|
CATH CRD CARD IM 6F 533-660
|
Facility
|
OP
|
$42.25
|
|
| Hospital Charge Code |
270612510
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$5.49 |
| Max. Negotiated Rate |
$21.12 |
| Rate for Payer: Aetna Commercial |
$12.68
|
| Rate for Payer: Aetna Medicare Advantage |
$12.68
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$10.77
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$10.77
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$10.77
|
| Rate for Payer: Cigna Commercial |
$21.12
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$5.49
|
| Rate for Payer: Oxford Commercial |
$21.12
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$6.34
|
| Rate for Payer: UnitedHealthcare Commercial |
$21.12
|
|
|
CATH CRD CARD IM 6F 533-660
|
Facility
|
IP
|
$42.25
|
|
| Hospital Charge Code |
270612510
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$6.34 |
| Max. Negotiated Rate |
$6.34 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$6.34
|
|
|
CATH CRD CARD JL4.0 100cm
|
Facility
|
IP
|
$248.25
|
|
| Hospital Charge Code |
270605715
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$37.24 |
| Max. Negotiated Rate |
$37.24 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$37.24
|
|
|
CATH CRD CARD JL4.0 100cm
|
Facility
|
OP
|
$248.25
|
|
| Hospital Charge Code |
270605715
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$32.27 |
| Max. Negotiated Rate |
$124.12 |
| Rate for Payer: Aetna Commercial |
$74.47
|
| Rate for Payer: Aetna Medicare Advantage |
$74.47
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$63.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$63.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$63.30
|
| Rate for Payer: Cigna Commercial |
$124.12
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$32.27
|
| Rate for Payer: Oxford Commercial |
$124.12
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$37.24
|
| Rate for Payer: UnitedHealthcare Commercial |
$124.12
|
|
|
CATH CRD CARD JL4.0 523-840
|
Facility
|
IP
|
$131.25
|
|
| Hospital Charge Code |
270607610
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$19.69 |
| Max. Negotiated Rate |
$19.69 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$19.69
|
|
|
CATH CRD CARD JL4.0 523-840
|
Facility
|
OP
|
$131.25
|
|
| Hospital Charge Code |
270607610
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$17.06 |
| Max. Negotiated Rate |
$65.62 |
| Rate for Payer: Aetna Commercial |
$39.38
|
| Rate for Payer: Aetna Medicare Advantage |
$39.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$33.47
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$33.47
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$33.47
|
| Rate for Payer: Cigna Commercial |
$65.62
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$17.06
|
| Rate for Payer: Oxford Commercial |
$65.62
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$19.69
|
| Rate for Payer: UnitedHealthcare Commercial |
$65.62
|
|
|
CATH CRD CARD JL4.5 6F 533-627
|
Facility
|
IP
|
$42.25
|
|
| Hospital Charge Code |
270600705
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$6.34 |
| Max. Negotiated Rate |
$6.34 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$6.34
|
|
|
CATH CRD CARD JL4.5 6F 533-627
|
Facility
|
OP
|
$42.25
|
|
| Hospital Charge Code |
270600705
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$5.49 |
| Max. Negotiated Rate |
$21.12 |
| Rate for Payer: Aetna Commercial |
$12.68
|
| Rate for Payer: Aetna Medicare Advantage |
$12.68
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$10.77
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$10.77
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$10.77
|
| Rate for Payer: Cigna Commercial |
$21.12
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$5.49
|
| Rate for Payer: Oxford Commercial |
$21.12
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$6.34
|
| Rate for Payer: UnitedHealthcare Commercial |
$21.12
|
|
|
CATH CRD CARD JL5.0 6F 533-622
|
Facility
|
IP
|
$42.25
|
|
| Hospital Charge Code |
270605100
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$6.34 |
| Max. Negotiated Rate |
$6.34 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$6.34
|
|
|
CATH CRD CARD JL5.0 6F 533-622
|
Facility
|
OP
|
$42.25
|
|
| Hospital Charge Code |
270605100
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$5.49 |
| Max. Negotiated Rate |
$21.12 |
| Rate for Payer: Aetna Commercial |
$12.68
|
| Rate for Payer: Aetna Medicare Advantage |
$12.68
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$10.77
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$10.77
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$10.77
|
| Rate for Payer: Cigna Commercial |
$21.12
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$5.49
|
| Rate for Payer: Oxford Commercial |
$21.12
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$6.34
|
| Rate for Payer: UnitedHealthcare Commercial |
$21.12
|
|
|
CATH CRD CARD JL6.0 523-842
|
Facility
|
IP
|
$131.25
|
|
| Hospital Charge Code |
270607611
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$19.69 |
| Max. Negotiated Rate |
$19.69 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$19.69
|
|
|
CATH CRD CARD JL6.0 523-842
|
Facility
|
OP
|
$131.25
|
|
| Hospital Charge Code |
270607611
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$17.06 |
| Max. Negotiated Rate |
$65.62 |
| Rate for Payer: Aetna Commercial |
$39.38
|
| Rate for Payer: Aetna Medicare Advantage |
$39.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$33.47
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$33.47
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$33.47
|
| Rate for Payer: Cigna Commercial |
$65.62
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$17.06
|
| Rate for Payer: Oxford Commercial |
$65.62
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$19.69
|
| Rate for Payer: UnitedHealthcare Commercial |
$65.62
|
|
|
CATH CRD CARD JL6.0 523-844
|
Facility
|
IP
|
$131.25
|
|
| Hospital Charge Code |
270607613
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$19.69 |
| Max. Negotiated Rate |
$19.69 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$19.69
|
|
|
CATH CRD CARD JL6.0 523-844
|
Facility
|
OP
|
$131.25
|
|
| Hospital Charge Code |
270607613
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$17.06 |
