|
L&D ANESTH: 136-150 MIN
|
Facility
|
IP
|
$5,513.00
|
|
| Hospital Charge Code |
7319033
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$826.95 |
| Max. Negotiated Rate |
$826.95 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$826.95
|
|
|
L&D ANESTH: 151-165 MIN
|
Facility
|
OP
|
$6,064.00
|
|
| Hospital Charge Code |
7319035
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$172.22 |
| Max. Negotiated Rate |
$3,032.00 |
| Rate for Payer: Aetna Commercial |
$2,304.32
|
| Rate for Payer: Aetna Medicare Advantage |
$1,819.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1,546.32
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1,546.32
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1,546.32
|
| Rate for Payer: Cigna Commercial |
$3,032.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,576.64
|
| Rate for Payer: Oxford Commercial |
$1,212.80
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$909.60
|
| Rate for Payer: UnitedHealthcare Commercial |
$1,212.80
|
| Rate for Payer: UnitedHealthcare Community & State |
$191.62
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$172.22
|
|
|
L&D ANESTH: 151-165 MIN
|
Facility
|
IP
|
$6,064.00
|
|
| Hospital Charge Code |
7319035
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$909.60 |
| Max. Negotiated Rate |
$909.60 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$909.60
|
|
|
L&D ANESTH 16-30 MIN
|
Facility
|
IP
|
$1,103.00
|
|
| Hospital Charge Code |
73190119
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$165.45 |
| Max. Negotiated Rate |
$165.45 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$165.45
|
|
|
L&D ANESTH 16-30 MIN
|
Facility
|
OP
|
$1,103.00
|
|
| Hospital Charge Code |
73190119
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$31.33 |
| Max. Negotiated Rate |
$551.50 |
| Rate for Payer: Aetna Commercial |
$419.14
|
| Rate for Payer: Aetna Medicare Advantage |
$330.90
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$281.26
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$281.26
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$281.26
|
| Rate for Payer: Cigna Commercial |
$551.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$286.78
|
| Rate for Payer: Oxford Commercial |
$220.60
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$165.45
|
| Rate for Payer: UnitedHealthcare Commercial |
$220.60
|
| Rate for Payer: UnitedHealthcare Community & State |
$34.85
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$31.33
|
|
|
L&D ANESTH: 166-180 MIN
|
Facility
|
IP
|
$6,615.00
|
|
| Hospital Charge Code |
7319037
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$992.25 |
| Max. Negotiated Rate |
$992.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$992.25
|
|
|
L&D ANESTH: 166-180 MIN
|
Facility
|
OP
|
$6,615.00
|
|
| Hospital Charge Code |
7319037
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$187.87 |
| Max. Negotiated Rate |
$3,307.50 |
| Rate for Payer: Aetna Commercial |
$2,513.70
|
| Rate for Payer: Aetna Medicare Advantage |
$1,984.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1,686.83
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1,686.83
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1,686.83
|
| Rate for Payer: Cigna Commercial |
$3,307.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,719.90
|
| Rate for Payer: Oxford Commercial |
$1,323.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$992.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$1,323.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$209.03
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$187.87
|
|
|
L&D ANESTH: 181-195 MIN
|
Facility
|
IP
|
$7,166.00
|
|
| Hospital Charge Code |
7319039
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$1,074.90 |
| Max. Negotiated Rate |
$1,074.90 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,074.90
|
|
|
L&D ANESTH: 181-195 MIN
|
Facility
|
OP
|
$7,166.00
|
|
| Hospital Charge Code |
7319039
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$203.51 |
| Max. Negotiated Rate |
$3,583.00 |
| Rate for Payer: Aetna Commercial |
$2,723.08
|
| Rate for Payer: Aetna Medicare Advantage |
$2,149.80
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1,827.33
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1,827.33
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1,827.33
|
| Rate for Payer: Cigna Commercial |
$3,583.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,863.16
|
| Rate for Payer: Oxford Commercial |
$1,433.20
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,074.90
|
