|
NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM
|
Facility
|
IP
|
$2,092.52
|
|
|
Service Code
|
APR-DRG 6261
|
| Min. Negotiated Rate |
$2,051.49 |
| Max. Negotiated Rate |
$2,092.52 |
| Rate for Payer: UnitedHealthcare Community & State |
$2,051.49
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$2,092.52
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$2,051.49
|
|
|
NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM
|
Facility
|
IP
|
$31,036.80
|
|
|
Service Code
|
APR-DRG 6264
|
| Min. Negotiated Rate |
$30,428.24 |
| Max. Negotiated Rate |
$31,036.80 |
| Rate for Payer: UnitedHealthcare Community & State |
$30,428.24
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$31,036.80
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$30,428.24
|
|
|
NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION
|
Facility
|
IP
|
$12,104.38
|
|
|
Service Code
|
APR-DRG 6231
|
| Min. Negotiated Rate |
$11,867.04 |
| Max. Negotiated Rate |
$12,104.38 |
| Rate for Payer: UnitedHealthcare Community & State |
$11,867.04
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$12,104.38
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$11,867.04
|
|
|
NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION
|
Facility
|
IP
|
$19,706.25
|
|
|
Service Code
|
APR-DRG 6232
|
| Min. Negotiated Rate |
$19,319.85 |
| Max. Negotiated Rate |
$19,706.25 |
| Rate for Payer: UnitedHealthcare Community & State |
$19,319.85
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$19,706.25
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$19,319.85
|
|
|
NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION
|
Facility
|
IP
|
$44,271.71
|
|
|
Service Code
|
APR-DRG 6233
|
| Min. Negotiated Rate |
$43,403.64 |
| Max. Negotiated Rate |
$44,271.71 |
| Rate for Payer: UnitedHealthcare Community & State |
$43,403.64
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$44,271.71
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$43,403.64
|
|
|
NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION
|
Facility
|
IP
|
$52,390.43
|
|
|
Service Code
|
APR-DRG 6234
|
| Min. Negotiated Rate |
$51,363.17 |
| Max. Negotiated Rate |
$52,390.43 |
| Rate for Payer: UnitedHealthcare Community & State |
$51,363.17
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$52,390.43
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$51,363.17
|
|
|
NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY
|
Facility
|
IP
|
$79,426.16
|
|
|
Service Code
|
APR-DRG 6214
|
| Min. Negotiated Rate |
$77,868.78 |
| Max. Negotiated Rate |
$79,426.16 |
| Rate for Payer: UnitedHealthcare Community & State |
$77,868.78
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$79,426.16
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$77,868.78
|
|
|
NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY
|
Facility
|
IP
|
$4,996.80
|
|
|
Service Code
|
APR-DRG 6211
|
| Min. Negotiated Rate |
$4,898.82 |
| Max. Negotiated Rate |
$4,996.80 |
| Rate for Payer: UnitedHealthcare Community & State |
$4,898.82
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$4,996.80
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$4,898.82
|
|
|
NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY
|
Facility
|
IP
|
$17,452.27
|
|
|
Service Code
|
APR-DRG 6212
|
| Min. Negotiated Rate |
$17,110.07 |
| Max. Negotiated Rate |
$17,452.27 |
| Rate for Payer: UnitedHealthcare Community & State |
$17,110.07
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$17,452.27
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$17,110.07
|
|
|
NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY
|
Facility
|
IP
|
$38,668.24
|
|
|
Service Code
|
APR-DRG 6213
|
| Min. Negotiated Rate |
$37,910.04 |
| Max. Negotiated Rate |
$38,668.24 |
| Rate for Payer: UnitedHealthcare Community & State |
$37,910.04
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$38,668.24
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$37,910.04
|
|
|
NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION
|
Facility
|
IP
|
$13,924.43
|
|
|
Service Code
|
APR-DRG 6251
|
| Min. Negotiated Rate |
$13,651.40 |
| Max. Negotiated Rate |
$13,924.43 |
| Rate for Payer: UnitedHealthcare Community & State |
$13,651.40
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$13,924.43
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$13,651.40
|
|
|
NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION
|
Facility
|
IP
|
$36,315.91
|
|
|
Service Code
|
APR-DRG 6253
|
| Min. Negotiated Rate |
$35,603.83 |
| Max. Negotiated Rate |
$36,315.91 |
| Rate for Payer: UnitedHealthcare Community & State |
$35,603.83
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$36,315.91
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$35,603.83
|
|
|
NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION
|
Facility
|
IP
|
$17,926.90
|
|
|
Service Code
|
APR-DRG 6252
|
| Min. Negotiated Rate |
$17,575.39 |
| Max. Negotiated Rate |
$17,926.90 |
