|
BLADE ZIM SAGIT SAW 5023-242
|
Facility
|
OP
|
$66.40
|
|
| Hospital Charge Code |
270601043
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$8.63 |
| Max. Negotiated Rate |
$33.20 |
| Rate for Payer: Aetna Commercial |
$19.92
|
| Rate for Payer: Aetna Medicare Advantage |
$19.92
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$16.93
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$16.93
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$16.93
|
| Rate for Payer: Cigna Commercial |
$33.20
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$8.63
|
| Rate for Payer: Oxford Commercial |
$33.20
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$9.96
|
| Rate for Payer: UnitedHealthcare Commercial |
$33.20
|
|
|
BLADE ZIM SAGIT SAW5053-242***
|
Facility
|
IP
|
$51.00
|
|
| Hospital Charge Code |
1605088
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$7.65 |
| Max. Negotiated Rate |
$7.65 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$7.65
|
|
|
BLADE ZIM SAGIT SAW5053-242***
|
Facility
|
OP
|
$51.00
|
|
| Hospital Charge Code |
1605088
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$6.63 |
| Max. Negotiated Rate |
$25.50 |
| Rate for Payer: Aetna Commercial |
$15.30
|
| Rate for Payer: Aetna Medicare Advantage |
$15.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$13.01
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$13.01
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$13.01
|
| Rate for Payer: Cigna Commercial |
$25.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$6.63
|
| Rate for Payer: Oxford Commercial |
$25.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$7.65
|
| Rate for Payer: UnitedHealthcare Commercial |
$25.50
|
|
|
BLADE ZIM SAG SAW 5023-139
|
Facility
|
OP
|
$48.90
|
|
| Hospital Charge Code |
270616382
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$6.36 |
| Max. Negotiated Rate |
$24.45 |
| Rate for Payer: Aetna Commercial |
$14.67
|
| Rate for Payer: Aetna Medicare Advantage |
$14.67
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$12.47
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$12.47
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$12.47
|
| Rate for Payer: Cigna Commercial |
$24.45
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$6.36
|
| Rate for Payer: Oxford Commercial |
$24.45
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$7.33
|
| Rate for Payer: UnitedHealthcare Commercial |
$24.45
|
|
|
BLADE ZIM SAG SAW 5023-139
|
Facility
|
IP
|
$48.90
|
|
| Hospital Charge Code |
270616382
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$7.33 |
| Max. Negotiated Rate |
$7.33 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$7.33
|
|
|
BLAKE DRAIN
|
Facility
|
OP
|
$94.00
|
|
| Hospital Charge Code |
270338791
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$14.10 |
| Max. Negotiated Rate |
$47.00 |
| Rate for Payer: Aetna Commercial |
$28.20
|
| Rate for Payer: Aetna Medicare Advantage |
$28.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$23.97
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$23.97
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$18.80
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$23.97
|
| Rate for Payer: Cigna Commercial |
$47.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$22.75
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$14.10
|
|
|
BLAKE DRAIN
|
Facility
|
IP
|
$94.00
|
|
| Hospital Charge Code |
270338791
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$14.10 |
| Max. Negotiated Rate |
$22.75 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$18.80
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$22.75
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$14.10
|
|
|
BLAKE DRAIN 15 FR
|
Facility
|
IP
|
$82.15
|
|
| Hospital Charge Code |
270660573
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$12.32 |
| Max. Negotiated Rate |
$12.32 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$12.32
|
|
|
BLAKE DRAIN 15 FR
|
Facility
|
OP
|
$82.15
|
|
| Hospital Charge Code |
270660573
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$10.68 |
| Max. Negotiated Rate |
$41.08 |
| Rate for Payer: Aetna Commercial |
$24.64
|
| Rate for Payer: Aetna Medicare Advantage |
$24.64
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$20.95
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$20.95
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$20.95
|
| Rate for Payer: Cigna Commercial |
$41.08
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$10.68
|
| Rate for Payer: Oxford Commercial |
$41.08
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$12.32
|
| Rate for Payer: UnitedHealthcare Commercial |
$41.08
|
|
|
BLANKET BAIRHUGGER FULL BODY
|
Facility
|
IP
|
$23.37
|
|
| Hospital Charge Code |
270600903
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$3.51 |
| Max. Negotiated Rate |
$3.51 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$3.51
|
|
|
BLANKET BAIRHUGGER FULL BODY
|
Facility
|
OP
|
$23.37
|
|
| Hospital Charge Code |
270600903
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$3.04 |
| Max. Negotiated Rate |
$11.69 |
| Rate for Payer: Aetna Commercial |
$7.01
|
| Rate for Payer: Aetna Medicare Advantage |
$7.01
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$5.96
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$5.96
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$5.96
|
| Rate for Payer: Cigna Commercial |
$11.69
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$3.04
|
| Rate for Payer: Oxford Commercial |
$11.69
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$3.51
|
| Rate for Payer: UnitedHealthcare Commercial |
$11.69
|
|
|
BLANKET BAIRHUGG UP BOD******
|
Facility
|
OP
|
$43.60
|
|
| Hospital Charge Code |
27060086
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$5.67 |
| Max. Negotiated Rate |
$21.80 |
| Rate for Payer: Aetna Commercial |
$13.08
|
| Rate for Payer: Aetna Medicare Advantage |
$13.08
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$11.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$11.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$11.12
|
| Rate for Payer: Cigna Commercial |
$21.80
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$5.67
|
| Rate for Payer: Oxford Commercial |
