|
ANESTHESIA IV GENERL EA ADD HR
|
Facility
|
OP
|
$793.10
|
|
| Hospital Charge Code |
1650105
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$22.52 |
| Max. Negotiated Rate |
$396.55 |
| Rate for Payer: Aetna Commercial |
$301.38
|
| Rate for Payer: Aetna Medicare Advantage |
$237.93
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$202.24
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$202.24
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$202.24
|
| Rate for Payer: Cigna Commercial |
$396.55
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$206.21
|
| Rate for Payer: Oxford Commercial |
$158.62
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$118.97
|
| Rate for Payer: UnitedHealthcare Commercial |
$158.62
|
| Rate for Payer: UnitedHealthcare Community & State |
$25.06
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$22.52
|
|
|
ANESTHESIA IV GENERL EA ADD HR
|
Facility
|
IP
|
$793.10
|
|
| Hospital Charge Code |
1650105
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$118.97 |
| Max. Negotiated Rate |
$118.97 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$118.97
|
|
|
ANESTHESIA LOCAL
|
Facility
|
IP
|
$329.00
|
|
| Hospital Charge Code |
1650025
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$49.35 |
| Max. Negotiated Rate |
$49.35 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$49.35
|
|
|
ANESTHESIA LOCAL
|
Facility
|
OP
|
$329.00
|
|
| Hospital Charge Code |
1650025
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$9.34 |
| Max. Negotiated Rate |
$164.50 |
| Rate for Payer: Aetna Commercial |
$125.02
|
| Rate for Payer: Aetna Medicare Advantage |
$98.70
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$83.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$83.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$83.89
|
| Rate for Payer: Cigna Commercial |
$164.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$85.54
|
| Rate for Payer: Oxford Commercial |
$65.80
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$49.35
|
| Rate for Payer: UnitedHealthcare Commercial |
$65.80
|
| Rate for Payer: UnitedHealthcare Community & State |
$10.40
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$9.34
|
|
|
ANESTHESIA LOCAL 1ST HR
|
Facility
|
IP
|
$246.75
|
|
| Hospital Charge Code |
1650108
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$37.01 |
| Max. Negotiated Rate |
$37.01 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$37.01
|
|
|
ANESTHESIA LOCAL 1ST HR
|
Facility
|
OP
|
$246.75
|
|
| Hospital Charge Code |
1650108
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$7.01 |
| Max. Negotiated Rate |
$123.38 |
| Rate for Payer: Aetna Commercial |
$93.77
|
| Rate for Payer: Aetna Medicare Advantage |
$74.03
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$62.92
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$62.92
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$62.92
|
| Rate for Payer: Cigna Commercial |
$123.38
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$64.16
|
| Rate for Payer: Oxford Commercial |
$49.35
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$37.01
|
| Rate for Payer: UnitedHealthcare Commercial |
$49.35
|
| Rate for Payer: UnitedHealthcare Community & State |
$7.80
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$7.01
|
|
|
ANESTHESIA LOCAL EA ADD HR
|
Facility
|
OP
|
$82.25
|
|
| Hospital Charge Code |
1650109
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$2.34 |
| Max. Negotiated Rate |
$41.12 |
| Rate for Payer: Aetna Commercial |
$31.25
|
| Rate for Payer: Aetna Medicare Advantage |
$24.68
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$20.97
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$20.97
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$20.97
|
| Rate for Payer: Cigna Commercial |
$41.12
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$21.39
|
| Rate for Payer: Oxford Commercial |
$16.45
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$12.34
|
| Rate for Payer: UnitedHealthcare Commercial |
$16.45
|
| Rate for Payer: UnitedHealthcare Community & State |
$2.60
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$2.34
|
|
|
ANESTHESIA LOCAL EA ADD HR
|
Facility
|
IP
|
$82.25
|
|
| Hospital Charge Code |
1650109
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$12.34 |
| Max. Negotiated Rate |
$12.34 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$12.34
|
|
|
ANESTHESIA MAC 1ST HR
|
Facility
|
OP
|
$1,453.20
|
|
| Hospital Charge Code |
1650106
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$41.27 |
| Max. Negotiated Rate |
$726.60 |
| Rate for Payer: Aetna Commercial |
$552.22
|
| Rate for Payer: Aetna Medicare Advantage |
$435.96