| Rate for Payer: UnitedHealthcare Community & State |
$17,575.39
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$17,926.90
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$17,575.39
|
|
|
NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION
|
Facility
|
IP
|
$52,620.76
|
|
|
Service Code
|
APR-DRG 6254
|
| Min. Negotiated Rate |
$51,588.98 |
| Max. Negotiated Rate |
$52,620.76 |
| Rate for Payer: UnitedHealthcare Community & State |
$51,588.98
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$52,620.76
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$51,588.98
|
|
|
NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION
|
Facility
|
IP
|
$29,348.75
|
|
|
Service Code
|
APR-DRG 6222
|
| Min. Negotiated Rate |
$28,773.28 |
| Max. Negotiated Rate |
$29,348.75 |
| Rate for Payer: UnitedHealthcare Community & State |
$28,773.28
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$29,348.75
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$28,773.28
|
|
|
NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION
|
Facility
|
IP
|
$19,546.18
|
|
|
Service Code
|
APR-DRG 6221
|
| Min. Negotiated Rate |
$19,162.92 |
| Max. Negotiated Rate |
$19,546.18 |
| Rate for Payer: UnitedHealthcare Community & State |
$19,162.92
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$19,546.18
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$19,162.92
|
|
|
NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION
|
Facility
|
IP
|
$54,741.38
|
|
|
Service Code
|
APR-DRG 6224
|
| Min. Negotiated Rate |
$53,668.02 |
| Max. Negotiated Rate |
$54,741.38 |
| Rate for Payer: UnitedHealthcare Community & State |
$53,668.02
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$54,741.38
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$53,668.02
|
|
|
NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION
|
Facility
|
IP
|
$32,915.90
|
|
|
Service Code
|
APR-DRG 6223
|
| Min. Negotiated Rate |
$32,270.49 |
| Max. Negotiated Rate |
$32,915.90 |
| Rate for Payer: UnitedHealthcare Community & State |
$32,270.49
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$32,915.90
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$32,270.49
|
|
|
NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM
|
Facility
|
IP
|
$3,488.46
|
|
|
Service Code
|
APR-DRG 6403
|
| Min. Negotiated Rate |
$3,420.06 |
| Max. Negotiated Rate |
$3,488.46 |
| Rate for Payer: UnitedHealthcare Community & State |
$3,420.06
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$3,488.46
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$3,420.06
|
|
|
NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM
|
Facility
|
IP
|
$1,464.80
|
|
|
Service Code
|
APR-DRG 6401
|
| Min. Negotiated Rate |
$1,436.08 |
| Max. Negotiated Rate |
$1,464.80 |
| Rate for Payer: UnitedHealthcare Community & State |
$1,436.08
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$1,464.80
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$1,436.08
|
|
|
NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM
|
Facility
|
IP
|
$26,962.71
|
|
|
Service Code
|
APR-DRG 6404
|
| Min. Negotiated Rate |
$26,434.03 |
| Max. Negotiated Rate |
$26,962.71 |
| Rate for Payer: UnitedHealthcare Community & State |
$26,434.03
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$26,962.71
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$26,434.03
|
|
|
NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM
|
Facility
|
IP
|
$1,939.43
|
|
|
Service Code
|
APR-DRG 6402
|
| Min. Negotiated Rate |
$1,901.40 |
| Max. Negotiated Rate |
$1,939.43 |
| Rate for Payer: UnitedHealthcare Community & State |
$1,901.40
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$1,939.43
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$1,901.40
|
|
|
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION
|
Facility
|
IP
|
$40,134.42
|
|
|
Service Code
|
APR-DRG 6364
|
| Min. Negotiated Rate |
$39,347.47 |
| Max. Negotiated Rate |
$40,134.42 |
| Rate for Payer: UnitedHealthcare Community & State |
$39,347.47
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$40,134.42
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$39,347.47
|
|
|
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION
|
Facility
|
IP
|
$26,815.22
|
|
|
Service Code
|
APR-DRG 6363
|
| Min. Negotiated Rate |
$26,289.43 |
| Max. Negotiated Rate |
$26,815.22 |
| Rate for Payer: UnitedHealthcare Community & State |
$26,289.43
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$26,815.22
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$26,289.43
|
|
|
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION
|
Facility
|
IP
|
$12,035.51
|
|
|
Service Code
|
APR-DRG 6362
|
| Min. Negotiated Rate |
$11,799.52 |
| Max. Negotiated Rate |
$12,035.51 |
| Rate for Payer: UnitedHealthcare Community & State |
$11,799.52
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$12,035.51
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$11,799.52
|
|