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Charge Type Setting Price  
Hospital Charge Code 270671808
Hospital Revenue Code 272
Min. Negotiated Rate $86.25
Max. Negotiated Rate $86.25
Rate for Payer: Qualcare PPO/HMO/WC $86.25
Service Code HCPCS 86900
Hospital Charge Code 38471070
Hospital Revenue Code 309
Min. Negotiated Rate $1.50
Max. Negotiated Rate $316.85
Rate for Payer: Aetna Commercial $9.69
Rate for Payer: Aetna Medicare Advantage $2.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity $10.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care $10.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage $2.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health $3.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO $10.96
Rate for Payer: Cigna Commercial $316.85
Rate for Payer: Cigna Medicare Advantage $1.50
Rate for Payer: Clover Medicare Advantage $2.84
Rate for Payer: EmblemHealth Commercial $8.97
Rate for Payer: Humana Medicare Advantage $3.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC $13.13
Rate for Payer: Oxford Commercial $101.00
Rate for Payer: Qualcare PPO/HMO/WC $15.15
Rate for Payer: UnitedHealthcare Commercial $114.00
Rate for Payer: UnitedHealthcare Medicare Advantage $2.99
Rate for Payer: Wellcare Ambetter Commercial-Exchange $3.17
Rate for Payer: Wellcare Medicare Advantage $2.99
Service Code HCPCS 86900
Hospital Charge Code 38471070
Hospital Revenue Code 309
Min. Negotiated Rate $15.15
Max. Negotiated Rate $15.15
Rate for Payer: Qualcare PPO/HMO/WC $15.15
Service Code HCPCS 86900
Hospital Charge Code 3100486
Hospital Revenue Code 309
Min. Negotiated Rate $93.96
Max. Negotiated Rate $93.96
Rate for Payer: Qualcare PPO/HMO/WC $93.96
Service Code HCPCS 86900
Hospital Charge Code 3100486
Hospital Revenue Code 309
Min. Negotiated Rate $1.50
Max. Negotiated Rate $316.85
Rate for Payer: Aetna Commercial $9.69
Rate for Payer: Aetna Medicare Advantage $2.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity $10.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care $10.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage $2.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health $3.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO $10.96
Rate for Payer: Cigna Commercial $316.85
Rate for Payer: Cigna Medicare Advantage $1.50
Rate for Payer: Clover Medicare Advantage $2.84
Rate for Payer: EmblemHealth Commercial $8.97
Rate for Payer: Humana Medicare Advantage $3.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC $81.43
Rate for Payer: Oxford Commercial $101.00
Rate for Payer: Qualcare PPO/HMO/WC $93.96
Rate for Payer: UnitedHealthcare Commercial $114.00
Rate for Payer: UnitedHealthcare Medicare Advantage $2.99
Rate for Payer: Wellcare Ambetter Commercial-Exchange $3.17
Rate for Payer: Wellcare Medicare Advantage $2.99
Service Code APR-DRG 5431
Min. Negotiated Rate $6,465.64
Max. Negotiated Rate $6,594.95
Rate for Payer: Aetna Better Health Medicaid $6,465.64
Rate for Payer: Wellcare New Jersey Medicaid/Family Care $6,594.95
Service Code APR-DRG 5433
Min. Negotiated Rate $12,231.88
Max. Negotiated Rate $12,476.52
Rate for Payer: Aetna Better Health Medicaid $12,231.88
Rate for Payer: Wellcare New Jersey Medicaid/Family Care $12,476.52
Service Code MSDRG 770
Min. Negotiated Rate $10,942.05
Max. Negotiated Rate $40,926.33
Rate for Payer: Aetna Commercial $33,810.93
Rate for Payer: Aetna Medicare Advantage $10,942.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity $22,053.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care $22,053.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage $13,642.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO $22,053.60
