|
KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC
|
Facility
|
IP
|
$99,740.75
|
|
|
Service Code
|
MSDRG 659
|
| Min. Negotiated Rate |
$30,369.78 |
| Max. Negotiated Rate |
$99,740.75 |
| Rate for Payer: Aetna Commercial |
$72,895.01
|
| Rate for Payer: Aetna Medicare Advantage |
$99,740.75
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$71,755.95
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$71,755.95
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$31,968.19
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$71,755.95
|
| Rate for Payer: Cigna Commercial |
$56,644.28
|
| Rate for Payer: Cigna Medicare Advantage |
$31,968.19
|
| Rate for Payer: Clover Medicare Advantage |
$30,369.78
|
| Rate for Payer: EmblemHealth Commercial |
$95,904.57
|
| Rate for Payer: Humana Medicare Advantage |
$32,927.24
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$31,968.19
|
| Rate for Payer: Oxford Commercial |
$44,770.66
|
| Rate for Payer: UnitedHealthcare Commercial |
$59,927.13
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$31,968.19
|
| Rate for Payer: Wellcare Medicare Advantage |
$31,968.19
|
|
|
KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC
|
Facility
|
IP
|
$52,176.63
|
|
|
Service Code
|
MSDRG 661
|
| Min. Negotiated Rate |
$15,887.12 |
| Max. Negotiated Rate |
$52,176.63 |
| Rate for Payer: Aetna Commercial |
$39,019.30
|
| Rate for Payer: Aetna Medicare Advantage |
$52,176.63
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$29,090.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$29,090.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$16,723.28
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$29,090.25
|
| Rate for Payer: Cigna Commercial |
$23,082.17
|
| Rate for Payer: Cigna Medicare Advantage |
$16,723.28
|
| Rate for Payer: Clover Medicare Advantage |
$15,887.12
|
| Rate for Payer: EmblemHealth Commercial |
$50,169.84
|
| Rate for Payer: Humana Medicare Advantage |
$17,224.98
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$16,723.28
|
| Rate for Payer: Oxford Commercial |
$18,243.75
|
| Rate for Payer: UnitedHealthcare Commercial |
$24,419.91
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$16,723.28
|
| Rate for Payer: Wellcare Medicare Advantage |
$16,723.28
|
|
|
KIDNEY AND URINARY TRACT INFECTIONS
|
Facility
|
IP
|
$8,138.38
|
|
|
Service Code
|
APR-DRG 4632
|
| Min. Negotiated Rate |
$7,978.80 |
| Max. Negotiated Rate |
$8,138.38 |
| Rate for Payer: UnitedHealthcare Community & State |
$7,978.80
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$8,138.38
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$7,978.80
|
|
|
KIDNEY AND URINARY TRACT INFECTIONS
|
Facility
|
IP
|
$18,185.33
|
|
|
Service Code
|
APR-DRG 4634
|
| Min. Negotiated Rate |
$17,828.75 |
| Max. Negotiated Rate |
$18,185.33 |
| Rate for Payer: UnitedHealthcare Community & State |
$17,828.75
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$18,185.33
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$17,828.75
|
|
|
KIDNEY AND URINARY TRACT INFECTIONS
|
Facility
|
IP
|
$6,533.15
|
|
|
Service Code
|
APR-DRG 4631
|
| Min. Negotiated Rate |
$6,405.05 |
| Max. Negotiated Rate |
$6,533.15 |
| Rate for Payer: UnitedHealthcare Community & State |
$6,405.05
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$6,533.15
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$6,405.05
|
|
|
KIDNEY AND URINARY TRACT INFECTIONS
|
Facility
|
IP
|
$10,980.84
|
|
|
Service Code
|
APR-DRG 4633
|
| Min. Negotiated Rate |
$10,765.53 |
| Max. Negotiated Rate |
$10,980.84 |
| Rate for Payer: UnitedHealthcare Community & State |
$10,765.53
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$10,980.84
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$10,765.53
|
|
|
KIDNEY AND URINARY TRACT INFECTIONS WITH MCC
|
Facility
|
IP
|
$56,122.68
|
|
|
Service Code
|
MSDRG 689
|
| Min. Negotiated Rate |
$17,088.64 |
| Max. Negotiated Rate |
$56,122.68 |
| Rate for Payer: Aetna Commercial |
$41,829.71
|
| Rate for Payer: Aetna Medicare Advantage |
$56,122.68
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$32,414.85
