|
OTHER ESOPHAGEAL DISORDERS
|
Facility
|
IP
|
$13,501.70
|
|
|
Service Code
|
APR-DRG 2433
|
| Min. Negotiated Rate |
$13,236.96 |
| Max. Negotiated Rate |
$13,501.70 |
| Rate for Payer: UnitedHealthcare Community & State |
$13,236.96
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$13,501.70
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$13,236.96
|
|
|
OTHER ESOPHAGEAL DISORDERS
|
Facility
|
IP
|
$24,611.75
|
|
|
Service Code
|
APR-DRG 2434
|
| Min. Negotiated Rate |
$24,129.17 |
| Max. Negotiated Rate |
$24,611.75 |
| Rate for Payer: UnitedHealthcare Community & State |
$24,129.17
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$24,611.75
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$24,129.17
|
|
|
OTHER ESOPHAGEAL DISORDERS
|
Facility
|
IP
|
$9,201.49
|
|
|
Service Code
|
APR-DRG 2432
|
| Min. Negotiated Rate |
$9,021.07 |
| Max. Negotiated Rate |
$9,201.49 |
| Rate for Payer: UnitedHealthcare Community & State |
$9,021.07
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$9,201.49
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$9,021.07
|
|
|
OTHER ESOPHAGEAL DISORDERS
|
Facility
|
IP
|
$7,241.02
|
|
|
Service Code
|
APR-DRG 2431
|
| Min. Negotiated Rate |
$7,099.04 |
| Max. Negotiated Rate |
$7,241.02 |
| Rate for Payer: UnitedHealthcare Community & State |
$7,099.04
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$7,241.02
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$7,099.04
|
|
|
OTHER FACTORS INFLUENCING HEALTH STATUS
|
Facility
|
IP
|
$37,030.69
|
|
|
Service Code
|
MSDRG 951
|
| Min. Negotiated Rate |
$9,796.72 |
| Max. Negotiated Rate |
$37,030.69 |
| Rate for Payer: Aetna Commercial |
$28,232.19
|
| Rate for Payer: Aetna Medicare Advantage |
$37,030.69
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$16,345.95
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$16,345.95
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$11,868.81
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$16,345.95
|
| Rate for Payer: Cigna Commercial |
$12,394.91
|
| Rate for Payer: Cigna Medicare Advantage |
$11,868.81
|
| Rate for Payer: Clover Medicare Advantage |
$11,275.37
|
| Rate for Payer: EmblemHealth Commercial |
$35,606.43
|
| Rate for Payer: Humana Medicare Advantage |
$12,224.87
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$11,868.81
|
| Rate for Payer: Oxford Commercial |
$9,796.72
|
| Rate for Payer: UnitedHealthcare Commercial |
$13,113.26
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$11,868.81
|
| Rate for Payer: Wellcare Medicare Advantage |
$11,868.81
|
|
|
OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$27,184.59
|
|
|
Service Code
|
APR-DRG 5183
|
| Min. Negotiated Rate |
$26,651.56 |
| Max. Negotiated Rate |
$27,184.59 |
| Rate for Payer: UnitedHealthcare Community & State |
$26,651.56
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$27,184.59
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$26,651.56
|
|
|
OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$51,544.99
|
|
|
Service Code
|
APR-DRG 5184
|
| Min. Negotiated Rate |
$50,534.30 |
| Max. Negotiated Rate |
$51,544.99 |
| Rate for Payer: UnitedHealthcare Community & State |
$50,534.30
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$51,544.99
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$50,534.30
|
|
|
OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$11,348.84
|
|
|
Service Code
|
APR-DRG 5181
|
| Min. Negotiated Rate |
$11,126.31 |
| Max. Negotiated Rate |
$11,348.84 |
| Rate for Payer: UnitedHealthcare Community & State |
$11,126.31
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$11,348.84
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$11,126.31
|
|
|
OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$16,257.11
|
|
|
Service Code
|
APR-DRG 5182
|
| Min. Negotiated Rate |
$15,938.34 |
| Max. Negotiated Rate |
$16,257.11 |
| Rate for Payer: UnitedHealthcare Community & State |
$15,938.34
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$16,257.11
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$15,938.34
|
|
|
OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$100,584.28
|
|
|
Service Code
|
MSDRG 749
|
| Min. Negotiated Rate |
$30,626.62 |
| Max. Negotiated Rate |
$100,584.28 |
| Rate for Payer: Aetna Commercial |
$73,495.77
|
| Rate for Payer: Aetna Medicare Advantage |
$100,584.28
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$69,816.60
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$69,816.60
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$32,238.55
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$69,816.60
|
| Rate for Payer: Cigna Commercial |
$57,239.51
|
| Rate for Payer: Cigna Medicare Advantage |
$32,238.55
|
| Rate for Payer: Clover Medicare Advantage |
$30,626.62
|
| Rate for Payer: EmblemHealth Commercial |
$96,715.65
|
| Rate for Payer: Humana Medicare Advantage |
$33,205.71