| Max. Negotiated Rate |
$65.62 |
| Rate for Payer: Aetna Commercial |
$39.38
|
| Rate for Payer: Aetna Medicare Advantage |
$39.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$33.47
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$33.47
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$33.47
|
| Rate for Payer: Cigna Commercial |
$65.62
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$17.06
|
| Rate for Payer: Oxford Commercial |
$65.62
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$19.69
|
| Rate for Payer: UnitedHealthcare Commercial |
$65.62
|
|
|
CATH CRD CARD JR3.5 6F 533-619
|
Facility
|
OP
|
$42.25
|
|
| Hospital Charge Code |
270603817
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$5.49 |
| Max. Negotiated Rate |
$21.12 |
| Rate for Payer: Aetna Commercial |
$12.68
|
| Rate for Payer: Aetna Medicare Advantage |
$12.68
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$10.77
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$10.77
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$10.77
|
| Rate for Payer: Cigna Commercial |
$21.12
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$5.49
|
| Rate for Payer: Oxford Commercial |
$21.12
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$6.34
|
| Rate for Payer: UnitedHealthcare Commercial |
$21.12
|
|
|
CATH CRD CARD JR3.5 6F 533-619
|
Facility
|
IP
|
$42.25
|
|
| Hospital Charge Code |
270603817
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$6.34 |
| Max. Negotiated Rate |
$6.34 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$6.34
|
|
|
CATH CRD CARD JR4.0 6F 100CM
|
Facility
|
IP
|
$248.25
|
|
| Hospital Charge Code |
270605713
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$37.24 |
| Max. Negotiated Rate |
$37.24 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$37.24
|
|
|
CATH CRD CARD JR4.0 6F 100CM
|
Facility
|
OP
|
$248.25
|
|
| Hospital Charge Code |
270605713
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$32.27 |
| Max. Negotiated Rate |
$124.12 |
| Rate for Payer: Aetna Commercial |
$74.47
|
| Rate for Payer: Aetna Medicare Advantage |
$74.47
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$63.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$63.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$63.30
|
| Rate for Payer: Cigna Commercial |
$124.12
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$32.27
|
| Rate for Payer: Oxford Commercial |
$124.12
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$37.24
|
| Rate for Payer: UnitedHealthcare Commercial |
$124.12
|
|
|
CATH CRD CARD JR4.0 8F 523-841
|
Facility
|
OP
|
$131.25
|
|
| Hospital Charge Code |
270607607
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$17.06 |
| Max. Negotiated Rate |
$65.62 |
| Rate for Payer: Aetna Commercial |
$39.38
|
| Rate for Payer: Aetna Medicare Advantage |
$39.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$33.47
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$33.47
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$33.47
|
| Rate for Payer: Cigna Commercial |
$65.62
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$17.06
|
| Rate for Payer: Oxford Commercial |
$65.62
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$19.69
|
| Rate for Payer: UnitedHealthcare Commercial |
$65.62
|
|
|
CATH CRD CARD JR4.0 8F 523-841
|
Facility
|
IP
|
$131.25
|
|
| Hospital Charge Code |
270607607
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$19.69 |
| Max. Negotiated Rate |
$19.69 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$19.69
|
|
|
CATH CRD CARD JR4 6F+TL 533615
|
Facility
|
IP
|
$136.85
|
|
| Hospital Charge Code |
270607621
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$20.53 |
| Max. Negotiated Rate |
$20.53 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$20.53
|
|
|
CATH CRD CARD JR4 6F+TL 533615
|
Facility
|
OP
|
$136.85
|
|
| Hospital Charge Code |
270607621
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$17.79 |
| Max. Negotiated Rate |
$68.42 |
| Rate for Payer: Aetna Commercial |
$41.05
|
| Rate for Payer: Aetna Medicare Advantage |
$41.05
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$34.90
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$34.90
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$34.90
|
| Rate for Payer: Cigna Commercial |
$68.42
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$17.79
|
| Rate for Payer: Oxford Commercial |
$68.42
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$20.53
|
| Rate for Payer: UnitedHealthcare Commercial |
$68.42
|
|
|
CATH CRD CARD JR5.0 523-843
|
Facility
|
OP
|
$131.25
|
|
| Hospital Charge Code |
270607608
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$17.06 |
| Max. Negotiated Rate |
$65.62 |
| Rate for Payer: Aetna Commercial |
$39.38
|
| Rate for Payer: Aetna Medicare Advantage |
$39.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$33.47
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$33.47
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$33.47
|
| Rate for Payer: Cigna Commercial |
$65.62
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$17.06
|
| Rate for Payer: Oxford Commercial |
$65.62
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$19.69
|
| Rate for Payer: UnitedHealthcare Commercial |
$65.62
|
|
|
CATH CRD CARD JR5.0 523-843
|
Facility
|
IP
|
$131.25
|
|
| Hospital Charge Code |
270607608
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$19.69 |
| Max. Negotiated Rate |
$19.69 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$19.69
|
|
|
CATH CRD CARD JR6.0 523-845
|
Facility
|
OP
|
$131.25
|
|
| Hospital Charge Code |
270607609
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$17.06 |
| Max. Negotiated Rate |
$65.62 |
| Rate for Payer: Aetna Commercial |
$39.38
|
| Rate for Payer: Aetna Medicare Advantage |
$39.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$33.47
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$33.47
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$33.47
|
| Rate for Payer: Cigna Commercial |
$65.62
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$17.06
|
| Rate for Payer: Oxford Commercial |
$65.62
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$19.69
|
| Rate for Payer: UnitedHealthcare Commercial |
$65.62
|
|