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$32,414.85
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$17,988.04
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$32,414.85
|
| Rate for Payer: Cigna Commercial |
$25,866.57
|
| Rate for Payer: Cigna Medicare Advantage |
$17,988.04
|
| Rate for Payer: Clover Medicare Advantage |
$17,088.64
|
| Rate for Payer: EmblemHealth Commercial |
$53,964.12
|
| Rate for Payer: Humana Medicare Advantage |
$18,527.68
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$17,988.04
|
| Rate for Payer: Oxford Commercial |
$20,444.49
|
| Rate for Payer: UnitedHealthcare Commercial |
$27,365.68
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$17,988.04
|
| Rate for Payer: Wellcare Medicare Advantage |
$17,988.04
|
|
|
KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC
|
Facility
|
IP
|
$45,039.63
|
|
|
Service Code
|
MSDRG 690
|
| Min. Negotiated Rate |
$13,713.99 |
| Max. Negotiated Rate |
$45,039.63 |
| Rate for Payer: Aetna Commercial |
$33,936.24
|
| Rate for Payer: Aetna Medicare Advantage |
$45,039.63
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$22,441.05
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$22,441.05
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$14,435.78
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$22,441.05
|
| Rate for Payer: Cigna Commercial |
$18,046.18
|
| Rate for Payer: Cigna Medicare Advantage |
$14,435.78
|
| Rate for Payer: Clover Medicare Advantage |
$13,713.99
|
| Rate for Payer: EmblemHealth Commercial |
$43,307.34
|
| Rate for Payer: Humana Medicare Advantage |
$14,868.85
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$14,435.78
|
| Rate for Payer: Oxford Commercial |
$14,263.39
|
| Rate for Payer: UnitedHealthcare Commercial |
$19,092.06
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$14,435.78
|
| Rate for Payer: Wellcare Medicare Advantage |
$14,435.78
|
|
|
KIDNEY AND URINARY TRACT MALIGNANCY
|
Facility
|
IP
|
$7,979.68
|
|
|
Service Code
|
APR-DRG 4611
|
| Min. Negotiated Rate |
$7,823.22 |
| Max. Negotiated Rate |
$7,979.68 |
| Rate for Payer: UnitedHealthcare Community & State |
$7,823.22
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$7,979.68
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$7,823.22
|
|
|
KIDNEY AND URINARY TRACT MALIGNANCY
|
Facility
|
IP
|
$22,700.43
|
|
|
Service Code
|
APR-DRG 4614
|
| Min. Negotiated Rate |
$22,255.32 |
| Max. Negotiated Rate |
$22,700.43 |
| Rate for Payer: UnitedHealthcare Community & State |
$22,255.32
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$22,700.43
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$22,255.32
|
|
|
KIDNEY AND URINARY TRACT MALIGNANCY
|
Facility
|
IP
|
$15,029.69
|
|
|
Service Code
|
APR-DRG 4613
|
| Min. Negotiated Rate |
$14,734.99 |
| Max. Negotiated Rate |
$15,029.69 |
| Rate for Payer: UnitedHealthcare Community & State |
$14,734.99
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$15,029.69
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$14,734.99
|
|
|
KIDNEY AND URINARY TRACT MALIGNANCY
|
Facility
|
IP
|
$10,118.57
|
|
|
Service Code
|
APR-DRG 4612
|
| Min. Negotiated Rate |
$9,920.17 |
| Max. Negotiated Rate |
$10,118.57 |
| Rate for Payer: UnitedHealthcare Community & State |
$9,920.17
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$10,118.57
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$9,920.17
|
|
|
KIDNEY AND URINARY TRACT NEOPLASMS WITH CC
|
Facility
|
IP
|
$52,568.38
|
|
|
Service Code
|
MSDRG 687
|
| Min. Negotiated Rate |
$16,006.40 |
| Max. Negotiated Rate |
$52,568.38 |
| Rate for Payer: Aetna Commercial |
$39,298.32
|
| Rate for Payer: Aetna Medicare Advantage |
$52,568.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$29,090.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$29,090.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$16,848.84
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$29,090.25
|
| Rate for Payer: Cigna Commercial |
$23,358.61
|
| Rate for Payer: Cigna Medicare Advantage |
$16,848.84
|
