|
OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS
|
Facility
|
IP
|
$9,384.06
|
|
|
Service Code
|
APR-DRG 6632
|
| Min. Negotiated Rate |
$9,200.06 |
| Max. Negotiated Rate |
$9,384.06 |
| Rate for Payer: UnitedHealthcare Community & State |
$9,200.06
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$9,384.06
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$9,200.06
|
|
|
OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS
|
Facility
|
IP
|
$6,542.98
|
|
|
Service Code
|
APR-DRG 6631
|
| Min. Negotiated Rate |
$6,414.69 |
| Max. Negotiated Rate |
$6,542.98 |
| Rate for Payer: UnitedHealthcare Community & State |
$6,414.69
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$6,542.98
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$6,414.69
|
|
|
OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$56,087.90
|
|
|
Service Code
|
MSDRG 818
|
| Min. Negotiated Rate |
$2,075.00 |
| Max. Negotiated Rate |
$56,087.90 |
| Rate for Payer: Aetna Commercial |
$41,804.94
|
| Rate for Payer: Aetna Medicare Advantage |
$56,087.90
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$39,618.15
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$39,618.15
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$17,976.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$2,075.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$39,618.15
|
| Rate for Payer: Cigna Commercial |
$23,501.28
|
| Rate for Payer: Cigna Medicare Advantage |
$17,976.89
|
| Rate for Payer: Clover Medicare Advantage |
$17,078.05
|
| Rate for Payer: EmblemHealth Commercial |
$53,930.67
|
| Rate for Payer: Humana Medicare Advantage |
$18,516.20
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$17,976.89
|
| Rate for Payer: Oxford Commercial |
$18,575.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$24,863.31
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$17,976.89
|
| Rate for Payer: Wellcare Medicare Advantage |
$17,976.89
|
|
|
OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$91,548.48
|
|
|
Service Code
|
MSDRG 817
|
| Min. Negotiated Rate |
$2,075.00 |
| Max. Negotiated Rate |
$91,548.48 |
| Rate for Payer: Aetna Commercial |
$67,060.38
|
| Rate for Payer: Aetna Medicare Advantage |
$91,548.48
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$78,128.10
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$78,128.10
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$29,342.46
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$2,075.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$78,128.10
|
| Rate for Payer: Cigna Commercial |
$37,630.58
|
| Rate for Payer: Cigna Medicare Advantage |
$29,342.46
|
| Rate for Payer: Clover Medicare Advantage |
$27,875.34
|
| Rate for Payer: EmblemHealth Commercial |
$88,027.38
|
| Rate for Payer: Humana Medicare Advantage |
$30,222.73
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$29,342.46
|
| Rate for Payer: Oxford Commercial |
$29,742.56
|
| Rate for Payer: UnitedHealthcare Commercial |
$39,811.48
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$29,342.46
|
| Rate for Payer: Wellcare Medicare Advantage |
$29,342.46
|
|
|
OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$46,631.93
|
|
|
Service Code
|
MSDRG 819
|
| Min. Negotiated Rate |
$2,075.00 |
| Max. Negotiated Rate |
$46,631.93 |
| Rate for Payer: Aetna Commercial |
$35,070.31
|
| Rate for Payer: Aetna Medicare Advantage |
$46,631.93
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$25,211.55
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$25,211.55
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$14,946.13
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$2,075.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$25,211.55
|
| Rate for Payer: Cigna Commercial |
$19,169.75
|
| Rate for Payer: Cigna Medicare Advantage |
$14,946.13
|
| Rate for Payer: Clover Medicare Advantage |
$14,198.82
|
| Rate for Payer: EmblemHealth Commercial |
$44,838.39
|
| Rate for Payer: Humana Medicare Advantage |
$15,394.51
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$14,946.13
|
| Rate for Payer: Oxford Commercial |
$15,151.44
|
| Rate for Payer: UnitedHealthcare Commercial |
$20,280.74
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$14,946.13
|
| Rate for Payer: Wellcare Medicare Advantage |
$14,946.13
