|
L&D OR: 151-165 MIN
|
Facility
|
IP
|
$18,191.00
|
|
| Hospital Charge Code |
7319099
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$2,728.65 |
| Max. Negotiated Rate |
$2,728.65 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$2,728.65
|
|
|
L&D OR: 16-30 MIN
|
Facility
|
OP
|
$3,308.00
|
|
| Hospital Charge Code |
7319081
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$93.95 |
| Max. Negotiated Rate |
$3,536.00 |
| 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) NJ Health |
$3,536.00
|
| 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: Qualcare PPO/HMO/WC |
$496.20
|
| Rate for Payer: UnitedHealthcare Community & State |
$104.53
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$93.95
|
|
|
L&D OR: 16-30 MIN
|
Facility
|
IP
|
$3,308.00
|
|
| Hospital Charge Code |
7319081
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$496.20 |
| Max. Negotiated Rate |
$496.20 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$496.20
|
|
|
L&D OR: 166-180 MIN
|
Facility
|
OP
|
$18,191.00
|
|
| Hospital Charge Code |
7319101
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$516.62 |
| Max. Negotiated Rate |
$9,095.50 |
| Rate for Payer: Aetna Commercial |
$6,912.58
|
| Rate for Payer: Aetna Medicare Advantage |
$5,457.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$4,638.70
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$4,638.70
|
| 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 |
$4,638.70
|
| Rate for Payer: Cigna Commercial |
$9,095.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$4,729.66
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$2,728.65
|
| Rate for Payer: UnitedHealthcare Community & State |
$574.84
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$516.62
|
|
|
L&D OR: 166-180 MIN
|
Facility
|
IP
|
$18,191.00
|
|
| Hospital Charge Code |
7319101
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$2,728.65 |
| Max. Negotiated Rate |
$2,728.65 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$2,728.65
|
|
|
L&D OR: 181-195 MIN
|
Facility
|
IP
|
$21,499.00
|
|
| Hospital Charge Code |
7319103
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$3,224.85 |
| Max. Negotiated Rate |
$3,224.85 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$3,224.85
|
|
|
L&D OR: 181-195 MIN
|
Facility
|
OP
|
$21,499.00
|
|
| Hospital Charge Code |
7319103
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$610.57 |
| Max. Negotiated Rate |
$10,749.50 |
| Rate for Payer: Aetna Commercial |
$8,169.62
|
| Rate for Payer: Aetna Medicare Advantage |
$6,449.70
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$5,482.24
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$5,482.24
|
| 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 |
$5,482.24
|
| Rate for Payer: Cigna Commercial |
$10,749.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$5,589.74
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$3,224.85
|
| Rate for Payer: UnitedHealthcare Community & State |
$679.37
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$610.57
|
|
|
L&D OR: 196-210 MIN
|
Facility
|
IP
|
$23,153.00
|
|
| Hospital Charge Code |
7319105
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$3,472.95 |
| Max. Negotiated Rate |
$3,472.95 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$3,472.95
|
|
|
L&D OR: 196-210 MIN
|
Facility
|
OP
|
$23,153.00
|
|
| Hospital Charge Code |
7319105
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$657.55 |
| Max. Negotiated Rate |
$11,576.50 |
| Rate for Payer: Aetna Commercial |
$8,798.14
|
| Rate for Payer: Aetna Medicare Advantage |
$6,945.90
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$5,904.02
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$5,904.02
|
| 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 |
$5,904.02
|
| Rate for Payer: Cigna Commercial |
$11,576.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$6,019.78
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$3,472.95
|
| Rate for Payer: UnitedHealthcare Community & State |
$731.63
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$657.55
|
|
|
L&D OR: 211-225 MIN
|
Facility
|
IP
|
$24,806.00
|
|
| Hospital Charge Code |
7319107
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$3,720.90 |
| Max. Negotiated Rate |
$3,720.90 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$3,720.90
|
|
|
L&D OR: 211-225 MIN
|
Facility
|
OP
|
$24,806.00
|
|
| Hospital Charge Code |
7319107
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$704.49 |
| Max. Negotiated Rate |
$12,403.00 |
| Rate for Payer: Aetna Commercial |
$9,426.28
|
| Rate for Payer: Aetna Medicare Advantage |
$7,441.80
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$6,325.53
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$6,325.53
|
| 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 |
$6,325.53
|
| Rate for Payer: Cigna Commercial |
$12,403.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$6,449.56
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$3,720.90
|
| Rate for Payer: UnitedHealthcare Community & State |
$783.87
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$704.49
|
|
|
L&D OR: 226-240 MIN
|
Facility
|
IP
|
$26,460.00
|
|
| Hospital Charge Code |
7319109
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$3,969.00 |
| Max. Negotiated Rate |
$3,969.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$3,969.00
|
|
|
L&D OR: 226-240 MIN
|
Facility
|
OP
|
$26,460.00
|
|
| Hospital Charge Code |
7319109
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$751.46 |
| Max. Negotiated Rate |
$13,230.00 |
| Rate for Payer: Aetna Commercial |
$10,054.80
|
| Rate for Payer: Aetna Medicare Advantage |
$7,938.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$6,747.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$6,747.30
|
| 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 |
$6,747.30
|