Rate for Payer: Cigna Commercial $21,579.11
Rate for Payer: Cigna Medicare Advantage $13,642.11
Rate for Payer: Clover Medicare Advantage $12,960.00
Rate for Payer: EmblemHealth Commercial $40,926.33
Rate for Payer: Humana Medicare Advantage $14,051.37
Rate for Payer: Oxford Commercial $13,486.32
Rate for Payer: UnitedHealthcare Commercial $15,308.22
Rate for Payer: UnitedHealthcare Medicare Advantage $13,642.11
Rate for Payer: Wellcare Ambetter Commercial-Exchange $14,460.64
Rate for Payer: Wellcare Medicare Advantage $13,642.11
Service Code APR-DRG 5432
Min. Negotiated Rate $8,464.82
Max. Negotiated Rate $8,634.12
Rate for Payer: Aetna Better Health Medicaid $8,464.82
Rate for Payer: Wellcare New Jersey Medicaid/Family Care $8,634.12
Service Code APR-DRG 5434
Min. Negotiated Rate $26,599.24
Max. Negotiated Rate $27,131.22
Rate for Payer: Aetna Better Health Medicaid $26,599.24
Rate for Payer: Wellcare New Jersey Medicaid/Family Care $27,131.22
Service Code MSDRG 779
Min. Negotiated Rate $9,180.76
Max. Negotiated Rate $36,241.59
Rate for Payer: Aetna Commercial $28,368.55
Rate for Payer: Aetna Medicare Advantage $9,180.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity $27,291.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care $27,291.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage $12,080.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO $27,291.33
Rate for Payer: Cigna Commercial $15,346.63
Rate for Payer: Cigna Medicare Advantage $12,080.53
Rate for Payer: Clover Medicare Advantage $11,476.50
Rate for Payer: EmblemHealth Commercial $36,241.59
Rate for Payer: Humana Medicare Advantage $12,442.95
Rate for Payer: Oxford Commercial $9,591.19
Rate for Payer: UnitedHealthcare Commercial $10,886.90
Rate for Payer: UnitedHealthcare Medicare Advantage $12,080.53
Rate for Payer: Wellcare Ambetter Commercial-Exchange $12,805.36
Rate for Payer: Wellcare Medicare Advantage $12,080.53
Service Code APR-DRG 5643
Min. Negotiated Rate $4,879.66
Max. Negotiated Rate $8,096.23
Rate for Payer: Aetna Better Health Medicaid $7,937.48
Rate for Payer: Wellcare New Jersey Medicaid/Family Care $8,096.23
Rate for Payer: Wellpoint Medicaid Managed Care $4,879.66
Service Code APR-DRG 5641
Min. Negotiated Rate $2,943.54
Max. Negotiated Rate $4,078.33
Rate for Payer: Aetna Better Health Medicaid $3,998.36
Rate for Payer: Wellcare New Jersey Medicaid/Family Care $4,078.33
Rate for Payer: Wellpoint Medicaid Managed Care $2,943.54
Service Code APR-DRG 5644
Min. Negotiated Rate $20,766.85
Max. Negotiated Rate $25,078.02
Rate for Payer: Aetna Better Health Medicaid $24,586.29
Rate for Payer: Wellcare New Jersey Medicaid/Family Care $25,078.02
Rate for Payer: Wellpoint Medicaid Managed Care $20,766.85
Service Code APR-DRG 5642
Min. Negotiated Rate $3,436.18
Max. Negotiated Rate $5,453.23
Rate for Payer: Aetna Better Health Medicaid $5,346.30
Rate for Payer: Wellcare New Jersey Medicaid/Family Care $5,453.23
Rate for Payer: Wellpoint Medicaid Managed Care $3,436.18
Hospital Charge Code 3010014
Hospital Revenue Code 301
Min. Negotiated Rate $3.15
Max. Negotiated Rate $3.15
Rate for Payer: Qualcare PPO/HMO/WC $3.15
Hospital Charge Code 3010014
Hospital Revenue Code 301
Min. Negotiated Rate $2.73
Max. Negotiated Rate $114.00
Rate for Payer: Aetna Commercial $6.30
Rate for Payer: Aetna Medicare Advantage $6.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity $5.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care $5.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO $5.36
Rate for Payer: Cigna Commercial $10.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC $2.73
Rate for Payer: Oxford Commercial $101.00
Rate for Payer: Qualcare PPO/HMO/WC $3.15