| Rate for Payer: Clover Medicare Advantage |
$16,006.40
|
| Rate for Payer: EmblemHealth Commercial |
$50,546.52
|
| Rate for Payer: Humana Medicare Advantage |
$17,354.31
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$16,848.84
|
| Rate for Payer: Oxford Commercial |
$18,462.24
|
| Rate for Payer: UnitedHealthcare Commercial |
$24,712.36
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$16,848.84
|
| Rate for Payer: Wellcare Medicare Advantage |
$16,848.84
|
|
|
KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC
|
Facility
|
IP
|
$76,449.95
|
|
|
Service Code
|
MSDRG 686
|
| Min. Negotiated Rate |
$23,278.03 |
| Max. Negotiated Rate |
$76,449.95 |
| Rate for Payer: Aetna Commercial |
$56,307.06
|
| Rate for Payer: Aetna Medicare Advantage |
$76,449.95
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$50,977.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$50,977.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$24,503.19
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$50,977.20
|
| Rate for Payer: Cigna Commercial |
$40,209.88
|
| Rate for Payer: Cigna Medicare Advantage |
$24,503.19
|
| Rate for Payer: Clover Medicare Advantage |
$23,278.03
|
| Rate for Payer: EmblemHealth Commercial |
$73,509.57
|
| Rate for Payer: Humana Medicare Advantage |
$25,238.29
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$24,503.19
|
| Rate for Payer: Oxford Commercial |
$31,781.19
|
| Rate for Payer: UnitedHealthcare Commercial |
$42,540.26
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$24,503.19
|
| Rate for Payer: Wellcare Medicare Advantage |
$24,503.19
|
|
|
KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC
|
Facility
|
IP
|
$44,433.07
|
|
|
Service Code
|
MSDRG 688
|
| Min. Negotiated Rate |
$13,529.30 |
| Max. Negotiated Rate |
$44,433.07 |
| Rate for Payer: Aetna Commercial |
$33,504.23
|
| Rate for Payer: Aetna Medicare Advantage |
$44,433.07
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$21,609.90
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$21,609.90
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$14,241.37
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$21,609.90
|
| Rate for Payer: Cigna Commercial |
$17,618.16
|
| Rate for Payer: Cigna Medicare Advantage |
$14,241.37
|
| Rate for Payer: Clover Medicare Advantage |
$13,529.30
|
| Rate for Payer: EmblemHealth Commercial |
$42,724.11
|
| Rate for Payer: Humana Medicare Advantage |
$14,668.61
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$14,241.37
|
| Rate for Payer: Oxford Commercial |
$13,925.09
|
| Rate for Payer: UnitedHealthcare Commercial |
$18,639.23
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$14,241.37
|
| Rate for Payer: Wellcare Medicare Advantage |
$14,241.37
|
|
|
KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY
|
Facility
|
IP
|
$19,108.02
|
|
|
Service Code
|
APR-DRG 4421
|
| Min. Negotiated Rate |
$18,733.35 |
| Max. Negotiated Rate |
$19,108.02 |
| Rate for Payer: UnitedHealthcare Community & State |
$18,733.35
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$19,108.02
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$18,733.35
|
|
|
KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY
|
Facility
|
IP
|
$22,008.06
|
|
|
Service Code
|
APR-DRG 4422
|
| Min. Negotiated Rate |
$21,576.53 |
| Max. Negotiated Rate |
$22,008.06 |
| Rate for Payer: UnitedHealthcare Community & State |
$21,576.53
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$22,008.06
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$21,576.53
|
|
|
KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY
|
Facility
|
IP
|
$56,103.62
|
|
|
Service Code
|
APR-DRG 4424
|
| Min. Negotiated Rate |
$55,003.55 |
| Max. Negotiated Rate |
$56,103.62 |
| Rate for Payer: UnitedHealthcare Community & State |
$55,003.55
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$56,103.62
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$55,003.55
|
|
|
KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY
|
Facility
|
IP
|
$31,748.83
|
|
|
Service Code
|
APR-DRG 4423
|
| Min. Negotiated Rate |
$31,126.30 |
