|
BASKET ZERO TIP 3.0X90CM
|
Facility
|
IP
|
$1,875.00
|
|
| Hospital Charge Code |
270698290
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$281.25 |
| Max. Negotiated Rate |
$281.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$281.25
|
|
|
BASKET ZEROTIP AIRWAY RET 12MM
|
Facility
|
OP
|
$1,305.15
|
|
| Hospital Charge Code |
270676470
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$169.67 |
| Max. Negotiated Rate |
$652.58 |
| Rate for Payer: Aetna Commercial |
$391.55
|
| Rate for Payer: Aetna Medicare Advantage |
$391.55
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$332.81
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$332.81
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$332.81
|
| Rate for Payer: Cigna Commercial |
$652.58
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$169.67
|
| Rate for Payer: Oxford Commercial |
$652.58
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$195.77
|
| Rate for Payer: UnitedHealthcare Commercial |
$652.58
|
|
|
BASKET ZEROTIP AIRWAY RET 12MM
|
Facility
|
IP
|
$1,305.15
|
|
| Hospital Charge Code |
270676470
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$195.77 |
| Max. Negotiated Rate |
$195.77 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$195.77
|
|
|
BASKET ZEROTIP AIRWAY RET 16MM
|
Facility
|
IP
|
$1,305.15
|
|
| Hospital Charge Code |
270676471
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$195.77 |
| Max. Negotiated Rate |
$195.77 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$195.77
|
|
|
BASKET ZEROTIP AIRWAY RET 16MM
|
Facility
|
OP
|
$1,305.15
|
|
| Hospital Charge Code |
270676471
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$169.67 |
| Max. Negotiated Rate |
$652.58 |
| Rate for Payer: Aetna Commercial |
$391.55
|
| Rate for Payer: Aetna Medicare Advantage |
$391.55
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$332.81
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$332.81
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$332.81
|
| Rate for Payer: Cigna Commercial |
$652.58
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$169.67
|
| Rate for Payer: Oxford Commercial |
$652.58
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$195.77
|
| Rate for Payer: UnitedHealthcare Commercial |
$652.58
|
|
|
BASKET ZERO TIP NIT 1.9 x120CM
|
Facility
|
OP
|
$1,743.00
|
|
| Hospital Charge Code |
270684767
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$226.59 |
| Max. Negotiated Rate |
$871.50 |
| Rate for Payer: Aetna Commercial |
$522.90
|
| Rate for Payer: Aetna Medicare Advantage |
$522.90
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$444.46
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$444.46
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$444.46
|
| Rate for Payer: Cigna Commercial |
$871.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$226.59
|
| Rate for Payer: Oxford Commercial |
$871.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$261.45
|
| Rate for Payer: UnitedHealthcare Commercial |
$871.50
|
|
|
BASKET ZERO TIP NIT 1.9 x120CM
|
Facility
|
IP
|
$1,743.00
|
|
| Hospital Charge Code |
270684767
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$261.45 |
| Max. Negotiated Rate |
$261.45 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$261.45
|
|
|
BATH BABY
|
Facility
|
OP
|
$5.65
|
|
| Hospital Charge Code |
270130020
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$0.73 |
| Max. Negotiated Rate |
$2.83 |
| Rate for Payer: Aetna Commercial |
$1.70
|
| Rate for Payer: Aetna Medicare Advantage |
$1.70
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1.44
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1.44
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1.44
|
| Rate for Payer: Cigna Commercial |
$2.83
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$0.73
|
| Rate for Payer: Oxford Commercial |
$2.83
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$0.85
|
| Rate for Payer: UnitedHealthcare Commercial |
$2.83
|
|
|
BATH BABY
|
Facility
|
IP
|
$5.65
|
|
| Hospital Charge Code |
270130020
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$0.85 |
| Max. Negotiated Rate |
$0.85 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$0.85
|
|
|
BATHMAT
|
Facility
|
OP
|
$2.45
|
|
| Hospital Charge Code |
270300280
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$0.32 |
| Max. Negotiated Rate |
$1.23 |
| Rate for Payer: Aetna Commercial |
$0.74
|
| Rate for Payer: Aetna Medicare Advantage |
$0.74
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$0.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$0.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$0.62
|
| Rate for Payer: Cigna Commercial |
$1.23
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$0.32
|
| Rate for Payer: Oxford Commercial |
$1.23
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$0.37
|
| Rate for Payer: UnitedHealthcare Commercial |
$1.23
|
|
|
BATHMAT
|
Facility
|
IP
|
$2.45
|
|
| Hospital Charge Code |
270300280
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$0.37 |
| Max. Negotiated Rate |
$0.37 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$0.37
|
|
|
BATTERIES IQ
|
Facility
|
IP
|
$620.00
|
|
| Hospital Charge Code |
270662169
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$93.00 |
| Max. Negotiated Rate |
$93.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$93.00
|
|
|
BATTERIES IQ
|
Facility
|
OP
|
$620.00
|
|
| Hospital Charge Code |
270662169
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$80.60 |
| Max. Negotiated Rate |
$310.00 |
| Rate for Payer: Aetna Commercial |
$186.00
|
| Rate for Payer: Aetna Medicare Advantage |
$186.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$158.10
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$158.10
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$158.10
|
| Rate for Payer: Cigna Commercial |
$310.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$80.60
|