|
|
|
OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$42,262.58
|
|
|
Service Code
|
MSDRG 832
|
| Min. Negotiated Rate |
$12,714.59 |
| Max. Negotiated Rate |
$42,262.58 |
| Rate for Payer: Aetna Commercial |
$31,958.39
|
| Rate for Payer: Aetna Medicare Advantage |
$42,262.58
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$20,501.70
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$20,501.70
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$13,545.70
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$20,501.70
|
| Rate for Payer: Cigna Commercial |
$16,086.63
|
| Rate for Payer: Cigna Medicare Advantage |
$13,545.70
|
| Rate for Payer: Clover Medicare Advantage |
$12,868.42
|
| Rate for Payer: EmblemHealth Commercial |
$40,637.10
|
| Rate for Payer: Humana Medicare Advantage |
$13,952.07
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$13,545.70
|
| Rate for Payer: Oxford Commercial |
$12,714.59
|
| Rate for Payer: UnitedHealthcare Commercial |
$17,018.94
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$13,545.70
|
| Rate for Payer: Wellcare Medicare Advantage |
$13,545.70
|
|
|
OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$57,455.92
|
|
|
Service Code
|
MSDRG 831
|
| Min. Negotiated Rate |
$17,494.59 |
| Max. Negotiated Rate |
$57,455.92 |
| Rate for Payer: Aetna Commercial |
$42,779.27
|
| Rate for Payer: Aetna Medicare Advantage |
$57,455.92
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$29,921.40
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$29,921.40
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$18,415.36
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$29,921.40
|
| Rate for Payer: Cigna Commercial |
$26,807.33
|
| Rate for Payer: Cigna Medicare Advantage |
$18,415.36
|
| Rate for Payer: Clover Medicare Advantage |
$17,494.59
|
| Rate for Payer: EmblemHealth Commercial |
$55,246.08
|
| Rate for Payer: Humana Medicare Advantage |
$18,967.82
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$18,415.36
|
| Rate for Payer: Oxford Commercial |
$21,188.05
|
| Rate for Payer: UnitedHealthcare Commercial |
$28,360.96
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$18,415.36
|
| Rate for Payer: Wellcare Medicare Advantage |
$18,415.36
|
|
|
OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$35,984.89
|
|
|
Service Code
|
MSDRG 833
|
| Min. Negotiated Rate |
$9,213.50 |
| Max. Negotiated Rate |
$35,984.89 |
| Rate for Payer: Aetna Commercial |
$27,487.35
|
| Rate for Payer: Aetna Medicare Advantage |
$35,984.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$14,129.55
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$14,129.55
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$11,533.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$14,129.55
|
| Rate for Payer: Cigna Commercial |
$11,657.01
|
| Rate for Payer: Cigna Medicare Advantage |
$11,533.62
|
| Rate for Payer: Clover Medicare Advantage |
$10,956.94
|
| Rate for Payer: EmblemHealth Commercial |
$34,600.86
|
| Rate for Payer: Humana Medicare Advantage |
$11,879.63
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$11,533.62
|
| Rate for Payer: Oxford Commercial |
$9,213.50
|
| Rate for Payer: UnitedHealthcare Commercial |
$12,332.60
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$11,533.62
|
| Rate for Payer: Wellcare Medicare Advantage |
$11,533.62
|
|
|
OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES
|
Facility
|
IP
|
$8,165.10
|
|
|
Service Code
|
APR-DRG 3471
|
| Min. Negotiated Rate |
$8,005.00 |
| Max. Negotiated Rate |
$8,165.10 |
| Rate for Payer: UnitedHealthcare Community & State |
$8,005.00
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$8,165.10
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$8,005.00
|
|
|
OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES
|
Facility
|
IP
|
$10,346.06
|
|
|
Service Code
|
APR-DRG 3472
|
| Min. Negotiated Rate |
$10,143.20 |
| Max. Negotiated Rate |
$10,346.06 |
| Rate for Payer: UnitedHealthcare Community & State |
$10,143.20
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$10,346.06
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$10,143.20
|
|
|
OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES
|
Facility
|
IP
|
$26,020.36
|
|
|
Service Code
|
APR-DRG 3474
|
| Min. Negotiated Rate |
$25,510.16 |
