|
ANESTHESIA SPINAL
|
Facility
|
IP
|
$3,106.60
|
|
| Hospital Charge Code |
1650030
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$465.99 |
| Max. Negotiated Rate |
$465.99 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$465.99
|
|
|
ANESTHESIA SPINAL 1ST HR
|
Facility
|
IP
|
$2,329.95
|
|
| Hospital Charge Code |
1650110
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$349.49 |
| Max. Negotiated Rate |
$349.49 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$349.49
|
|
|
ANESTHESIA SPINAL 1ST HR
|
Facility
|
OP
|
$2,329.95
|
|
| Hospital Charge Code |
1650110
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$66.17 |
| Max. Negotiated Rate |
$1,164.97 |
| Rate for Payer: Aetna Commercial |
$885.38
|
| Rate for Payer: Aetna Medicare Advantage |
$698.99
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$594.14
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$594.14
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$594.14
|
| Rate for Payer: Cigna Commercial |
$1,164.97
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$605.79
|
| Rate for Payer: Oxford Commercial |
$465.99
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$349.49
|
| Rate for Payer: UnitedHealthcare Commercial |
$465.99
|
| Rate for Payer: UnitedHealthcare Community & State |
$73.63
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$66.17
|
|
|
ANESTHESIA SPINAL EA ADD HR
|
Facility
|
OP
|
$776.65
|
|
| Hospital Charge Code |
1650111
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$22.06 |
| Max. Negotiated Rate |
$388.32 |
| Rate for Payer: Aetna Commercial |
$295.13
|
| Rate for Payer: Aetna Medicare Advantage |
$233.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$198.05
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$198.05
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$198.05
|
| Rate for Payer: Cigna Commercial |
$388.32
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$201.93
|
| Rate for Payer: Oxford Commercial |
$155.33
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$116.50
|
| Rate for Payer: UnitedHealthcare Commercial |
$155.33
|
| Rate for Payer: UnitedHealthcare Community & State |
$24.54
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$22.06
|
|
|
ANESTHESIA SPINAL EA ADD HR
|
Facility
|
IP
|
$776.65
|
|
| Hospital Charge Code |
1650111
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$116.50 |
| Max. Negotiated Rate |
$116.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$116.50
|
|
|
ANES - VAG DELIVERY
|
Facility
|
OP
|
$2,563.00
|
|
| Hospital Charge Code |
73190157
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$72.79 |
| Max. Negotiated Rate |
$1,281.50 |
| Rate for Payer: Aetna Commercial |
$973.94
|
| Rate for Payer: Aetna Medicare Advantage |
$768.90
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$653.57
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$653.57
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$653.57
|
| Rate for Payer: Cigna Commercial |
$1,281.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$666.38
|
| Rate for Payer: Oxford Commercial |
$512.60
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$384.45
|
| Rate for Payer: UnitedHealthcare Commercial |
$512.60
|
| Rate for Payer: UnitedHealthcare Community & State |
$80.99
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$72.79
|
|
|
ANES - VAG DELIVERY
|
Facility
|
IP
|
$2,563.00
|
|
| Hospital Charge Code |
73190157
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$384.45 |
| Max. Negotiated Rate |
$384.45 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$384.45
|
|
|
ANGEL PRP KIT
|
Facility
|
OP
|
$1,625.00
|
|
| Hospital Charge Code |
270690216
|
|
Hospital Revenue Code
|
271
|
| Min. Negotiated Rate |
$46.15 |
| Max. Negotiated Rate |
$812.50 |
| Rate for Payer: Aetna Commercial |
$617.50
|
| Rate for Payer: Aetna Medicare Advantage |
$487.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$414.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$414.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$414.38
|
| Rate for Payer: Cigna Commercial |
$812.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$422.50
|
| Rate for Payer: Oxford Commercial |
$325.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$243.75
|
| Rate for Payer: UnitedHealthcare Commercial |
$325.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$51.35
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$46.15
|
|
|
ANGEL PRP KIT
|
Facility
|
IP
|
$1,625.00
|
|
| Hospital Charge Code |
270690216
|
|
