|
OTHER DRUG ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$19,408.52
|
|
|
Service Code
|
APR-DRG 7764
|
| Min. Negotiated Rate |
$19,027.96 |
| Max. Negotiated Rate |
$19,408.52 |
| Rate for Payer: UnitedHealthcare Community & State |
$19,027.96
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$19,408.52
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$19,027.96
|
|
|
OTHER DRUG ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$10,322.19
|
|
|
Service Code
|
APR-DRG 7763
|
| Min. Negotiated Rate |
$10,119.79 |
| Max. Negotiated Rate |
$10,322.19 |
| Rate for Payer: UnitedHealthcare Community & State |
$10,119.79
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$10,322.19
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$10,119.79
|
|
|
OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC
|
Facility
|
IP
|
$48,420.12
|
|
|
Service Code
|
MSDRG 155
|
| Min. Negotiated Rate |
$14,743.31 |
| Max. Negotiated Rate |
$48,420.12 |
| Rate for Payer: Aetna Commercial |
$36,343.87
|
| Rate for Payer: Aetna Medicare Advantage |
$48,420.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$26,319.75
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$26,319.75
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$15,519.27
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$26,319.75
|
| Rate for Payer: Cigna Commercial |
$20,431.53
|
| Rate for Payer: Cigna Medicare Advantage |
$15,519.27
|
| Rate for Payer: Clover Medicare Advantage |
$14,743.31
|
| Rate for Payer: EmblemHealth Commercial |
$46,557.81
|
| Rate for Payer: Humana Medicare Advantage |
$15,984.85
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$15,519.27
|
| Rate for Payer: Oxford Commercial |
$16,148.73
|
| Rate for Payer: UnitedHealthcare Commercial |
$21,615.65
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$15,519.27
|
| Rate for Payer: Wellcare Medicare Advantage |
$15,519.27
|
|
|
OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC
|
Facility
|
IP
|
$68,861.15
|
|
|
Service Code
|
MSDRG 154
|
| Min. Negotiated Rate |
$20,967.34 |
| Max. Negotiated Rate |
$68,861.15 |
| Rate for Payer: Aetna Commercial |
$50,902.21
|
| Rate for Payer: Aetna Medicare Advantage |
$68,861.15
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$42,665.70
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$42,665.70
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$22,070.88
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$42,665.70
|
| Rate for Payer: Cigna Commercial |
$34,855.11
|
| Rate for Payer: Cigna Medicare Advantage |
$22,070.88
|
| Rate for Payer: Clover Medicare Advantage |
$20,967.34
|
| Rate for Payer: EmblemHealth Commercial |
$66,212.64
|
| Rate for Payer: Humana Medicare Advantage |
$22,733.01
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$22,070.88
|
| Rate for Payer: Oxford Commercial |
$27,548.87
|
| Rate for Payer: UnitedHealthcare Commercial |
$36,875.15
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$22,070.88
|
| Rate for Payer: Wellcare Medicare Advantage |
$22,070.88
|
|
|
OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$41,299.00
|
|
|
Service Code
|
MSDRG 156
|
| Min. Negotiated Rate |
$12,177.18 |
| Max. Negotiated Rate |
$41,299.00 |
| Rate for Payer: Aetna Commercial |
$31,272.12
|
| Rate for Payer: Aetna Medicare Advantage |
$41,299.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$18,285.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$18,285.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$13,236.86
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$18,285.30
|
| Rate for Payer: Cigna Commercial |
$15,406.69
|
| Rate for Payer: Cigna Medicare Advantage |
$13,236.86
|
| Rate for Payer: Clover Medicare Advantage |
$12,575.02
|
| Rate for Payer: EmblemHealth Commercial |
$39,710.58
|
| Rate for Payer: Humana Medicare Advantage |
$13,633.97
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$13,236.86
|
| Rate for Payer: Oxford Commercial |
$12,177.18
|
| Rate for Payer: UnitedHealthcare Commercial |
$16,299.59
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$13,236.86
|
| Rate for Payer: Wellcare Medicare Advantage |
$13,236.86
|
|
|
OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$74,213.13
|
|
|
Service Code
|
MSDRG 144
|
| Min. Negotiated Rate |
$22,596.95 |
| Max. Negotiated Rate |
$74,213.13 |
| Rate for Payer: Aetna Commercial |
$54,713.96
|
| Rate for Payer: Aetna Medicare Advantage |
$74,213.13