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$32,238.55
|
| Rate for Payer: Oxford Commercial |
$45,241.11
|
| Rate for Payer: UnitedHealthcare Commercial |
$60,556.85
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$32,238.55
|
| Rate for Payer: Wellcare Medicare Advantage |
$32,238.55
|
|
|
OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$66,090.46
|
|
|
Service Code
|
MSDRG 750
|
| Min. Negotiated Rate |
$20,123.70 |
| Max. Negotiated Rate |
$66,090.46 |
| Rate for Payer: Aetna Commercial |
$48,928.87
|
| Rate for Payer: Aetna Medicare Advantage |
$66,090.46
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$37,678.80
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$37,678.80
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$21,182.84
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$37,678.80
|
| Rate for Payer: Cigna Commercial |
$32,900.01
|
| Rate for Payer: Cigna Medicare Advantage |
$21,182.84
|
| Rate for Payer: Clover Medicare Advantage |
$20,123.70
|
| Rate for Payer: EmblemHealth Commercial |
$63,548.52
|
| Rate for Payer: Humana Medicare Advantage |
$21,818.33
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$21,182.84
|
| Rate for Payer: Oxford Commercial |
$26,003.60
|
| Rate for Payer: UnitedHealthcare Commercial |
$34,806.74
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$21,182.84
|
| Rate for Payer: Wellcare Medicare Advantage |
$21,182.84
|
|
|
OTHER GASTROENTERITIS, NAUSEA AND VOMITING
|
Facility
|
IP
|
$11,143.77
|
|
|
Service Code
|
APR-DRG 2493
|
| Min. Negotiated Rate |
$10,925.26 |
| Max. Negotiated Rate |
$11,143.77 |
| Rate for Payer: UnitedHealthcare Community & State |
$10,925.26
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$11,143.77
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$10,925.26
|
|
|
OTHER GASTROENTERITIS, NAUSEA AND VOMITING
|
Facility
|
IP
|
$20,511.02
|
|
|
Service Code
|
APR-DRG 2494
|
| Min. Negotiated Rate |
$20,108.84 |
| Max. Negotiated Rate |
$20,511.02 |
| Rate for Payer: UnitedHealthcare Community & State |
$20,108.84
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$20,511.02
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$20,108.84
|
|
|
OTHER GASTROENTERITIS, NAUSEA AND VOMITING
|
Facility
|
IP
|
$6,205.94
|
|
|
Service Code
|
APR-DRG 2491
|
| Min. Negotiated Rate |
$6,084.25 |
| Max. Negotiated Rate |
$6,205.94 |
| Rate for Payer: UnitedHealthcare Community & State |
$6,084.25
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$6,205.94
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$6,084.25
|
|
|
OTHER GASTROENTERITIS, NAUSEA AND VOMITING
|
Facility
|
IP
|
$7,752.19
|
|
|
Service Code
|
APR-DRG 2492
|
| Min. Negotiated Rate |
$7,600.19 |
| Max. Negotiated Rate |
$7,752.19 |
| Rate for Payer: UnitedHealthcare Community & State |
$7,600.19
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$7,752.19
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$7,600.19
|
|
|
OTHER HEART ASSIST SYSTEM IMPLANT
|
Facility
|
IP
|
$334,041.71
|
|
|
Service Code
|
MSDRG 215
|
| Min. Negotiated Rate |
$101,711.42 |
| Max. Negotiated Rate |
$334,041.71 |
| Rate for Payer: Aetna Commercial |
$239,766.86
|
| Rate for Payer: Aetna Medicare Advantage |
$334,041.71
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$282,868.05
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$282,868.05
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$107,064.65
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$282,868.05
|
| Rate for Payer: Cigna Commercial |
$221,971.40
|
| Rate for Payer: Cigna Medicare Advantage |
$107,064.65
|
| Rate for Payer: Clover Medicare Advantage |
$101,711.42
|
| Rate for Payer: EmblemHealth Commercial |
$321,193.95
|
| Rate for Payer: Humana Medicare Advantage |
$110,276.59
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$107,064.65
|
| Rate for Payer: Oxford Commercial |
$175,442.34
|
| Rate for Payer: UnitedHealthcare Commercial |
$234,835.85
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$107,064.65
|
| Rate for Payer: Wellcare Medicare Advantage |
$107,064.65
|
|
|
OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$88,588.19
|
|
|
Service Code
|
MSDRG 424
|
| Min. Negotiated Rate |
$26,973.97 |
| Max. Negotiated Rate |
$88,588.19 |
| Rate for Payer: Aetna Commercial |
$64,952.04
|
| Rate for Payer: Aetna Medicare Advantage |
$88,588.19
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$59,011.65
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$59,011.65
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$28,393.65
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$59,011.65
|
| Rate for Payer: Cigna Commercial |
$48,774.85
|
| Rate for Payer: Cigna Medicare Advantage |
$28,393.65
|
| Rate for Payer: Clover Medicare Advantage |
$26,973.97
|
| Rate for Payer: EmblemHealth Commercial |
$85,180.95
|
| Rate for Payer: Humana Medicare Advantage |