Hospital Revenue Code
|
271
|
| Min. Negotiated Rate |
$243.75 |
| Max. Negotiated Rate |
$243.75 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$243.75
|
|
|
ANGINA PECTORIS
|
Facility
|
IP
|
$41,640.14
|
|
|
Service Code
|
MSDRG 311
|
| Min. Negotiated Rate |
$12,367.48 |
| Max. Negotiated Rate |
$41,640.14 |
| Rate for Payer: Aetna Commercial |
$31,515.09
|
| Rate for Payer: Aetna Medicare Advantage |
$41,640.14
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$19,393.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$19,393.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$13,346.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$19,393.50
|
| Rate for Payer: Cigna Commercial |
$15,647.46
|
| Rate for Payer: Cigna Medicare Advantage |
$13,346.20
|
| Rate for Payer: Clover Medicare Advantage |
$12,678.89
|
| Rate for Payer: EmblemHealth Commercial |
$40,038.60
|
| Rate for Payer: Humana Medicare Advantage |
$13,746.59
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$13,346.20
|
| Rate for Payer: Oxford Commercial |
$12,367.48
|
| Rate for Payer: UnitedHealthcare Commercial |
$16,554.31
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$13,346.20
|
| Rate for Payer: Wellcare Medicare Advantage |
$13,346.20
|
|
|
ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS
|
Facility
|
IP
|
$18,046.28
|
|
|
Service Code
|
APR-DRG 1984
|
| Min. Negotiated Rate |
$17,692.43 |
| Max. Negotiated Rate |
$18,046.28 |
| Rate for Payer: UnitedHealthcare Community & State |
$17,692.43
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$18,046.28
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$17,692.43
|
|
|
ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS
|
Facility
|
IP
|
$10,051.17
|
|
|
Service Code
|
APR-DRG 1983
|
| Min. Negotiated Rate |
$9,854.09 |
| Max. Negotiated Rate |
$10,051.17 |
| Rate for Payer: UnitedHealthcare Community & State |
$9,854.09
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$10,051.17
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$9,854.09
|
|
|
ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS
|
Facility
|
IP
|
$6,440.48
|
|
|
Service Code
|
APR-DRG 1981
|
| Min. Negotiated Rate |
$6,314.20 |
| Max. Negotiated Rate |
$6,440.48 |
| Rate for Payer: UnitedHealthcare Community & State |
$6,314.20
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$6,440.48
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$6,314.20
|
|
|
ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS
|
Facility
|
IP
|
$7,653.85
|
|
|
Service Code
|
APR-DRG 1982
|
| Min. Negotiated Rate |
$7,503.77 |
| Max. Negotiated Rate |
$7,653.85 |
| Rate for Payer: UnitedHealthcare Community & State |
$7,503.77
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$7,653.85
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$7,503.77
|
|
|
ANGIOCATH 14GX1-1/4
|
Facility
|
IP
|
$2.15
|
|
| Hospital Charge Code |
270651391
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.32 |
| Max. Negotiated Rate |
$0.32 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$0.32
|
|
|
ANGIOCATH 14GX1-1/4
|
Facility
|
OP
|
$2.15
|
|
| Hospital Charge Code |
270651391
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.06 |
| Max. Negotiated Rate |
$1.07 |
| Rate for Payer: Aetna Commercial |
$0.82
|
| Rate for Payer: Aetna Medicare Advantage |
$0.65
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$0.55
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$0.55
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$0.55
|
| Rate for Payer: Cigna Commercial |
$1.07
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$0.56
|
| Rate for Payer: Oxford Commercial |
$0.43
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$0.32
|
| Rate for Payer: UnitedHealthcare Commercial |
$0.43
|
| Rate for Payer: UnitedHealthcare Community & State |
$0.07
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$0.06
|
|
|
ANGIOCATH 16G 2 IN
|
Facility
|
OP
|
$11.25
|
|
| Hospital Charge Code |
270041005
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.32 |
| Max. Negotiated Rate |
$5.62 |
| Rate for Payer: Aetna Commercial |
$4.28
|
| Rate for Payer: Aetna Medicare Advantage |
$3.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$2.87
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$2.87
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$2.87
|
| Rate for Payer: Cigna Commercial |
$5.62
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$2.92
|
| Rate for Payer: Oxford Commercial |
$2.25
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1.69
|
