Facility
|
IP
|
$2,025.65
|
|
| Hospital Charge Code |
270626432
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$303.85 |
| Max. Negotiated Rate |
$303.85 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$303.85
|
|
|
RING CK TRANSJUG HEPAT 179780
|
Facility
|
OP
|
$2,025.65
|
|
| Hospital Charge Code |
270626432
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$263.33 |
| Max. Negotiated Rate |
$1,012.83 |
| Rate for Payer: Aetna Commercial |
$607.70
|
| Rate for Payer: Aetna Medicare Advantage |
$607.70
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$516.54
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$516.54
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$516.54
|
| Rate for Payer: Cigna Commercial |
$1,012.83
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$263.33
|
| Rate for Payer: Oxford Commercial |
$1,012.83
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$303.85
|
| Rate for Payer: UnitedHealthcare Commercial |
$1,012.83
|
|
|
RING CONNECTION BOLT LRF
|
Facility
|
OP
|
$198.25
|
|
|
Service Code
|
HCPCS A4649
|
| Hospital Charge Code |
270699596
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$25.77 |
| Max. Negotiated Rate |
$99.12 |
| Rate for Payer: Aetna Commercial |
$59.48
|
| Rate for Payer: Aetna Medicare Advantage |
$59.48
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$50.55
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$50.55
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$50.55
|
| Rate for Payer: Cigna Commercial |
$99.12
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$25.77
|
| Rate for Payer: Oxford Commercial |
$99.12
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$29.74
|
| Rate for Payer: UnitedHealthcare Commercial |
$99.12
|
|
|
RING CONNECTION BOLT LRF
|
Facility
|
IP
|
$198.25
|
|
|
Service Code
|
HCPCS A4649
|
| Hospital Charge Code |
270699596
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$29.74 |
| Max. Negotiated Rate |
$29.74 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$29.74
|
|
|
RING CONSTRAINNG GROUP 3
|
Facility
|
OP
|
$4,398.75
|
|
| Hospital Charge Code |
270670932
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$659.81 |
| Max. Negotiated Rate |
$2,199.38 |
| Rate for Payer: Aetna Commercial |
$1,319.62
|
| Rate for Payer: Aetna Medicare Advantage |
$1,319.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1,121.68
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1,121.68
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$879.75
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1,121.68
|
| Rate for Payer: Cigna Commercial |
$2,199.38
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,064.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$659.81
|
|
|
RING CONSTRAINNG GROUP 3
|
Facility
|
IP
|
$4,398.75
|
|
| Hospital Charge Code |
270670932
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$659.81 |
| Max. Negotiated Rate |
$1,064.50 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$879.75
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,064.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$659.81
|
|
|
RING DPY COMP MED 8 FC10029
|
Facility
|
IP
|
$3,035.25
|
|
| Hospital Charge Code |
270612488
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$455.29 |
| Max. Negotiated Rate |
$455.29 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$455.29
|
|
|
RING DPY COMP MED 8 FC10029
|
Facility
|
OP
|
$3,035.25
|
|
| Hospital Charge Code |
270612488
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$394.58 |
| Max. Negotiated Rate |
$1,517.62 |
| Rate for Payer: Aetna Commercial |
$910.58
|
| Rate for Payer: Aetna Medicare Advantage |
$910.58
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$773.99
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$773.99
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$773.99
|
| Rate for Payer: Cigna Commercial |
$1,517.62
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$394.58
|
| Rate for Payer: Oxford Commercial |
$1,517.62
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$455.29
|
| Rate for Payer: UnitedHealthcare Commercial |
$1,517.62
|
|
|
RING ENEMA FLUID COLLECTION
|
Facility
|
OP
|
$35.15
|
|
| Hospital Charge Code |
270601325
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$4.57 |
| Max. Negotiated Rate |
$17.57 |
| Rate for Payer: Aetna Commercial |
$10.54
|
| Rate for Payer: Aetna Medicare Advantage |
$10.54
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$8.96
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$8.96
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$8.96
|
| Rate for Payer: Cigna Commercial |
$17.57
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$4.57
|
| Rate for Payer: Oxford Commercial |
$17.57
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$5.27
|
| Rate for Payer: UnitedHealthcare Commercial |
$17.57
|
|
|
RING ENEMA FLUID COLLECTION
|
Facility
|
IP
|
$35.15
|
|
| Hospital Charge Code |
270601325
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$5.27 |
| Max. Negotiated Rate |
$5.27 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$5.27
|
|
|
RINGERS LACTATE 1000ML
|
Facility
|
OP
|
$16.48
|
|
| Hospital Charge Code |
270040175
|
|
Hospital Revenue Code
|
258
|
| Min. Negotiated Rate |
$2.14 |
| Max. Negotiated Rate |
$8.24 |
| Rate for Payer: Aetna Commercial |
$4.94
|
| Rate for Payer: Aetna Medicare Advantage |
$4.94
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$4.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$4.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$4.20
|
| Rate for Payer: Cigna Commercial |
$8.24
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$2.14
|
| Rate for Payer: Oxford Commercial |
$8.24
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$2.47
|
| Rate for Payer: UnitedHealthcare Commercial |
$8.24
|
|
|
RINGERS LACTATE 1000ML
|
Facility
|
IP
|
$16.48
|
|
| Hospital Charge Code |
270040175
|
|
Hospital Revenue Code
|
258
|
| Min. Negotiated Rate |
$2.47 |
| Max. Negotiated Rate |
$2.47 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$2.47
|
|
|
RINGERS LACTATE 1000ML*****
|
Facility
|
IP
|
$6.00
|
|
| Hospital Charge Code |
7000318
|
|
Hospital Revenue Code
|
258
|
| Min. Negotiated Rate |
$0.90 |
| Max. Negotiated Rate |
$0.90 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$0.90
|
|
|
RINGERS LACTATE 1000ML*****
|
Facility
|
OP
|
$6.00
|
|
| Hospital Charge Code |
7000318
|
|
Hospital Revenue Code
|
258
|
| Min. Negotiated Rate |
$0.78 |
| Max. Negotiated Rate |
$3.00 |
| Rate for Payer: Aetna Commercial |
$1.80
|
| Rate for Payer: Aetna Medicare Advantage |
$1.80
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1.53
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1.53
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1.53
|
| Rate for Payer: Cigna Commercial |
$3.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$0.78
|
| Rate for Payer: Oxford Commercial |
$3.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$0.90
|
| Rate for Payer: UnitedHealthcare Commercial |
$3.00
|
|
|
RINGERS LACTATED INJ 500ml
|
Facility
|
IP
|
$22.50
|
|
| Hospital Charge Code |
270649495
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3.38 |
| Max. Negotiated Rate |
$3.38 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$3.38
|
|
|
RINGERS LACTATED INJ 500ml
|
Facility
|
OP
|
$22.50
|
|
| Hospital Charge Code |
270649495
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2.92 |
| Max. Negotiated Rate |
$11.25 |
| Rate for Payer: Aetna Commercial |
$6.75
|
| Rate for Payer: Aetna Medicare Advantage |
$6.75
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$5.74
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$5.74
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$5.74
|
| Rate for Payer: Cigna Commercial |
$11.25
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$2.92
|
| Rate for Payer: Oxford Commercial |
$11.25
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$3.38
|
| Rate for Payer: UnitedHealthcare Commercial |
$11.25
|
|