| Max. Negotiated Rate |
$31,748.83 |
| Rate for Payer: UnitedHealthcare Community & State |
$31,126.30
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$31,748.83
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$31,126.30
|
|
|
KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY
|
Facility
|
IP
|
$18,512.54
|
|
|
Service Code
|
APR-DRG 4432
|
| Min. Negotiated Rate |
$18,149.55 |
| Max. Negotiated Rate |
$18,512.54 |
| Rate for Payer: UnitedHealthcare Community & State |
$18,149.55
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$18,512.54
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$18,149.55
|
|
|
KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY
|
Facility
|
IP
|
$45,240.70
|
|
|
Service Code
|
APR-DRG 4434
|
| Min. Negotiated Rate |
$44,353.63 |
| Max. Negotiated Rate |
$45,240.70 |
| Rate for Payer: UnitedHealthcare Community & State |
$44,353.63
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$45,240.70
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$44,353.63
|
|
|
KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY
|
Facility
|
IP
|
$16,210.81
|
|
|
Service Code
|
APR-DRG 4431
|
| Min. Negotiated Rate |
$15,892.95 |
| Max. Negotiated Rate |
$16,210.81 |
| Rate for Payer: UnitedHealthcare Community & State |
$15,892.95
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$16,210.81
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$15,892.95
|
|
|
KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY
|
Facility
|
IP
|
$26,976.76
|
|
|
Service Code
|
APR-DRG 4433
|
| Min. Negotiated Rate |
$26,447.80 |
| Max. Negotiated Rate |
$26,976.76 |
| Rate for Payer: UnitedHealthcare Community & State |
$26,447.80
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$26,976.76
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$26,447.80
|
|
|
KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC
|
Facility
|
IP
|
$55,601.33
|
|
|
Service Code
|
MSDRG 695
|
| Min. Negotiated Rate |
$16,929.89 |
| Max. Negotiated Rate |
$55,601.33 |
| Rate for Payer: Aetna Commercial |
$41,458.41
|
| Rate for Payer: Aetna Medicare Advantage |
$55,601.33
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$33,246.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$33,246.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$17,820.94
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$33,246.00
|
| Rate for Payer: Cigna Commercial |
$25,498.73
|
| Rate for Payer: Cigna Medicare Advantage |
$17,820.94
|
| Rate for Payer: Clover Medicare Advantage |
$16,929.89
|
| Rate for Payer: EmblemHealth Commercial |
$53,462.82
|
| Rate for Payer: Humana Medicare Advantage |
$18,355.57
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$17,820.94
|
| Rate for Payer: Oxford Commercial |
$20,153.76
|
| Rate for Payer: UnitedHealthcare Commercial |
$26,976.52
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$17,820.94
|
| Rate for Payer: Wellcare Medicare Advantage |
$17,820.94
|
|
|
KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC
|
Facility
|
IP
|
$41,232.61
|
|
|
Service Code
|
MSDRG 696
|
| Min. Negotiated Rate |
$12,140.18 |
| Max. Negotiated Rate |
$41,232.61 |
| Rate for Payer: Aetna Commercial |
$31,224.84
|
| Rate for Payer: Aetna Medicare Advantage |
$41,232.61
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$19,116.45
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$19,116.45
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$13,215.58
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$19,116.45
|
| Rate for Payer: Cigna Commercial |
$15,359.88
|
| Rate for Payer: Cigna Medicare Advantage |
$13,215.58
|
| Rate for Payer: Clover Medicare Advantage |
$12,554.80
|
| Rate for Payer: EmblemHealth Commercial |
$39,646.74
|
| Rate for Payer: Humana Medicare Advantage |
$13,612.05
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$13,215.58
|
| Rate for Payer: Oxford Commercial |
$12,140.18
|
| Rate for Payer: UnitedHealthcare Commercial |
$16,250.07
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$13,215.58
|
| Rate for Payer: Wellcare Medicare Advantage |
$13,215.58
|
|