| Rate for Payer: UnitedHealthcare Commercial |
$1,433.20
|
| Rate for Payer: UnitedHealthcare Community & State |
$226.45
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$203.51
|
|
|
L&D ANESTH: 196-210 MIN
|
Facility
|
OP
|
$7,718.00
|
|
| Hospital Charge Code |
7319041
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$219.19 |
| Max. Negotiated Rate |
$3,859.00 |
| Rate for Payer: Aetna Commercial |
$2,932.84
|
| Rate for Payer: Aetna Medicare Advantage |
$2,315.40
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1,968.09
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1,968.09
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1,968.09
|
| Rate for Payer: Cigna Commercial |
$3,859.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$2,006.68
|
| Rate for Payer: Oxford Commercial |
$1,543.60
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,157.70
|
| Rate for Payer: UnitedHealthcare Commercial |
$1,543.60
|
| Rate for Payer: UnitedHealthcare Community & State |
$243.89
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$219.19
|
|
|
L&D ANESTH: 196-210 MIN
|
Facility
|
IP
|
$7,718.00
|
|
| Hospital Charge Code |
7319041
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$1,157.70 |
| Max. Negotiated Rate |
$1,157.70 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,157.70
|
|
|
L&D ANESTH: 211-225 MIN
|
Facility
|
IP
|
$8,269.00
|
|
| Hospital Charge Code |
7319043
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$1,240.35 |
| Max. Negotiated Rate |
$1,240.35 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,240.35
|
|
|
L&D ANESTH: 211-225 MIN
|
Facility
|
OP
|
$8,269.00
|
|
| Hospital Charge Code |
7319043
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$234.84 |
| Max. Negotiated Rate |
$4,134.50 |
| Rate for Payer: Aetna Commercial |
$3,142.22
|
| Rate for Payer: Aetna Medicare Advantage |
$2,480.70
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$2,108.59
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$2,108.59
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$2,108.59
|
| Rate for Payer: Cigna Commercial |
$4,134.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$2,149.94
|
| Rate for Payer: Oxford Commercial |
$1,653.80
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,240.35
|
| Rate for Payer: UnitedHealthcare Commercial |
$1,653.80
|
| Rate for Payer: UnitedHealthcare Community & State |
$261.30
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$234.84
|
|
|
L&D ANESTH: 226-240 MIN
|
Facility
|
IP
|
$8,820.00
|
|
| Hospital Charge Code |
7319045
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$1,323.00 |
| Max. Negotiated Rate |
$1,323.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,323.00
|
|
|
L&D ANESTH: 226-240 MIN
|
Facility
|
OP
|
$8,820.00
|
|
| Hospital Charge Code |
7319045
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$250.49 |
| Max. Negotiated Rate |
$4,410.00 |
| Rate for Payer: Aetna Commercial |
$3,351.60
|
| Rate for Payer: Aetna Medicare Advantage |
$2,646.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$2,249.10
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$2,249.10
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$2,249.10
|
| Rate for Payer: Cigna Commercial |
$4,410.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$2,293.20
|
| Rate for Payer: Oxford Commercial |
$1,764.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,323.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$1,764.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$278.71
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$250.49
|
|
|
L&D ANESTH: 31-45 MIN
|
Facility
|
IP
|
$1,654.00
|
|
| Hospital Charge Code |
7319021
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$248.10 |
| Max. Negotiated Rate |
$248.10 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$248.10
|
|
|
L&D ANESTH: 31-45 MIN
|
Facility
|
OP
|
$1,654.00
|
|
| Hospital Charge Code |
7319021
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$46.97 |
| Max. Negotiated Rate |
$827.00 |
| Rate for Payer: Aetna Commercial |
$628.52
|
| Rate for Payer: Aetna Medicare Advantage |
$496.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$421.77
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$421.77
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$421.77
|
| Rate for Payer: Cigna Commercial |
$827.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$430.04
|
| Rate for Payer: Oxford Commercial |
$330.80
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$248.10
|
| Rate for Payer: UnitedHealthcare Commercial |
$330.80
|