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$370.57
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$370.57
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$370.57
|
| Rate for Payer: Cigna Commercial |
$726.60
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$377.83
|
| Rate for Payer: Oxford Commercial |
$290.64
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$217.98
|
| Rate for Payer: UnitedHealthcare Commercial |
$290.64
|
| Rate for Payer: UnitedHealthcare Community & State |
$45.92
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$41.27
|
|
|
ANESTHESIA MAC 1ST HR
|
Facility
|
IP
|
$1,453.20
|
|
| Hospital Charge Code |
1650106
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$217.98 |
| Max. Negotiated Rate |
$217.98 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$217.98
|
|
|
ANESTHESIA MAC EA ADD HR
|
Facility
|
OP
|
$484.40
|
|
| Hospital Charge Code |
1650107
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$13.76 |
| Max. Negotiated Rate |
$242.20 |
| Rate for Payer: Aetna Commercial |
$184.07
|
| Rate for Payer: Aetna Medicare Advantage |
$145.32
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$123.52
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$123.52
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$123.52
|
| Rate for Payer: Cigna Commercial |
$242.20
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$125.94
|
| Rate for Payer: Oxford Commercial |
$96.88
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$72.66
|
| Rate for Payer: UnitedHealthcare Commercial |
$96.88
|
| Rate for Payer: UnitedHealthcare Community & State |
$15.31
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$13.76
|
|
|
ANESTHESIA MAC EA ADD HR
|
Facility
|
IP
|
$484.40
|
|
| Hospital Charge Code |
1650107
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$72.66 |
| Max. Negotiated Rate |
$72.66 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$72.66
|
|
|
ANESTHESIA MONITORED CARE
|
Facility
|
OP
|
$1,937.60
|
|
| Hospital Charge Code |
1650020
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$55.03 |
| Max. Negotiated Rate |
$968.80 |
| Rate for Payer: Aetna Commercial |
$736.29
|
| Rate for Payer: Aetna Medicare Advantage |
$581.28
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$494.09
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$494.09
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$494.09
|
| Rate for Payer: Cigna Commercial |
$968.80
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$503.78
|
| Rate for Payer: Oxford Commercial |
$387.52
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$290.64
|
| Rate for Payer: UnitedHealthcare Commercial |
$387.52
|
| Rate for Payer: UnitedHealthcare Community & State |
$61.23
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$55.03
|
|
|
ANESTHESIA MONITORED CARE
|
Facility
|
IP
|
$1,937.60
|
|
| Hospital Charge Code |
1650020
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$290.64 |
| Max. Negotiated Rate |
$290.64 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$290.64
|
|
|
ANESTHESIA OTHER
|
Facility
|
OP
|
$272.00
|
|
| Hospital Charge Code |
1650090
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$7.72 |
| Max. Negotiated Rate |
$136.00 |
| Rate for Payer: Aetna Commercial |
$103.36
|
| Rate for Payer: Aetna Medicare Advantage |
$81.60
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$69.36
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$69.36
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$69.36
|
| Rate for Payer: Cigna Commercial |
$136.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$70.72
|
| Rate for Payer: Oxford Commercial |
$54.40
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$40.80
|
| Rate for Payer: UnitedHealthcare Commercial |
$54.40
|
| Rate for Payer: UnitedHealthcare Community & State |
$8.60
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$7.72
|
|
|
ANESTHESIA OTHER
|
Facility
|
IP
|
$272.00
|
|
| Hospital Charge Code |
1650090
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$40.80 |
| Max. Negotiated Rate |
$40.80 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$40.80
|
|
|
ANESTHESIA POP NERVE BLOCK
|
Facility
|
IP
|
$600.00
|
|
| Hospital Charge Code |
1650070
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$90.00 |
| Max. Negotiated Rate |
$90.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$90.00
|
|
|
ANESTHESIA POP NERVE BLOCK
|
Facility
|
OP
|
$600.00
|
|
| Hospital Charge Code |
1650070
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$17.04 |
| Max. Negotiated Rate |
$300.00 |
| Rate for Payer: Aetna Commercial |
$228.00
|
| Rate for Payer: Aetna Medicare Advantage |