| Rate for Payer: Cigna Commercial |
$13,230.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$6,879.60
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$3,969.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$836.14
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$751.46
|
|
|
L&D OR: 31-45 MIN
|
Facility
|
IP
|
$4,961.00
|
|
| Hospital Charge Code |
7319083
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$744.15 |
| Max. Negotiated Rate |
$744.15 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$744.15
|
|
|
L&D OR: 31-45 MIN
|
Facility
|
OP
|
$4,961.00
|
|
| Hospital Charge Code |
7319083
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$140.89 |
| Max. Negotiated Rate |
$3,536.00 |
| Rate for Payer: Aetna Commercial |
$1,885.18
|
| Rate for Payer: Aetna Medicare Advantage |
$1,488.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1,265.06
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1,265.06
|
| 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 |
$1,265.06
|
| Rate for Payer: Cigna Commercial |
$2,480.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,289.86
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$744.15
|
| Rate for Payer: UnitedHealthcare Community & State |
$156.77
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$140.89
|
|
|
L&D OR: 46-60 MIN
|
Facility
|
OP
|
$6,615.00
|
|
| Hospital Charge Code |
7319085
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$187.87 |
| Max. Negotiated Rate |
$3,536.00 |
| 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) NJ Health |
$3,536.00
|
| 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: Qualcare PPO/HMO/WC |
$992.25
|
| Rate for Payer: UnitedHealthcare Community & State |
$209.03
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$187.87
|
|
|
L&D OR: 46-60 MIN
|
Facility
|
IP
|
$6,615.00
|
|
| Hospital Charge Code |
7319085
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$992.25 |
| Max. Negotiated Rate |
$992.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$992.25
|
|
|
L&D OR: 61-75 MIN
|
Facility
|
IP
|
$8,269.00
|
|
| Hospital Charge Code |
7319087
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$1,240.35 |
| Max. Negotiated Rate |
$1,240.35 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,240.35
|
|
|
L&D OR: 61-75 MIN
|
Facility
|
OP
|
$8,269.00
|
|
| Hospital Charge Code |
7319087
|
|
Hospital Revenue Code
|
360
|
| 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) NJ Health |
$3,536.00
|
| 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: Qualcare PPO/HMO/WC |
$1,240.35
|
| Rate for Payer: UnitedHealthcare Community & State |
$261.30
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$234.84
|
|
|
L&D OR: 76-90 MIN
|
Facility
|
IP
|
$9,923.00
|
|
| Hospital Charge Code |
7319089
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$1,488.45 |
| Max. Negotiated Rate |
$1,488.45 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,488.45
|
|
|
L&D OR: 76-90 MIN
|
Facility
|
OP
|
$9,923.00
|
|
| Hospital Charge Code |
7319089
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$281.81 |
| Max. Negotiated Rate |
$4,961.50 |
| Rate for Payer: Aetna Commercial |
$3,770.74
|
| Rate for Payer: Aetna Medicare Advantage |
$2,976.90
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$2,530.36
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$2,530.36
|
| 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 |
$2,530.36
|
| Rate for Payer: Cigna Commercial |
$4,961.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$2,579.98
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,488.45
|
| Rate for Payer: UnitedHealthcare Community & State |
$313.57
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$281.81
|
|
|
L&D OR: 91-105 MIN
|
Facility
|
IP
|
$11,576.00
|
|
| Hospital Charge Code |
7319091
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$1,736.40 |
| Max. Negotiated Rate |
$1,736.40 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,736.40
|
|
|
L&D OR: 91-105 MIN
|
Facility
|
OP
|
$11,576.00
|
|
| Hospital Charge Code |
7319091
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$328.76 |
| Max. Negotiated Rate |
$5,788.00 |
| Rate for Payer: Aetna Commercial |
$4,398.88
|
| Rate for Payer: Aetna Medicare Advantage |
$3,472.80
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$2,951.88
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$2,951.88
|
| 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 |
$2,951.88
|
| Rate for Payer: Cigna Commercial |
$5,788.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$3,009.76
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,736.40
|
| Rate for Payer: UnitedHealthcare Community & State |
$365.80
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$328.76
|
|
|
L&D RECOVERY: 106-120 MIN
|
Facility
|
IP
|
$1,323.00
|
|
| Hospital Charge Code |
7319061
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$198.45 |
| Max. Negotiated Rate |
$198.45 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$198.45
|
|
|
L&D RECOVERY: 106-120 MIN
|
Facility
|
OP
|
$1,323.00
|
|
| Hospital Charge Code |
7319061
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$37.57 |
| Max. Negotiated Rate |
$661.50 |
| Rate for Payer: Aetna Commercial |
$502.74
|
| Rate for Payer: Aetna Medicare Advantage |
$396.90
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$337.37
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$337.37
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$337.37
|
| Rate for Payer: Cigna Commercial |
$661.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$343.98
|
| Rate for Payer: Oxford Commercial |
$264.60
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$198.45
|
| Rate for Payer: UnitedHealthcare Commercial |
$264.60
|
| Rate for Payer: UnitedHealthcare Community & State |
$41.81
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$37.57
|
|