|
VACUTAINER RED PLASTC 6ml
|
Facility
|
OP
|
$0.33
|
|
| Hospital Charge Code |
270637397
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.04 |
| Max. Negotiated Rate |
$0.17 |
| Rate for Payer: Aetna Commercial |
$0.10
|
| Rate for Payer: Aetna Medicare Advantage |
$0.10
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$0.08
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$0.08
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$0.08
|
| Rate for Payer: Cigna Commercial |
$0.17
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$0.04
|
| Rate for Payer: Oxford Commercial |
$0.17
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$0.05
|
| Rate for Payer: UnitedHealthcare Commercial |
$0.17
|
|
|
VACUTAINER TUBE PINK 6ml
|
Facility
|
OP
|
$0.32
|
|
| Hospital Charge Code |
270639984
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.04 |
| Max. Negotiated Rate |
$0.16 |
| Rate for Payer: Aetna Commercial |
$0.10
|
| Rate for Payer: Aetna Medicare Advantage |
$0.10
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$0.08
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$0.08
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$0.08
|
| Rate for Payer: Cigna Commercial |
$0.16
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$0.04
|
| Rate for Payer: Oxford Commercial |
$0.16
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$0.05
|
| Rate for Payer: UnitedHealthcare Commercial |
$0.16
|
|
|
VACUTAINER TUBE PINK 6ml
|
Facility
|
IP
|
$0.32
|
|
| Hospital Charge Code |
270639984
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.05 |
| Max. Negotiated Rate |
$0.05 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$0.05
|
|
|
VACUUM BARRON TREPHINE 7.0MM
|
Facility
|
IP
|
$370.00
|
|
| Hospital Charge Code |
270642607
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$55.50 |
| Max. Negotiated Rate |
$55.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$55.50
|
|
|
VACUUM BARRON TREPHINE 7.0MM
|
Facility
|
OP
|
$370.00
|
|
| Hospital Charge Code |
270642607
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$48.10 |
| Max. Negotiated Rate |
$185.00 |
| Rate for Payer: Aetna Commercial |
$111.00
|
| Rate for Payer: Aetna Medicare Advantage |
$111.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$94.35
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$94.35
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$94.35
|
| Rate for Payer: Cigna Commercial |
$185.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$48.10
|
| Rate for Payer: Oxford Commercial |
$185.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$55.50
|
| Rate for Payer: UnitedHealthcare Commercial |
$185.00
|
|
|
VACUUM BARRON TREPHINE 8.25MM
|
Facility
|
IP
|
$445.00
|
|
| Hospital Charge Code |
270669687
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$66.75 |
| Max. Negotiated Rate |
$66.75 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$66.75
|
|
|
VACUUM BARRON TREPHINE 8.25MM
|
Facility
|
OP
|
$445.00
|
|
| Hospital Charge Code |
270669687
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$57.85 |
| Max. Negotiated Rate |
$222.50 |
| Rate for Payer: Aetna Commercial |
$133.50
|
| Rate for Payer: Aetna Medicare Advantage |
$133.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$113.47
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$113.47
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$113.47
|
| Rate for Payer: Cigna Commercial |
$222.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$57.85
|
| Rate for Payer: Oxford Commercial |
$222.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$66.75
|
| Rate for Payer: UnitedHealthcare Commercial |
$222.50
|
|
|
VACUUM BARRON TREPHINE 8.5MM
|
Facility
|
IP
|
$370.00
|
|
| Hospital Charge Code |
270600213
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$55.50 |
| Max. Negotiated Rate |
$55.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$55.50
|
|
|
VACUUM BARRON TREPHINE 8.5MM
|
Facility
|
OP
|
$370.00
|
|
| Hospital Charge Code |
270600213
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$48.10 |
| Max. Negotiated Rate |
$185.00 |
| Rate for Payer: Aetna Commercial |
$111.00
|
| Rate for Payer: Aetna Medicare Advantage |
$111.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$94.35
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$94.35
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$94.35
|
