|
HANDPIECE VERSAJET 45DEG 8MM
|
Facility
|
OP
|
$3,600.00
|
|
| Hospital Charge Code |
270634305
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$102.24 |
| Max. Negotiated Rate |
$1,800.00 |
| Rate for Payer: Aetna Commercial |
$1,368.00
|
| Rate for Payer: Aetna Medicare Advantage |
$1,080.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$918.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$918.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$918.00
|
| Rate for Payer: Cigna Commercial |
$1,800.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$936.00
|
| Rate for Payer: Oxford Commercial |
$720.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$540.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$720.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$113.76
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$102.24
|
|
|
HANDPIECE VERSAJET 45DEG 8MM
|
Facility
|
IP
|
$3,600.00
|
|
| Hospital Charge Code |
270634305
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$540.00 |
| Max. Negotiated Rate |
$540.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$540.00
|
|
|
HAND PROCEDURES FOR INJURIES
|
Facility
|
IP
|
$81,523.85
|
|
|
Service Code
|
MSDRG 906
|
| Min. Negotiated Rate |
$24,822.97 |
| Max. Negotiated Rate |
$81,523.85 |
| Rate for Payer: Aetna Commercial |
$59,920.74
|
| Rate for Payer: Aetna Medicare Advantage |
$81,523.85
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$52,085.40
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$52,085.40
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$26,129.44
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$52,085.40
|
| Rate for Payer: Cigna Commercial |
$39,289.18
|
| Rate for Payer: Cigna Medicare Advantage |
$26,129.44
|
| Rate for Payer: Clover Medicare Advantage |
$24,822.97
|
| Rate for Payer: EmblemHealth Commercial |
$78,388.32
|
| Rate for Payer: Humana Medicare Advantage |
$26,913.32
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$26,129.44
|
| Rate for Payer: Oxford Commercial |
$31,053.49
|
| Rate for Payer: UnitedHealthcare Commercial |
$41,566.20
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$26,129.44
|
| Rate for Payer: Wellcare Medicare Advantage |
$26,129.44
|
|
|
HAND PUMP PNEUMATIC DILATATION
|
Facility
|
OP
|
$683.40
|
|
| Hospital Charge Code |
270675991
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$19.41 |
| Max. Negotiated Rate |
$341.70 |
| Rate for Payer: Aetna Commercial |
$259.69
|
| Rate for Payer: Aetna Medicare Advantage |
$205.02
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$174.27
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$174.27
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$174.27
|
| Rate for Payer: Cigna Commercial |
$341.70
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$177.68
|
| Rate for Payer: Oxford Commercial |
$136.68
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$102.51
|
| Rate for Payer: UnitedHealthcare Commercial |
$136.68
|
| Rate for Payer: UnitedHealthcare Community & State |
$21.60
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$19.41
|
|
|
HAND PUMP PNEUMATIC DILATATION
|
Facility
|
IP
|
$683.40
|
|
| Hospital Charge Code |
270675991
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$102.51 |
| Max. Negotiated Rate |
$102.51 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$102.51
|
|
|
HAND RIGHT 3 VIEWS
|
Facility
|
OP
|
$6,601.19
|
|
|
Service Code
|
HCPCS 73130RT
|
| Hospital Charge Code |
2000074
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$187.47 |
| Max. Negotiated Rate |
$3,300.59 |
| Rate for Payer: Aetna Commercial |
$2,508.45
|
| Rate for Payer: Aetna Medicare Advantage |
$1,980.36
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1,683.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1,683.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1,683.30
|
| Rate for Payer: Cigna Commercial |
$3,300.59
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,716.31
|
| Rate for Payer: Oxford Commercial |
$1,955.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$990.18
|
| Rate for Payer: UnitedHealthcare Commercial |
$2,231.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$208.60
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$187.47
|
|
|
HAND RIGHT 3 VIEWS
|
Facility
|
IP
|
$6,601.19
|
|
|
Service Code
|
HCPCS 73130RT
|
| Hospital Charge Code |
2000074
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$990.18 |
| Max. Negotiated Rate |
$990.18 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$990.18
|
|
|
HAND SWITCH FOR EPD
|
Facility
|
IP
|
$2,481.00
|
|
| Hospital Charge Code |
270674158
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$372.15 |
| Max. Negotiated Rate |
$372.15 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$372.15
|
|
|
HAND SWITCH FOR EPD
|
Facility
|
OP
|
$2,481.00
|
|
| Hospital Charge Code |
270674158
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$70.46 |
| Max. Negotiated Rate |
$1,240.50 |
| Rate for Payer: Aetna Commercial |
$942.78
|
| Rate for Payer: Aetna Medicare Advantage |
$744.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$632.65
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$632.65
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$632.65
|
| Rate for Payer: Cigna Commercial |
$1,240.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$645.06
|
| Rate for Payer: Oxford Commercial |
$496.20
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$372.15
|
| Rate for Payer: UnitedHealthcare Commercial |
$496.20
|
| Rate for Payer: UnitedHealthcare Community & State |
$78.40
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$70.46
|
|
|
HAND SWITCH SUCTION COAG.