$21.80
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$6.54
|
| Rate for Payer: UnitedHealthcare Commercial |
$21.80
|
|
|
BLANKET BAIRHUGG UP BOD******
|
Facility
|
IP
|
$43.60
|
|
| Hospital Charge Code |
27060086
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$6.54 |
| Max. Negotiated Rate |
$6.54 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$6.54
|
|
|
BLANKET BATH
|
Facility
|
OP
|
$24.40
|
|
| Hospital Charge Code |
270651608
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3.17 |
| Max. Negotiated Rate |
$12.20 |
| Rate for Payer: Aetna Commercial |
$7.32
|
| Rate for Payer: Aetna Medicare Advantage |
$7.32
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$6.22
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$6.22
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$6.22
|
| Rate for Payer: Cigna Commercial |
$12.20
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$3.17
|
| Rate for Payer: Oxford Commercial |
$12.20
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$3.66
|
| Rate for Payer: UnitedHealthcare Commercial |
$12.20
|
|
|
BLANKET BATH
|
Facility
|
IP
|
$24.40
|
|
| Hospital Charge Code |
270651608
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3.66 |
| Max. Negotiated Rate |
$3.66 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$3.66
|
|
|
BLANKET BEARHUGGER UPP ******
|
Facility
|
OP
|
$43.60
|
|
| Hospital Charge Code |
27060085
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$5.67 |
| Max. Negotiated Rate |
$21.80 |
| Rate for Payer: Aetna Commercial |
$13.08
|
| Rate for Payer: Aetna Medicare Advantage |
$13.08
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$11.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$11.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$11.12
|
| Rate for Payer: Cigna Commercial |
$21.80
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$5.67
|
| Rate for Payer: Oxford Commercial |
$21.80
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$6.54
|
| Rate for Payer: UnitedHealthcare Commercial |
$21.80
|
|
|
BLANKET BEARHUGGER UPP ******
|
Facility
|
IP
|
$43.60
|
|
| Hospital Charge Code |
27060085
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$6.54 |
| Max. Negotiated Rate |
$6.54 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$6.54
|
|
|
BLANKET BEARHUGGER UPPER BH522
|
Facility
|
IP
|
$26.75
|
|
| Hospital Charge Code |
270600865
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$4.01 |
| Max. Negotiated Rate |
$4.01 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$4.01
|
|
|
BLANKET BEARHUGGER UPPER BH522
|
Facility
|
OP
|
$26.75
|
|
| Hospital Charge Code |
270600865
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3.48 |
| Max. Negotiated Rate |
$13.38 |
| Rate for Payer: Aetna Commercial |
$8.03
|
| Rate for Payer: Aetna Medicare Advantage |
$8.03
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$6.82
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$6.82
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$6.82
|
| Rate for Payer: Cigna Commercial |
$13.38
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$3.48
|
| Rate for Payer: Oxford Commercial |
$13.38
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$4.01
|
| Rate for Payer: UnitedHealthcare Commercial |
$13.38
|
|
|
BLANKET HYPER/HYPOTHERMIA
|
Facility
|
OP
|
$431.30
|
|
| Hospital Charge Code |
270649709
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$56.07 |
| Max. Negotiated Rate |
$215.65 |
| Rate for Payer: Aetna Commercial |
$129.39
|
| Rate for Payer: Aetna Medicare Advantage |
$129.39
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$109.98
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$109.98
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$109.98
|
| Rate for Payer: Cigna Commercial |
$215.65
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$56.07
|
| Rate for Payer: Oxford Commercial |
$215.65
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$64.69
|
| Rate for Payer: UnitedHealthcare Commercial |
$215.65
|
|
|
BLANKET HYPER/HYPOTHERMIA
|
Facility
|
IP
|
$431.30
|
|
| Hospital Charge Code |
270649709
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$64.69 |
| Max. Negotiated Rate |
$64.69 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$64.69
|
|
|
BLANKET HYPOTHERMIA DISP *****
|
Facility
|
IP
|
$85.00
|
|
| Hospital Charge Code |
8003691
|
|
Hospital Revenue Code
|
279
|
| Min. Negotiated Rate |
$12.75 |
| Max. Negotiated Rate |
$12.75 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$12.75
|
|
|
BLANKET HYPOTHERMIA DISP *****
|
Facility
|
OP
|
$85.00
|
|
| Hospital Charge Code |
8003691
|
|
Hospital Revenue Code
|
279
|
| Min. Negotiated Rate |
$11.05 |
| Max. Negotiated Rate |
$42.50 |
| Rate for Payer: Aetna Commercial |
$25.50
|
| Rate for Payer: Aetna Medicare Advantage |
$25.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$21.68
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$21.68
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$21.68
|
| Rate for Payer: Cigna Commercial |
$42.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$11.05
|
| Rate for Payer: Oxford Commercial |
$42.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$12.75
|
| Rate for Payer: UnitedHealthcare Commercial |
$42.50
|
|
|
BLANKET HYPOTHERMIA DISPOSABLE
|
Facility
|
OP
|
$204.00
|
|
| Hospital Charge Code |
270331148
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$26.52 |
| Max. Negotiated Rate |
$102.00 |
| Rate for Payer: Aetna Commercial |
$61.20
|
| Rate for Payer: Aetna Medicare Advantage |
$61.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$52.02
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$52.02
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$52.02
|
| Rate for Payer: Cigna Commercial |
$102.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$26.52
|
| Rate for Payer: Oxford Commercial |
$102.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$30.60
|
| Rate for Payer: UnitedHealthcare Commercial |
$102.00
|
|
|
BLANKET HYPOTHERMIA DISPOSABLE
|
Facility
|
IP
|
$204.00
|
|
| Hospital Charge Code |
270331148
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$30.60 |
| Max. Negotiated Rate |
$30.60 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$30.60
|
|