$29,245.46
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$28,393.65
|
| Rate for Payer: Oxford Commercial |
$38,550.80
|
| Rate for Payer: UnitedHealthcare Commercial |
$51,601.62
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$28,393.65
|
| Rate for Payer: Wellcare Medicare Advantage |
$28,393.65
|
|
|
OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$150,672.72
|
|
|
Service Code
|
MSDRG 423
|
| Min. Negotiated Rate |
$45,877.91 |
| Max. Negotiated Rate |
$150,672.72 |
| Rate for Payer: Aetna Commercial |
$109,169.37
|
| Rate for Payer: Aetna Medicare Advantage |
$150,672.72
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$108,326.55
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$108,326.55
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$48,292.54
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$108,326.55
|
| Rate for Payer: Cigna Commercial |
$92,582.83
|
| Rate for Payer: Cigna Medicare Advantage |
$48,292.54
|
| Rate for Payer: Clover Medicare Advantage |
$45,877.91
|
| Rate for Payer: EmblemHealth Commercial |
$144,877.62
|
| Rate for Payer: Humana Medicare Advantage |
$49,741.32
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$48,292.54
|
| Rate for Payer: Oxford Commercial |
$73,175.86
|
| Rate for Payer: UnitedHealthcare Commercial |
$97,948.51
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$48,292.54
|
| Rate for Payer: Wellcare Medicare Advantage |
$48,292.54
|
|
|
OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$66,864.44
|
|
|
Service Code
|
MSDRG 425
|
| Min. Negotiated Rate |
$20,359.36 |
| Max. Negotiated Rate |
$66,864.44 |
| Rate for Payer: Aetna Commercial |
$49,480.12
|
| Rate for Payer: Aetna Medicare Advantage |
$66,864.44
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$44,328.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$44,328.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$21,430.91
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$44,328.00
|
| Rate for Payer: Cigna Commercial |
$33,446.19
|
| Rate for Payer: Cigna Medicare Advantage |
$21,430.91
|
| Rate for Payer: Clover Medicare Advantage |
$20,359.36
|
| Rate for Payer: EmblemHealth Commercial |
$64,292.73
|
| Rate for Payer: Humana Medicare Advantage |
$22,073.84
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$21,430.91
|
| Rate for Payer: Oxford Commercial |
$26,435.29
|
| Rate for Payer: UnitedHealthcare Commercial |
$35,384.58
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$21,430.91
|
| Rate for Payer: Wellcare Medicare Advantage |
$21,430.91
|
|
|
OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES
|
Facility
|
IP
|
$19,218.95
|
|
|
Service Code
|
APR-DRG 2642
|
| Min. Negotiated Rate |
$18,842.11 |
| Max. Negotiated Rate |
$19,218.95 |
| Rate for Payer: UnitedHealthcare Community & State |
$18,842.11
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$19,218.95
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$18,842.11
|
|
|
OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES
|
Facility
|
IP
|
$18,098.26
|
|
|
Service Code
|
APR-DRG 2641
|
| Min. Negotiated Rate |
$17,743.39 |
| Max. Negotiated Rate |
$18,098.26 |
| Rate for Payer: UnitedHealthcare Community & State |
$17,743.39
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$18,098.26
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$17,743.39
|
|
|
OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES
|
Facility
|
IP
|
$59,740.94
|
|
|
Service Code
|
APR-DRG 2644
|
| Min. Negotiated Rate |
$58,569.55 |
| Max. Negotiated Rate |
$59,740.94 |
| Rate for Payer: UnitedHealthcare Community & State |
$58,569.55
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$59,740.94
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$58,569.55
|
|
|
OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES
|
Facility
|
IP
|
$29,131.09
|
|
|
Service Code
|
APR-DRG 2643
|
| Min. Negotiated Rate |
$28,559.89 |
| Max. Negotiated Rate |
$29,131.09 |
| Rate for Payer: UnitedHealthcare Community & State |
$28,559.89
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$29,131.09
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$28,559.89
|
|
|
OTHER INFECTIOUS AND PARASITIC DISEASES
|
Facility
|
IP
|
$15,358.29
|
|
|
Service Code
|
APR-DRG 7243
|
| Min. Negotiated Rate |
$15,057.15 |
| Max. Negotiated Rate |
$15,358.29 |
| Rate for Payer: UnitedHealthcare Community & State |
$15,057.15
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$15,358.29
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$15,057.15
|
|
|
OTHER INFECTIOUS AND PARASITIC DISEASES
|
Facility
|
IP
|
$9,351.74
|
|
|
Service Code
|
APR-DRG 7242
|
| Min. Negotiated Rate |
$9,168.37 |
| Max. Negotiated Rate |
$9,351.74 |
| Rate for Payer: UnitedHealthcare Community & State |
$9,168.37
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$9,351.74
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$9,168.37
|
|