| Rate for Payer: UnitedHealthcare Community & State |
$52.27
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$46.97
|
|
|
L&D ANESTH: 46-60 MIN
|
Facility
|
IP
|
$2,205.00
|
|
| Hospital Charge Code |
7319023
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$330.75 |
| Max. Negotiated Rate |
$330.75 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$330.75
|
|
|
L&D ANESTH: 46-60 MIN
|
Facility
|
OP
|
$2,205.00
|
|
| Hospital Charge Code |
7319023
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$62.62 |
| Max. Negotiated Rate |
$1,102.50 |
| Rate for Payer: Aetna Commercial |
$837.90
|
| Rate for Payer: Aetna Medicare Advantage |
$661.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$562.27
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$562.27
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$562.27
|
| Rate for Payer: Cigna Commercial |
$1,102.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$573.30
|
| Rate for Payer: Oxford Commercial |
$441.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$330.75
|
| Rate for Payer: UnitedHealthcare Commercial |
$441.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$69.68
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$62.62
|
|
|
L&D ANESTH: 61-75 MIN
|
Facility
|
OP
|
$2,756.00
|
|
| Hospital Charge Code |
7319025
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$78.27 |
| Max. Negotiated Rate |
$1,378.00 |
| Rate for Payer: Aetna Commercial |
$1,047.28
|
| Rate for Payer: Aetna Medicare Advantage |
$826.80
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$702.78
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$702.78
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$702.78
|
| Rate for Payer: Cigna Commercial |
$1,378.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$716.56
|
| Rate for Payer: Oxford Commercial |
$551.20
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$413.40
|
| Rate for Payer: UnitedHealthcare Commercial |
$551.20
|
| Rate for Payer: UnitedHealthcare Community & State |
$87.09
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$78.27
|
|
|
L&D ANESTH: 61-75 MIN
|
Facility
|
IP
|
$2,756.00
|
|
| Hospital Charge Code |
7319025
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$413.40 |
| Max. Negotiated Rate |
$413.40 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$413.40
|
|
|
L&D ANESTH: 76-90 MIN
|
Facility
|
IP
|
$3,308.00
|
|
| Hospital Charge Code |
7319026
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$496.20 |
| Max. Negotiated Rate |
$496.20 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$496.20
|
|
|
L&D ANESTH: 76-90 MIN
|
Facility
|
OP
|
$3,308.00
|
|
| Hospital Charge Code |
7319026
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$93.95 |
| Max. Negotiated Rate |
$1,654.00 |
| Rate for Payer: Aetna Commercial |
$1,257.04
|
| Rate for Payer: Aetna Medicare Advantage |
$992.40
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$843.54
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$843.54
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$843.54
|
| Rate for Payer: Cigna Commercial |
$1,654.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$860.08
|
| Rate for Payer: Oxford Commercial |
$661.60
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$496.20
|
| Rate for Payer: UnitedHealthcare Commercial |
$661.60
|
| Rate for Payer: UnitedHealthcare Community & State |
$104.53
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$93.95
|
|
|
L&D ANESTH: 91-105 MIN
|
Facility
|
IP
|
$3,859.00
|
|
| Hospital Charge Code |
7319027
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$578.85 |
| Max. Negotiated Rate |
$578.85 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$578.85
|
|
|
L&D ANESTH: 91-105 MIN
|
Facility
|
OP
|
$3,859.00
|
|
| Hospital Charge Code |
7319027
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$109.60 |
| Max. Negotiated Rate |
$1,929.50 |
| Rate for Payer: Aetna Commercial |
$1,466.42
|
| Rate for Payer: Aetna Medicare Advantage |
$1,157.70
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$984.04
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$984.04
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$984.04
|
| Rate for Payer: Cigna Commercial |
$1,929.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,003.34
|
| Rate for Payer: Oxford Commercial |
$771.80
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$578.85
|
| Rate for Payer: UnitedHealthcare Commercial |
$771.80
|
| Rate for Payer: UnitedHealthcare Community & State |
$121.94
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$109.60
|
|