| Max. Negotiated Rate |
$26,020.36 |
| Rate for Payer: UnitedHealthcare Community & State |
$25,510.16
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$26,020.36
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$25,510.16
|
|
|
OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES
|
Facility
|
IP
|
$14,196.90
|
|
|
Service Code
|
APR-DRG 3473
|
| Min. Negotiated Rate |
$13,918.53 |
| Max. Negotiated Rate |
$14,196.90 |
| Rate for Payer: UnitedHealthcare Community & State |
$13,918.53
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$14,196.90
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$13,918.53
|
|
|
OTHER BLADDER PROCEDURES
|
Facility
|
IP
|
$23,064.19
|
|
|
Service Code
|
APR-DRG 4453
|
| Min. Negotiated Rate |
$22,611.95 |
| Max. Negotiated Rate |
$23,064.19 |
| Rate for Payer: UnitedHealthcare Community & State |
$22,611.95
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$23,064.19
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$22,611.95
|
|
|
OTHER BLADDER PROCEDURES
|
Facility
|
IP
|
$16,415.80
|
|
|
Service Code
|
APR-DRG 4452
|
| Min. Negotiated Rate |
$16,093.92 |
| Max. Negotiated Rate |
$16,415.80 |
| Rate for Payer: UnitedHealthcare Community & State |
$16,093.92
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$16,415.80
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$16,093.92
|
|
|
OTHER BLADDER PROCEDURES
|
Facility
|
IP
|
$44,059.65
|
|
|
Service Code
|
APR-DRG 4454
|
| Min. Negotiated Rate |
$43,195.74 |
| Max. Negotiated Rate |
$44,059.65 |
| Rate for Payer: UnitedHealthcare Community & State |
$43,195.74
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$44,059.65
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$43,195.74
|
|
|
OTHER BLADDER PROCEDURES
|
Facility
|
IP
|
$13,390.75
|
|
|
Service Code
|
APR-DRG 4451
|
| Min. Negotiated Rate |
$13,128.19 |
| Max. Negotiated Rate |
$13,390.75 |
| Rate for Payer: UnitedHealthcare Community & State |
$13,128.19
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$13,390.75
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$13,128.19
|
|
|
OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES
|
Facility
|
IP
|
$61,885.44
|
|
|
Service Code
|
APR-DRG 1673
|
| Min. Negotiated Rate |
$60,672.00 |
| Max. Negotiated Rate |
$61,885.44 |
| Rate for Payer: UnitedHealthcare Community & State |
$60,672.00
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$61,885.44
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$60,672.00
|
|
|
OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES
|
Facility
|
IP
|
$39,833.85
|
|
|
Service Code
|
APR-DRG 1671
|
| Min. Negotiated Rate |
$39,052.79 |
| Max. Negotiated Rate |
$39,833.85 |
| Rate for Payer: UnitedHealthcare Community & State |
$39,052.79
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$39,833.85
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$39,052.79
|
|
|
OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES
|
Facility
|
IP
|
$41,776.12
|
|
|
Service Code
|
APR-DRG 1672
|
| Min. Negotiated Rate |
$40,956.98 |
| Max. Negotiated Rate |
$41,776.12 |
| Rate for Payer: UnitedHealthcare Community & State |
$40,956.98
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$41,776.12
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$40,956.98
|
|
|
OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES
|
Facility
|
IP
|
$102,296.57
|
|
|
Service Code
|
APR-DRG 1674
|
| Min. Negotiated Rate |
$100,290.75 |
| Max. Negotiated Rate |
$102,296.57 |
| Rate for Payer: UnitedHealthcare Community & State |
$100,290.75
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$102,296.57
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$100,290.75
|
|
|
OTHER CARDIOTHORACIC PROCEDURES WITH MCC
|
Facility
|
IP
|
$175,770.63
|
|
|
Service Code
|
MSDRG 228
|
| Min. Negotiated Rate |
$53,519.90 |
| Max. Negotiated Rate |
$175,770.63 |
| Rate for Payer: Aetna Commercial |
$127,044.36
|
| Rate for Payer: Aetna Medicare Advantage |
$175,770.63
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$139,633.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$139,633.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$56,336.74
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$139,633.20
|
| Rate for Payer: Cigna Commercial |
$110,292.39
|
| Rate for Payer: Cigna Medicare Advantage |