| Rate for Payer: Oxford Commercial |
$310.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$93.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$310.00
|
|
|
BATTERY 309/393 SILVER
|
Facility
|
OP
|
$9.20
|
|
| Hospital Charge Code |
270664124
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$1.20 |
| Max. Negotiated Rate |
$4.60 |
| Rate for Payer: Aetna Commercial |
$2.76
|
| Rate for Payer: Aetna Medicare Advantage |
$2.76
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$2.35
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$2.35
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$2.35
|
| Rate for Payer: Cigna Commercial |
$4.60
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1.20
|
| Rate for Payer: Oxford Commercial |
$4.60
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1.38
|
| Rate for Payer: UnitedHealthcare Commercial |
$4.60
|
|
|
BATTERY 309/393 SILVER
|
Facility
|
IP
|
$9.20
|
|
| Hospital Charge Code |
270664124
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$1.38 |
| Max. Negotiated Rate |
$1.38 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$1.38
|
|
|
BATTERY 9 VOLT PROCELL
|
Facility
|
OP
|
$3.40
|
|
| Hospital Charge Code |
270300320
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.44 |
| Max. Negotiated Rate |
$1.70 |
| Rate for Payer: Aetna Commercial |
$1.02
|
| Rate for Payer: Aetna Medicare Advantage |
$1.02
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$0.87
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$0.87
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$0.87
|
| Rate for Payer: Cigna Commercial |
$1.70
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$0.44
|
| Rate for Payer: Oxford Commercial |
$1.70
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$0.51
|
| Rate for Payer: UnitedHealthcare Commercial |
$1.70
|
|
|
BATTERY 9 VOLT PROCELL
|
Facility
|
IP
|
$3.40
|
|
| Hospital Charge Code |
270300320
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.51 |
| Max. Negotiated Rate |
$0.51 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$0.51
|
|
|
BATTERY AAA ALKALINE
|
Facility
|
OP
|
$0.89
|
|
| Hospital Charge Code |
270300290
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.12 |
| Max. Negotiated Rate |
$0.45 |
| Rate for Payer: Aetna Commercial |
$0.27
|
| Rate for Payer: Aetna Medicare Advantage |
$0.27
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$0.23
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$0.23
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$0.23
|
| Rate for Payer: Cigna Commercial |
$0.45
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$0.12
|
| Rate for Payer: Oxford Commercial |
$0.45
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$0.13
|
| Rate for Payer: UnitedHealthcare Commercial |
$0.45
|
|
|
BATTERY AAA ALKALINE
|
Facility
|
IP
|
$0.89
|
|
| Hospital Charge Code |
270300290
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.13 |
| Max. Negotiated Rate |
$0.13 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$0.13
|
|
|
BATTERY AA ALKALINE
|
Facility
|
IP
|
$0.88
|
|
| Hospital Charge Code |
270300285
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.13 |
| Max. Negotiated Rate |
$0.13 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$0.13
|
|
|
BATTERY AA ALKALINE
|
Facility
|
OP
|
$0.88
|
|
| Hospital Charge Code |
270300285
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.11 |
| Max. Negotiated Rate |
$0.44 |
| Rate for Payer: Aetna Commercial |
$0.26
|
| Rate for Payer: Aetna Medicare Advantage |
$0.26
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$0.22
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$0.22
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$0.22
|
| Rate for Payer: Cigna Commercial |
$0.44
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$0.11
|
| Rate for Payer: Oxford Commercial |
$0.44
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$0.13
|
| Rate for Payer: UnitedHealthcare Commercial |
$0.44
|
|
|
BATTERY C PROCELL
|
Facility
|
IP
|
$2.16
|
|
| Hospital Charge Code |
270300295
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.32 |
| Max. Negotiated Rate |
$0.32 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$0.32
|
|
|
BATTERY C PROCELL
|
Facility
|
OP
|
$2.16
|
|
| Hospital Charge Code |
270300295
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.28 |
| Max. Negotiated Rate |
$1.08 |
| Rate for Payer: Aetna Commercial |
$0.65
|
| Rate for Payer: Aetna Medicare Advantage |
$0.65
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$0.55
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$0.55
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$0.55
|
| Rate for Payer: Cigna Commercial |
$1.08
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$0.28
|
| Rate for Payer: Oxford Commercial |
$1.08
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$0.32
|
| Rate for Payer: UnitedHealthcare Commercial |
$1.08
|
|
|
BATTERY PACK POWER DEVICE SYST
|
Facility
|
IP
|
$2,941.15
|
|
| Hospital Charge Code |
270656381
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$441.17 |
| Max. Negotiated Rate |
$441.17 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$441.17
|
|
|
BATTERY PACK POWER DEVICE SYST
|
Facility
|
OP
|
$2,941.15
|
|
| Hospital Charge Code |
270656381
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$382.35 |
| Max. Negotiated Rate |
$1,470.58 |
| Rate for Payer: Aetna Commercial |
$882.35
|
| Rate for Payer: Aetna Medicare Advantage |
$882.35
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$749.99
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$749.99
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$749.99
|
| Rate for Payer: Cigna Commercial |
$1,470.58
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$382.35
|
| Rate for Payer: Oxford Commercial |
$1,470.58
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$441.17
|
| Rate for Payer: UnitedHealthcare Commercial |
$1,470.58
|
|