| Rate for Payer: Cigna Commercial |
$185.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$48.10
|
| Rate for Payer: Oxford Commercial |
$185.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$55.50
|
| Rate for Payer: UnitedHealthcare Commercial |
$185.00
|
|
|
VACUUM BARRON TREPHINE 9.0MM
|
Facility
|
IP
|
$445.00
|
|
| Hospital Charge Code |
270669686
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$66.75 |
| Max. Negotiated Rate |
$66.75 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$66.75
|
|
|
VACUUM BARRON TREPHINE 9.0MM
|
Facility
|
OP
|
$445.00
|
|
| Hospital Charge Code |
270669686
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$57.85 |
| Max. Negotiated Rate |
$222.50 |
| Rate for Payer: Aetna Commercial |
$133.50
|
| Rate for Payer: Aetna Medicare Advantage |
$133.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$113.47
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$113.47
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$113.47
|
| Rate for Payer: Cigna Commercial |
$222.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$57.85
|
| Rate for Payer: Oxford Commercial |
$222.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$66.75
|
| Rate for Payer: UnitedHealthcare Commercial |
$222.50
|
|
|
VACUUM CEMENT MIXING SYSTEM
|
Facility
|
IP
|
$616.90
|
|
| Hospital Charge Code |
270656066
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$92.53 |
| Max. Negotiated Rate |
$92.53 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$92.53
|
|
|
VACUUM CEMENT MIXING SYSTEM
|
Facility
|
OP
|
$616.90
|
|
| Hospital Charge Code |
270656066
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$80.20 |
| Max. Negotiated Rate |
$308.45 |
| Rate for Payer: Aetna Commercial |
$185.07
|
| Rate for Payer: Aetna Medicare Advantage |
$185.07
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$157.31
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$157.31
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$157.31
|
| Rate for Payer: Cigna Commercial |
$308.45
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$80.20
|
| Rate for Payer: Oxford Commercial |
$308.45
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$92.53
|
| Rate for Payer: UnitedHealthcare Commercial |
$308.45
|
|
|
VAG DELIVERY
|
Facility
|
OP
|
$10,100.00
|
|
| Hospital Charge Code |
73190161
|
|
Hospital Revenue Code
|
720
|
| Min. Negotiated Rate |
$1,313.00 |
| Max. Negotiated Rate |
$5,050.00 |
| Rate for Payer: Aetna Commercial |
$3,030.00
|
| Rate for Payer: Aetna Medicare Advantage |
$3,030.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$2,575.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$2,575.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$2,575.50
|
| Rate for Payer: Cigna Commercial |
$5,050.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,313.00
|
| Rate for Payer: Oxford Commercial |
$2,624.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,515.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$2,979.00
|
|
|
VAG DELIVERY
|
Facility
|
IP
|
$10,100.00
|
|
| Hospital Charge Code |
73190161
|
|
Hospital Revenue Code
|
720
|
| Min. Negotiated Rate |
$1,515.00 |
| Max. Negotiated Rate |
$1,515.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,515.00
|
|
|
VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$62,242.83
|
|
|
Service Code
|
MSDRG 746
|
| Min. Negotiated Rate |
$18,956.25 |
| Max. Negotiated Rate |
$62,242.83 |
| Rate for Payer: Aetna Commercial |
$58,574.81
|
| Rate for Payer: Aetna Medicare Advantage |
$18,956.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$46,312.56
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$46,312.56
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$20,747.61
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$46,312.56
|
| Rate for Payer: Cigna Commercial |
$37,384.13
|
| Rate for Payer: Cigna Medicare Advantage |
$20,747.61
|
| Rate for Payer: Clover Medicare Advantage |
$19,710.23
|
| Rate for Payer: EmblemHealth Commercial |
$62,242.83
|
| Rate for Payer: Humana Medicare Advantage |
$21,370.04
|
| Rate for Payer: Oxford Commercial |
$23,363.99
|
| Rate for Payer: UnitedHealthcare Commercial |
$26,520.31
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$20,747.61
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$21,992.47
|
| Rate for Payer: Wellcare Medicare Advantage |
$20,747.61
|
|
|
VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$36,775.65
|
|
|
Service Code
|
MSDRG 747
|
| Min. Negotiated Rate |
$9,381.55 |
| Max. Negotiated Rate |
$36,775.65 |
| Rate for Payer: Aetna Commercial |
$28,988.99
|
| Rate for Payer: Aetna Medicare Advantage |
$9,381.55
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$24,534.63
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$24,534.63
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$12,258.55
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$24,534.63
|
| Rate for Payer: Cigna Commercial |
$18,066.88
|
| Rate for Payer: Cigna Medicare Advantage |
$12,258.55
|
| Rate for Payer: Clover Medicare Advantage |
$11,645.62
|
| Rate for Payer: EmblemHealth Commercial |
$36,775.65
|
| Rate for Payer: Humana Medicare Advantage |
$12,626.31
|
| Rate for Payer: Oxford Commercial |
$11,291.27
|
| Rate for Payer: UnitedHealthcare Commercial |
$12,816.65
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$12,258.55
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$12,994.06
|
| Rate for Payer: Wellcare Medicare Advantage |
$12,258.55
|
|
|
VAGINAL DEL AFTER C SECTION
|
Facility
|
OP
|
$4,127.00
|
|
|
Service Code
|
HCPCS 59614
|
| Hospital Charge Code |
73190049
|
|
Hospital Revenue Code
|
720
|
| Min. Negotiated Rate |
$506.38 |
| Max. Negotiated Rate |
$2,979.00 |
| Rate for Payer: Aetna Commercial |
$1,238.10
|
| Rate for Payer: Aetna Medicare Advantage |
$1,238.10
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1,052.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1,052.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$506.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1,052.38
|
| Rate for Payer: Cigna Commercial |
$1,150.59
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$536.51
|
| Rate for Payer: Oxford Commercial |
$2,624.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$619.05
|
| Rate for Payer: UnitedHealthcare Commercial |
$2,979.00
|
|
|
VAGINAL DEL AFTER C SECTION
|
Facility
|
IP
|
$4,127.00
|
|
|
Service Code
|
HCPCS 59614
|
| Hospital Charge Code |
73190049
|
|
Hospital Revenue Code
|
720
|
| Min. Negotiated Rate |
$619.05 |
| Max. Negotiated Rate |
$619.05 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$619.05
|
|
|
VAGINAL DELIVERY
|
Facility
|
IP
|
$4,797.33
|
|
|
Service Code
|
APR-DRG 5601
|
| Min. Negotiated Rate |
$3,094.72 |
| Max. Negotiated Rate |
$4,797.33 |
| Rate for Payer: Aetna Better Health Medicaid |
$4,703.26
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$4,797.33
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$3,094.72
|
|
|
VAGINAL DELIVERY
|
Facility
|
IP
|
$5,481.33
|
|
|
Service Code
|
APR-DRG 5602
|
| Min. Negotiated Rate |
$3,489.60 |
| Max. Negotiated Rate |
$5,481.33 |
| Rate for Payer: Aetna Better Health Medicaid |
$5,373.85
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$5,481.33
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$3,489.60
|
|
|
VAGINAL DELIVERY
|
Facility
|
IP
|
$15,129.57
|
|
|
Service Code
|
APR-DRG 5604
|
| Min. Negotiated Rate |
$11,838.14 |
| Max. Negotiated Rate |
$15,129.57 |
| Rate for Payer: Aetna Better Health Medicaid |
$11,838.14
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$12,074.90
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$15,129.57
|
|
|
VAGINAL DELIVERY
|
Facility
|
IP
|
$7,156.73
|
|
|
Service Code
|
APR-DRG 5603
|
| Min. Negotiated Rate |
$5,073.80 |
| Max. Negotiated Rate |
$7,156.73 |
| Rate for Payer: Aetna Better Health Medicaid |
$7,016.40
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$7,156.73
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$5,073.80
|
|
|
VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C
|
Facility
|
IP
|
$6,305.67
|
|
|
Service Code
|
APR-DRG 5422
|
| Min. Negotiated Rate |
$4,623.64 |
| Max. Negotiated Rate |
$6,305.67 |
| Rate for Payer: Aetna Better Health Medicaid |
$6,182.03
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$6,305.67
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$4,623.64
|
|
|
VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C
|
Facility
|
IP
|
$9,955.89
|
|
|
Service Code
|
APR-DRG 5423
|
| Min. Negotiated Rate |
$9,182.15 |
| Max. Negotiated Rate |
$9,955.89 |
| Rate for Payer: Aetna Better Health Medicaid |
$9,182.15
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$9,365.79
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$9,955.89
|
|