$56,336.74
|
| Rate for Payer: Clover Medicare Advantage |
$53,519.90
|
| Rate for Payer: EmblemHealth Commercial |
$169,010.22
|
| Rate for Payer: Humana Medicare Advantage |
$58,026.84
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$56,336.74
|
| Rate for Payer: Oxford Commercial |
$87,173.19
|
| Rate for Payer: UnitedHealthcare Commercial |
$116,684.43
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$56,336.74
|
| Rate for Payer: Wellcare Medicare Advantage |
$56,336.74
|
|
|
OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC
|
Facility
|
IP
|
$118,968.56
|
|
|
Service Code
|
MSDRG 229
|
| Min. Negotiated Rate |
$36,224.40 |
| Max. Negotiated Rate |
$118,968.56 |
| Rate for Payer: Aetna Commercial |
$86,589.29
|
| Rate for Payer: Aetna Medicare Advantage |
$118,968.56
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$88,101.90
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$88,101.90
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$38,130.95
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$88,101.90
|
| Rate for Payer: Cigna Commercial |
$70,211.80
|
| Rate for Payer: Cigna Medicare Advantage |
$38,130.95
|
| Rate for Payer: Clover Medicare Advantage |
$36,224.40
|
| Rate for Payer: EmblemHealth Commercial |
$114,392.85
|
| Rate for Payer: Humana Medicare Advantage |
$39,274.88
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$38,130.95
|
| Rate for Payer: Oxford Commercial |
$55,494.19
|
| Rate for Payer: UnitedHealthcare Commercial |
$74,280.96
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$38,130.95
|
| Rate for Payer: Wellcare Medicare Advantage |
$38,130.95
|
|
|
OTHER CEREBROVASCULAR DISORDERS WITH CC
|
Facility
|
IP
|
$51,879.61
|
|
|
Service Code
|
MSDRG 071
|
| Min. Negotiated Rate |
$15,796.68 |
| Max. Negotiated Rate |
$51,879.61 |
| Rate for Payer: Aetna Medicare Advantage |
$51,879.61
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$16,628.08
|
| Rate for Payer: Cigna Commercial |
$22,872.62
|
| Rate for Payer: Cigna Medicare Advantage |
$16,628.08
|
| Rate for Payer: Clover Medicare Advantage |
$15,796.68
|
| Rate for Payer: EmblemHealth Commercial |
$49,884.24
|
| Rate for Payer: Humana Medicare Advantage |
$17,126.92
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$16,628.08
|
| Rate for Payer: Oxford Commercial |
$18,078.12
|
| Rate for Payer: UnitedHealthcare Commercial |
$24,198.21
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$16,628.08
|
| Rate for Payer: Wellcare Medicare Advantage |
$16,628.08
|
|
|
OTHER CEREBROVASCULAR DISORDERS WITH MCC
|
Facility
|
IP
|
$72,061.64
|
|
|
Service Code
|
MSDRG 070
|
| Min. Negotiated Rate |
$21,941.85 |
| Max. Negotiated Rate |
$72,061.64 |
| Rate for Payer: Aetna Medicare Advantage |
$72,061.64
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$23,096.68
|
| Rate for Payer: Cigna Commercial |
$37,113.39
|
| Rate for Payer: Cigna Medicare Advantage |
$23,096.68
|
| Rate for Payer: Clover Medicare Advantage |
$21,941.85
|
| Rate for Payer: EmblemHealth Commercial |
$69,290.04
|
| Rate for Payer: Humana Medicare Advantage |
$23,789.58
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$23,096.68
|
| Rate for Payer: Oxford Commercial |
$29,333.78
|
| Rate for Payer: UnitedHealthcare Commercial |
$39,264.31
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$23,096.68
|
| Rate for Payer: Wellcare Medicare Advantage |
$23,096.68
|
|
|
OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC
|
Facility
|
IP
|
$43,355.74
|
|
|
Service Code
|
MSDRG 072
|
| Min. Negotiated Rate |
$13,201.27 |
| Max. Negotiated Rate |
$43,355.74 |
| Rate for Payer: Aetna Medicare Advantage |
$43,355.74
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$13,896.07
|
| Rate for Payer: Cigna Commercial |
$16,857.97
|
| Rate for Payer: Cigna Medicare Advantage |
$13,896.07
|
| Rate for Payer: Clover Medicare Advantage |
$13,201.27
|
| Rate for Payer: EmblemHealth Commercial |
$41,688.21
|
| Rate for Payer: Humana Medicare Advantage |
$14,312.95
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$13,896.07
|
| Rate for Payer: Oxford Commercial |
$13,324.24
|
| Rate for Payer: UnitedHealthcare Commercial |
$17,834.98
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$13,896.07
|
| Rate for Payer: Wellcare Medicare Advantage |
$13,896.07
|
|