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$47,929.65
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$47,929.65
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$23,786.26
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$47,929.65
|
| Rate for Payer: Cigna Commercial |
$38,631.54
|
| Rate for Payer: Cigna Medicare Advantage |
$23,786.26
|
| Rate for Payer: Clover Medicare Advantage |
$22,596.95
|
| Rate for Payer: EmblemHealth Commercial |
$71,358.78
|
| Rate for Payer: Humana Medicare Advantage |
$24,499.85
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$23,786.26
|
| Rate for Payer: Oxford Commercial |
$30,533.70
|
| Rate for Payer: UnitedHealthcare Commercial |
$40,870.45
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$23,786.26
|
| Rate for Payer: Wellcare Medicare Advantage |
$23,786.26
|
|
|
OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$137,833.08
|
|
|
Service Code
|
MSDRG 143
|
| Min. Negotiated Rate |
$41,968.41 |
| Max. Negotiated Rate |
$137,833.08 |
| Rate for Payer: Aetna Commercial |
$100,024.80
|
| Rate for Payer: Aetna Medicare Advantage |
$137,833.08
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$92,257.65
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$92,257.65
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$44,177.27
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$92,257.65
|
| Rate for Payer: Cigna Commercial |
$83,522.95
|
| Rate for Payer: Cigna Medicare Advantage |
$44,177.27
|
| Rate for Payer: Clover Medicare Advantage |
$41,968.41
|
| Rate for Payer: EmblemHealth Commercial |
$132,531.81
|
| Rate for Payer: Humana Medicare Advantage |
$45,502.59
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$44,177.27
|
| Rate for Payer: Oxford Commercial |
$66,015.09
|
| Rate for Payer: UnitedHealthcare Commercial |
$88,363.56
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$44,177.27
|
| Rate for Payer: Wellcare Medicare Advantage |
$44,177.27
|
|
|
OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$57,449.56
|
|
|
Service Code
|
MSDRG 145
|
| Min. Negotiated Rate |
$17,492.65 |
| Max. Negotiated Rate |
$57,449.56 |
| Rate for Payer: Aetna Commercial |
$42,774.76
|
| Rate for Payer: Aetna Medicare Advantage |
$57,449.56
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$33,800.10
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$33,800.10
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$18,413.32
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$33,800.10
|
| Rate for Payer: Cigna Commercial |
$26,802.87
|
| Rate for Payer: Cigna Medicare Advantage |
$18,413.32
|
| Rate for Payer: Clover Medicare Advantage |
$17,492.65
|
| Rate for Payer: EmblemHealth Commercial |
$55,239.96
|
| Rate for Payer: Humana Medicare Advantage |
$18,965.72
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$18,413.32
|
| Rate for Payer: Oxford Commercial |
$21,184.53
|
| Rate for Payer: UnitedHealthcare Commercial |
$28,356.25
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$18,413.32
|
| Rate for Payer: Wellcare Medicare Advantage |
$18,413.32
|
|
|
OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES
|
Facility
|
IP
|
$13,449.72
|
|
|
Service Code
|
APR-DRG 1153
|
| Min. Negotiated Rate |
$13,186.00 |
| Max. Negotiated Rate |
$13,449.72 |
| Rate for Payer: UnitedHealthcare Community & State |
$13,186.00
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$13,449.72
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$13,186.00
|
|
|
OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES
|
Facility
|
IP
|
$8,662.22
|
|
|
Service Code
|
APR-DRG 1152
|
| Min. Negotiated Rate |
$8,492.37 |
| Max. Negotiated Rate |
$8,662.22 |
| Rate for Payer: UnitedHealthcare Community & State |
$8,492.37
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$8,662.22
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$8,492.37
|
|
|
OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES
|
Facility
|
IP
|
$6,262.14
|
|
|
Service Code
|
APR-DRG 1151
|
| Min. Negotiated Rate |
$6,139.35 |
| Max. Negotiated Rate |
$6,262.14 |
| Rate for Payer: UnitedHealthcare Community & State |
$6,139.35
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$6,262.14
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$6,139.35
|
|
|
OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES
|
Facility
|
IP
|
$23,887.15
|
|
|
Service Code
|
APR-DRG 1154
|
| Min. Negotiated Rate |
$23,418.77 |
| Max. Negotiated Rate |