Rate for Payer: UnitedHealthcare Commercial $114.00
Hospital Charge Code 270601292
Hospital Revenue Code 272
Min. Negotiated Rate $92.40
Max. Negotiated Rate $92.40
Rate for Payer: Qualcare PPO/HMO/WC $92.40
Hospital Charge Code 270601292
Hospital Revenue Code 272
Min. Negotiated Rate $80.08
Max. Negotiated Rate $308.00
Rate for Payer: Aetna Commercial $184.80
Rate for Payer: Aetna Medicare Advantage $184.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity $157.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care $157.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO $157.08
Rate for Payer: Cigna Commercial $308.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC $80.08
Rate for Payer: Oxford Commercial $308.00
Rate for Payer: Qualcare PPO/HMO/WC $92.40
Rate for Payer: UnitedHealthcare Commercial $308.00
Service Code HCPCS J9264
Hospital Charge Code 60629905
Hospital Revenue Code 636
Min. Negotiated Rate $1,247.68
Max. Negotiated Rate $2,012.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC $2,012.92
Rate for Payer: Qualcare PPO/HMO/WC $1,247.68
Service Code HCPCS J9264
Hospital Charge Code 60629905
Hospital Revenue Code 636
Min. Negotiated Rate $1,247.68
Max. Negotiated Rate $2,495.36
Rate for Payer: Aetna Commercial $2,495.36
Rate for Payer: Aetna Medicare Advantage $2,495.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity $2,121.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care $2,121.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO $2,121.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC $2,012.92
Rate for Payer: Qualcare PPO/HMO/WC $1,247.68
Hospital Charge Code 270632211
Hospital Revenue Code 272
Min. Negotiated Rate $89.13
Max. Negotiated Rate $342.82
Rate for Payer: Aetna Commercial $205.69
Rate for Payer: Aetna Medicare Advantage $205.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity $174.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care $174.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO $174.84
Rate for Payer: Cigna Commercial $342.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC $89.13
Rate for Payer: Oxford Commercial $342.82
Rate for Payer: Qualcare PPO/HMO/WC $102.85
Rate for Payer: UnitedHealthcare Commercial $342.82
Hospital Charge Code 270632211
Hospital Revenue Code 272
Min. Negotiated Rate $102.85
Max. Negotiated Rate $102.85
Rate for Payer: Qualcare PPO/HMO/WC $102.85
Service Code HCPCS 86762
Hospital Charge Code 401386762
Hospital Revenue Code 306
Min. Negotiated Rate $58.50
Max. Negotiated Rate $58.50
Rate for Payer: Qualcare PPO/HMO/WC $58.50
Service Code HCPCS 86762
Hospital Charge Code 401386762
Hospital Revenue Code 306
Min. Negotiated Rate $7.20
Max. Negotiated Rate $114.00
Rate for Payer: Aetna Commercial $46.62
Rate for Payer: Aetna Medicare Advantage $14.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity $52.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care $52.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage $14.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health $22.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO $52.72
Rate for Payer: Cigna Commercial $14.39
Rate for Payer: Cigna Medicare Advantage $7.20
Rate for Payer: Clover Medicare Advantage $13.67
Rate for Payer: EmblemHealth Commercial $43.17
Rate for Payer: Humana Medicare Advantage $14.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC $50.70
Rate for Payer: Oxford Commercial $101.00
Rate for Payer: Qualcare PPO/HMO/WC $58.50
Rate for Payer: UnitedHealthcare Commercial $114.00
Rate for Payer: UnitedHealthcare Medicare Advantage $14.39
Rate for Payer: Wellcare Ambetter Commercial-Exchange $15.25
Rate for Payer: Wellcare Medicare Advantage $14.39