| Rate for Payer: UnitedHealthcare Commercial |
$2.25
|
| Rate for Payer: UnitedHealthcare Community & State |
$0.36
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$0.32
|
|
|
ANGIOCATH 16G 2 IN
|
Facility
|
IP
|
$11.25
|
|
| Hospital Charge Code |
270041005
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.69 |
| Max. Negotiated Rate |
$1.69 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$1.69
|
|
|
ANGIOCATH 16G 5-1/4 YELLOW
|
Facility
|
IP
|
$66.00
|
|
| Hospital Charge Code |
270311614
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$9.90 |
| Max. Negotiated Rate |
$9.90 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$9.90
|
|
|
ANGIOCATH 16G 5-1/4 YELLOW
|
Facility
|
OP
|
$66.00
|
|
| Hospital Charge Code |
270311614
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.87 |
| Max. Negotiated Rate |
$33.00 |
| Rate for Payer: Aetna Commercial |
$25.08
|
| Rate for Payer: Aetna Medicare Advantage |
$19.80
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$16.83
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$16.83
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$16.83
|
| Rate for Payer: Cigna Commercial |
$33.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$17.16
|
| Rate for Payer: Oxford Commercial |
$13.20
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$9.90
|
| Rate for Payer: UnitedHealthcare Commercial |
$13.20
|
| Rate for Payer: UnitedHealthcare Community & State |
$2.09
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$1.87
|
|
|
ANGIOCATH 16G 5-1/4YELLOW
|
Facility
|
IP
|
$66.00
|
|
| Hospital Charge Code |
270331614
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$9.90 |
| Max. Negotiated Rate |
$9.90 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$9.90
|
|
|
ANGIOCATH 16G 5-1/4YELLOW
|
Facility
|
OP
|
$66.00
|
|
| Hospital Charge Code |
270331614
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.87 |
| Max. Negotiated Rate |
$33.00 |
| Rate for Payer: Aetna Commercial |
$25.08
|
| Rate for Payer: Aetna Medicare Advantage |
$19.80
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$16.83
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$16.83
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$16.83
|
| Rate for Payer: Cigna Commercial |
$33.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$17.16
|
| Rate for Payer: Oxford Commercial |
$13.20
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$9.90
|
| Rate for Payer: UnitedHealthcare Commercial |
$13.20
|
| Rate for Payer: UnitedHealthcare Community & State |
$2.09
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$1.87
|
|
|
ANGIOCATH 16G INSYTE AUTOGUARD
|
Facility
|
OP
|
$8.71
|
|
| Hospital Charge Code |
270645440
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$0.25 |
| Max. Negotiated Rate |
$4.36 |
| Rate for Payer: Aetna Commercial |
$3.31
|
| Rate for Payer: Aetna Medicare Advantage |
$2.61
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$2.22
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$2.22
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$2.22
|
| Rate for Payer: Cigna Commercial |
$4.36
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$2.26
|
| Rate for Payer: Oxford Commercial |
$1.74
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1.31
|
| Rate for Payer: UnitedHealthcare Commercial |
$1.74
|
| Rate for Payer: UnitedHealthcare Community & State |
$0.28
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$0.25
|
|
|
ANGIOCATH 16G INSYTE AUTOGUARD
|
Facility
|
IP
|
$8.71
|
|
| Hospital Charge Code |
270645440
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$1.31 |
| Max. Negotiated Rate |
$1.31 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$1.31
|
|
|
ANGIOCATH 18G 1 1/4 IN
|
Facility
|
OP
|
$24.21
|
|
| Hospital Charge Code |
270041004
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.69 |
| Max. Negotiated Rate |
$12.11 |
| Rate for Payer: Aetna Commercial |
$9.20
|
| Rate for Payer: Aetna Medicare Advantage |
$7.26
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$6.17
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$6.17
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$6.17
|
| Rate for Payer: Cigna Commercial |
$12.11
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$6.29
|
| Rate for Payer: Oxford Commercial |
$4.84
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$3.63
|
| Rate for Payer: UnitedHealthcare Commercial |
$4.84
|
| Rate for Payer: UnitedHealthcare Community & State |
$0.77
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$0.69
|
|