$23,887.15 |
| Rate for Payer: UnitedHealthcare Community & State |
$23,418.77
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$23,887.15
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$23,418.77
|
|
|
OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES
|
Facility
|
IP
|
$11,521.57
|
|
|
Service Code
|
APR-DRG 0981
|
| Min. Negotiated Rate |
$11,295.66 |
| Max. Negotiated Rate |
$11,521.57 |
| Rate for Payer: UnitedHealthcare Community & State |
$11,295.66
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$11,521.57
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$11,295.66
|
|
|
OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES
|
Facility
|
IP
|
$26,563.86
|
|
|
Service Code
|
APR-DRG 0983
|
| Min. Negotiated Rate |
$26,043.00 |
| Max. Negotiated Rate |
$26,563.86 |
| Rate for Payer: UnitedHealthcare Community & State |
$26,043.00
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$26,563.86
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$26,043.00
|
|
|
OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES
|
Facility
|
IP
|
$50,698.15
|
|
|
Service Code
|
APR-DRG 0984
|
| Min. Negotiated Rate |
$49,704.07 |
| Max. Negotiated Rate |
$50,698.15 |
| Rate for Payer: UnitedHealthcare Community & State |
$49,704.07
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$50,698.15
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$49,704.07
|
|
|
OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES
|
Facility
|
IP
|
$15,790.84
|
|
|
Service Code
|
APR-DRG 0982
|
| Min. Negotiated Rate |
$15,481.22 |
| Max. Negotiated Rate |
$15,790.84 |
| Rate for Payer: UnitedHealthcare Community & State |
$15,481.22
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$15,790.84
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$15,481.22
|
|
|
OTHER ENDOCRINE DISORDERS
|
Facility
|
IP
|
$6,728.39
|
|
|
Service Code
|
APR-DRG 4241
|
| Min. Negotiated Rate |
$6,596.46 |
| Max. Negotiated Rate |
$6,728.39 |
| Rate for Payer: UnitedHealthcare Community & State |
$6,596.46
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$6,728.39
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$6,596.46
|
|
|
OTHER ENDOCRINE DISORDERS
|
Facility
|
IP
|
$24,946.04
|
|
|
Service Code
|
APR-DRG 4244
|
| Min. Negotiated Rate |
$24,456.90 |
| Max. Negotiated Rate |
$24,946.04 |
| Rate for Payer: UnitedHealthcare Community & State |
$24,456.90
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$24,946.04
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$24,456.90
|
|
|
OTHER ENDOCRINE DISORDERS
|
Facility
|
IP
|
$13,834.53
|
|
|
Service Code
|
APR-DRG 4243
|
| Min. Negotiated Rate |
$13,563.26 |
| Max. Negotiated Rate |
$13,834.53 |
| Rate for Payer: UnitedHealthcare Community & State |
$13,563.26
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$13,834.53
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$13,563.26
|
|
|
OTHER ENDOCRINE DISORDERS
|
Facility
|
IP
|
$9,370.02
|
|
|
Service Code
|
APR-DRG 4242
|
| Min. Negotiated Rate |
$9,186.29 |
| Max. Negotiated Rate |
$9,370.02 |
| Rate for Payer: UnitedHealthcare Community & State |
$9,186.29
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$9,370.02
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$9,186.29
|
|
|
OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$88,300.71
|
|
|
Service Code
|
MSDRG 629
|
| Min. Negotiated Rate |
$26,886.43 |
| Max. Negotiated Rate |
$88,300.71 |
| Rate for Payer: Aetna Commercial |
$64,747.29
|
| Rate for Payer: Aetna Medicare Advantage |
$88,300.71
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$62,613.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$62,613.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$28,301.51
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$62,613.30
|
| Rate for Payer: Cigna Commercial |
$48,571.99
|
| Rate for Payer: Cigna Medicare Advantage |
$28,301.51
|
| Rate for Payer: Clover Medicare Advantage |
$26,886.43
|
| Rate for Payer: EmblemHealth Commercial |
$84,904.53
|
| Rate for Payer: Humana Medicare Advantage |
$29,150.56
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$28,301.51
|
| Rate for Payer: Oxford Commercial |
$38,390.46
|
| Rate for Payer: UnitedHealthcare Commercial |
$51,387.00
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$28,301.51
|
| Rate for Payer: Wellcare Medicare Advantage |
$28,301.51
|
|
|
OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$137,207.52
|
|
|
Service Code