|
Facility
|
IP
|
$99.00
|
|
| Hospital Charge Code |
270331853
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$14.85 |
| Max. Negotiated Rate |
$14.85 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$14.85
|
|
|
HAND SWITCH SUCTION COAG.
|
Facility
|
OP
|
$99.00
|
|
| Hospital Charge Code |
270331853
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2.81 |
| Max. Negotiated Rate |
$49.50 |
| Rate for Payer: Aetna Commercial |
$37.62
|
| Rate for Payer: Aetna Medicare Advantage |
$29.70
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$25.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$25.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$25.25
|
| Rate for Payer: Cigna Commercial |
$49.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$25.74
|
| Rate for Payer: Oxford Commercial |
$19.80
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$14.85
|
| Rate for Payer: UnitedHealthcare Commercial |
$19.80
|
| Rate for Payer: UnitedHealthcare Community & State |
$3.13
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$2.81
|
|
|
HAND TENDON RECONSTRUCTION
|
Facility
|
OP
|
$13,677.40
|
|
|
Service Code
|
HCPCS 26502
|
| Hospital Charge Code |
16000850
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$388.44 |
| Max. Negotiated Rate |
$14,100.89 |
| Rate for Payer: Aetna Commercial |
$10,573.24
|
| Rate for Payer: Aetna Medicare Advantage |
$12,594.59
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$14,100.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$14,100.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$3,887.22
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$3,536.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$14,100.89
|
| Rate for Payer: Cigna Commercial |
$7,791.93
|
| Rate for Payer: Cigna Medicare Advantage |
$3,887.22
|
| Rate for Payer: Clover Medicare Advantage |
$3,692.86
|
| Rate for Payer: EmblemHealth Commercial |
$11,661.66
|
| Rate for Payer: Humana Medicare Advantage |
$4,003.84
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$3,887.22
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$3,556.12
|
| Rate for Payer: Oxford Commercial |
$9,354.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$2,051.61
|
| Rate for Payer: UnitedHealthcare Commercial |
$10,269.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$432.21
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$3,887.22
|
| Rate for Payer: Wellcare Medicare Advantage |
$3,887.22
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$388.44
|
|
|
HAND TENDON RECONSTRUCTION
|
Facility
|
IP
|
$13,677.40
|
|
|
Service Code
|
HCPCS 26502
|
| Hospital Charge Code |
16000850
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$2,051.61 |
| Max. Negotiated Rate |
$2,051.61 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$2,051.61
|
|
|
HANDWASH KINDEST KARE 4oz
|
Facility
|
OP
|
$5.44
|
|
| Hospital Charge Code |
270649936
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$0.15 |
| Max. Negotiated Rate |
$2.72 |
| Rate for Payer: Aetna Commercial |
$2.07
|
| Rate for Payer: Aetna Medicare Advantage |
$1.63
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1.39
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1.39
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1.39
|
| Rate for Payer: Cigna Commercial |
$2.72
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1.41
|
| Rate for Payer: Oxford Commercial |
$1.09
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$0.82
|
| Rate for Payer: UnitedHealthcare Commercial |
$1.09
|
| Rate for Payer: UnitedHealthcare Community & State |
$0.17
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$0.15
|
|
|
HANDWASH KINDEST KARE 4oz
|
Facility
|
IP
|
$5.44
|
|
| Hospital Charge Code |
270649936
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$0.82 |
| Max. Negotiated Rate |
$0.82 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$0.82
|
|
|
HANTA IGG/IGM
|
Facility
|
IP
|
$390.00
|
|
|
Service Code
|
HCPCS 86790
|
| Hospital Charge Code |
401086790
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$58.50 |
| Max. Negotiated Rate |
$58.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$58.50
|
|
|
HANTA IGG/IGM
|
Facility
|
OP
|
$390.00
|
|
|
Service Code
|
HCPCS 86790
|
| Hospital Charge Code |
401086790
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$10.30 |
| Max. Negotiated Rate |
$391.36 |
| Rate for Payer: Aetna Commercial |
$35.03
|
| Rate for Payer: Aetna Medicare Advantage |
$41.73
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$46.72
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$46.72
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$12.88
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$391.36
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$46.72
|
| Rate for Payer: Cigna Commercial |
$195.00
|
| Rate for Payer: Cigna Medicare Advantage |
$12.88
|
| Rate for Payer: Clover Medicare Advantage |
$12.24
|
| Rate for Payer: EmblemHealth Commercial |
$38.64
|
| Rate for Payer: Humana Medicare Advantage |
$13.27
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$12.88
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$101.40
|
| Rate for Payer: Oxford Commercial |
$156.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$58.50
|
| Rate for Payer: UnitedHealthcare Commercial |
$156.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$10.30
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$12.88
|
| Rate for Payer: Wellcare Medicare Advantage |
$12.88
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$11.08
|
|
|
HANTA VIRUS
|
Facility
|
OP
|
$218.00
|
|
|
Service Code
|
HCPCS 86790
|
| Hospital Charge Code |
38476231
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$6.19 |
| Max. Negotiated Rate |
$391.36 |
| Rate for Payer: Aetna Commercial |
$35.03
|
| Rate for Payer: Aetna Medicare Advantage |