$180.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$153.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$153.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$153.00
|
| Rate for Payer: Cigna Commercial |
$300.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$156.00
|
| Rate for Payer: Oxford Commercial |
$120.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$90.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$120.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$18.96
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$17.04
|
|
|
ANESTHESIA POP NERVE BLOCK US
|
Facility
|
IP
|
$700.00
|
|
| Hospital Charge Code |
1650075
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$105.00 |
| Max. Negotiated Rate |
$105.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$105.00
|
|
|
ANESTHESIA POP NERVE BLOCK US
|
Facility
|
OP
|
$700.00
|
|
| Hospital Charge Code |
1650075
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$19.88 |
| Max. Negotiated Rate |
$350.00 |
| Rate for Payer: Aetna Commercial |
$266.00
|
| Rate for Payer: Aetna Medicare Advantage |
$210.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$178.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$178.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$178.50
|
| Rate for Payer: Cigna Commercial |
$350.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$182.00
|
| Rate for Payer: Oxford Commercial |
$140.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$105.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$140.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$22.12
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$19.88
|
|
|
ANESTHESIA REGIONAL 1ST HR
|
Facility
|
OP
|
$1,824.90
|
|
| Hospital Charge Code |
1650114
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$51.83 |
| Max. Negotiated Rate |
$912.45 |
| Rate for Payer: Aetna Commercial |
$693.46
|
| Rate for Payer: Aetna Medicare Advantage |
$547.47
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$465.35
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$465.35
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$465.35
|
| Rate for Payer: Cigna Commercial |
$912.45
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$474.47
|
| Rate for Payer: Oxford Commercial |
$364.98
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$273.74
|
| Rate for Payer: UnitedHealthcare Commercial |
$364.98
|
| Rate for Payer: UnitedHealthcare Community & State |
$57.67
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$51.83
|
|
|
ANESTHESIA REGIONAL 1ST HR
|
Facility
|
IP
|
$1,824.90
|
|
| Hospital Charge Code |
1650114
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$273.74 |
| Max. Negotiated Rate |
$273.74 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$273.74
|
|
|
ANESTHESIA REGIONAL EA ADD HR
|
Facility
|
OP
|
$608.30
|
|
| Hospital Charge Code |
1650115
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$17.28 |
| Max. Negotiated Rate |
$304.15 |
| Rate for Payer: Aetna Commercial |
$231.15
|
| Rate for Payer: Aetna Medicare Advantage |
$182.49
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$155.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$155.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$155.12
|
| Rate for Payer: Cigna Commercial |
$304.15
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$158.16
|
| Rate for Payer: Oxford Commercial |
$121.66
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$91.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$121.66
|
| Rate for Payer: UnitedHealthcare Community & State |
$19.22
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$17.28
|
|
|
ANESTHESIA REGIONAL EA ADD HR
|
Facility
|
IP
|
$608.30
|
|
| Hospital Charge Code |
1650115
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$91.25 |
| Max. Negotiated Rate |
$91.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$91.25
|
|
|
ANESTHESIA SPINAL
|
Facility
|
OP
|
$3,106.60
|
|
| Hospital Charge Code |
1650030
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$88.23 |
| Max. Negotiated Rate |
$1,553.30 |
| Rate for Payer: Aetna Commercial |
$1,180.51
|
| Rate for Payer: Aetna Medicare Advantage |
$931.98
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$792.18
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$792.18
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$792.18
|
| Rate for Payer: Cigna Commercial |
$1,553.30
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$807.72
|
| Rate for Payer: Oxford Commercial |
$621.32
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$465.99
|
| Rate for Payer: UnitedHealthcare Commercial |
$621.32
|
| Rate for Payer: UnitedHealthcare Community & State |
$98.17
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$88.23
|
|