|
MSDRG 628
|
| Min. Negotiated Rate |
$41,777.93 |
| Max. Negotiated Rate |
$137,207.52 |
| Rate for Payer: Aetna Commercial |
$99,579.26
|
| Rate for Payer: Aetna Medicare Advantage |
$137,207.52
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$111,097.05
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$111,097.05
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$43,976.77
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$111,097.05
|
| Rate for Payer: Cigna Commercial |
$83,081.55
|
| Rate for Payer: Cigna Medicare Advantage |
$43,976.77
|
| Rate for Payer: Clover Medicare Advantage |
$41,777.93
|
| Rate for Payer: EmblemHealth Commercial |
$131,930.31
|
| Rate for Payer: Humana Medicare Advantage |
$45,296.07
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$43,976.77
|
| Rate for Payer: Oxford Commercial |
$65,666.22
|
| Rate for Payer: UnitedHealthcare Commercial |
$87,896.58
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$43,976.77
|
| Rate for Payer: Wellcare Medicare Advantage |
$43,976.77
|
|
|
OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$65,575.44
|
|
|
Service Code
|
MSDRG 630
|
| Min. Negotiated Rate |
$19,966.88 |
| Max. Negotiated Rate |
$65,575.44 |
| Rate for Payer: Aetna Commercial |
$48,562.09
|
| Rate for Payer: Aetna Medicare Advantage |
$65,575.44
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$38,787.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$38,787.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$21,017.77
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$38,787.00
|
| Rate for Payer: Cigna Commercial |
$32,536.63
|
| Rate for Payer: Cigna Medicare Advantage |
$21,017.77
|
| Rate for Payer: Clover Medicare Advantage |
$19,966.88
|
| Rate for Payer: EmblemHealth Commercial |
$63,053.31
|
| Rate for Payer: Humana Medicare Advantage |
$21,648.30
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$21,017.77
|
| Rate for Payer: Oxford Commercial |
$25,716.39
|
| Rate for Payer: UnitedHealthcare Commercial |
$34,422.31
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$21,017.77
|
| Rate for Payer: Wellcare Medicare Advantage |
$21,017.77
|
|
|
OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC
|
Facility
|
IP
|
$160,463.57
|
|
|
Service Code
|
MSDRG 319
|
| Min. Negotiated Rate |
$48,859.10 |
| Max. Negotiated Rate |
$160,463.57 |
| Rate for Payer: Aetna Commercial |
$116,142.54
|
| Rate for Payer: Aetna Medicare Advantage |
$160,463.57
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$120,793.80
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$120,793.80
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$51,430.63
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$120,793.80
|
| Rate for Payer: Cigna Commercial |
$99,491.43
|
| Rate for Payer: Cigna Medicare Advantage |
$51,430.63
|
| Rate for Payer: Clover Medicare Advantage |
$48,859.10
|
| Rate for Payer: EmblemHealth Commercial |
$154,291.89
|
| Rate for Payer: Humana Medicare Advantage |
$52,973.55
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$51,430.63
|
| Rate for Payer: Oxford Commercial |
$78,636.30
|
| Rate for Payer: UnitedHealthcare Commercial |
$105,257.50
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$51,430.63
|
| Rate for Payer: Wellcare Medicare Advantage |
$51,430.63
|
|
|
OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC
|
Facility
|
IP
|
$95,456.65
|
|
|
Service Code
|
MSDRG 320
|
| Min. Negotiated Rate |
$29,065.33 |
| Max. Negotiated Rate |
$95,456.65 |
| Rate for Payer: Aetna Commercial |
$69,843.84
|
| Rate for Payer: Aetna Medicare Advantage |
$95,456.65
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$61,782.15
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$61,782.15
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$30,595.08
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$61,782.15
|
| Rate for Payer: Cigna Commercial |
$53,621.35
|
| Rate for Payer: Cigna Medicare Advantage |
$30,595.08
|
| Rate for Payer: Clover Medicare Advantage |
$29,065.33
|
| Rate for Payer: EmblemHealth Commercial |
$91,785.24
|
| Rate for Payer: Humana Medicare Advantage |
$31,512.93
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$30,595.08
|
| Rate for Payer: Oxford Commercial |
$42,381.39
|
| Rate for Payer: UnitedHealthcare Commercial |
$56,729.00
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$30,595.08
|
| Rate for Payer: Wellcare Medicare Advantage |
$30,595.08
|
|