$41.73
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$46.72
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$46.72
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$12.88
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$391.36
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$46.72
|
| Rate for Payer: Cigna Commercial |
$109.00
|
| Rate for Payer: Cigna Medicare Advantage |
$12.88
|
| Rate for Payer: Clover Medicare Advantage |
$12.24
|
| Rate for Payer: EmblemHealth Commercial |
$38.64
|
| Rate for Payer: Humana Medicare Advantage |
$13.27
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$12.88
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$56.68
|
| Rate for Payer: Oxford Commercial |
$156.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$32.70
|
| Rate for Payer: UnitedHealthcare Commercial |
$156.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$10.30
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$12.88
|
| Rate for Payer: Wellcare Medicare Advantage |
$12.88
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$6.19
|
|
|
HANTA VIRUS
|
Facility
|
IP
|
$218.00
|
|
|
Service Code
|
HCPCS 86790
|
| Hospital Charge Code |
38476231
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$32.70 |
| Max. Negotiated Rate |
$32.70 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$32.70
|
|
|
HANTAVIRUS ANTIBODY
|
Facility
|
IP
|
$390.00
|
|
|
Service Code
|
HCPCS 86790
|
| Hospital Charge Code |
401086790A
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$58.50 |
| Max. Negotiated Rate |
$58.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$58.50
|
|
|
HANTAVIRUS ANTIBODY
|
Facility
|
OP
|
$390.00
|
|
|
Service Code
|
HCPCS 86790
|
| Hospital Charge Code |
401086790A
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$10.30 |
| Max. Negotiated Rate |
$391.36 |
| Rate for Payer: Aetna Commercial |
$35.03
|
| Rate for Payer: Aetna Medicare Advantage |
$41.73
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$46.72
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$46.72
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$12.88
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$391.36
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$46.72
|
| Rate for Payer: Cigna Commercial |
$195.00
|
| Rate for Payer: Cigna Medicare Advantage |
$12.88
|
| Rate for Payer: Clover Medicare Advantage |
$12.24
|
| Rate for Payer: EmblemHealth Commercial |
$38.64
|
| Rate for Payer: Humana Medicare Advantage |
$13.27
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$12.88
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$101.40
|
| Rate for Payer: Oxford Commercial |
$156.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$58.50
|
| Rate for Payer: UnitedHealthcare Commercial |
$156.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$10.30
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$12.88
|
| Rate for Payer: Wellcare Medicare Advantage |
$12.88
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$11.08
|
|
|
HAP02
|
Facility
|
IP
|
$6,075.00
|
|
| Hospital Charge Code |
270657205
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$911.25 |
| Max. Negotiated Rate |
$1,470.15 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,215.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,470.15
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$911.25
|
|
|
HAP02
|
Facility
|
OP
|
$6,075.00
|
|
| Hospital Charge Code |
270657205
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$172.53 |
| Max. Negotiated Rate |
$3,037.50 |
| Rate for Payer: Aetna Commercial |
$2,308.50
|
| Rate for Payer: Aetna Medicare Advantage |
$1,822.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1,549.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1,549.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,215.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1,549.12
|
| Rate for Payer: Cigna Commercial |
$3,037.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,470.15
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$911.25
|
| Rate for Payer: UnitedHealthcare Community & State |
$191.97
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$172.53
|
|
|
Haptoglobin
|
Facility
|
IP
|
$390.00
|
|
|
Service Code
|
HCPCS 83010
|
| Hospital Charge Code |
39888024
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$58.50 |
| Max. Negotiated Rate |
$58.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$58.50
|
|
|
Haptoglobin
|
Facility
|
OP
|
$390.00
|
|
|
Service Code
|
HCPCS 83010
|
| Hospital Charge Code |
39888024
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$10.06 |
| Max. Negotiated Rate |
$195.00 |
| Rate for Payer: Aetna Commercial |
$34.22
|
| Rate for Payer: Aetna Medicare Advantage |
$40.76
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$45.63
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$45.63
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$12.58
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$19.80
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$45.63
|
| Rate for Payer: Cigna Commercial |
$195.00
|
| Rate for Payer: Cigna Medicare Advantage |
$12.58
|
| Rate for Payer: Clover Medicare Advantage |
$11.95
|
| Rate for Payer: EmblemHealth Commercial |
$37.74
|
| Rate for Payer: Humana Medicare Advantage |
$12.96
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$12.58
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$101.40
|
| Rate for Payer: Oxford Commercial |
$156.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$58.50
|
| Rate for Payer: UnitedHealthcare Commercial |
$156.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$10.06
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$12.58
|
| Rate for Payer: Wellcare Medicare Advantage |
$12.58
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$11.08
|
|