|
POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE
|
Facility
|
IP
|
$53,624.91
|
|
|
Service Code
|
APR-DRG 7114
|
| Min. Negotiated Rate |
$52,573.44 |
| Max. Negotiated Rate |
$53,624.91 |
| Rate for Payer: UnitedHealthcare Community & State |
$52,573.44
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$53,624.91
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$52,573.44
|
|
|
POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE
|
Facility
|
IP
|
$14,378.01
|
|
|
Service Code
|
APR-DRG 7111
|
| Min. Negotiated Rate |
$14,096.09 |
| Max. Negotiated Rate |
$14,378.01 |
| Rate for Payer: UnitedHealthcare Community & State |
$14,096.09
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$14,378.01
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$14,096.09
|
|
|
POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE
|
Facility
|
IP
|
$18,578.57
|
|
|
Service Code
|
APR-DRG 7112
|
| Min. Negotiated Rate |
$18,214.28 |
| Max. Negotiated Rate |
$18,578.57 |
| Rate for Payer: UnitedHealthcare Community & State |
$18,214.28
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$18,578.57
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$18,214.28
|
|
|
POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS
|
Facility
|
IP
|
$27,913.49
|
|
|
Service Code
|
APR-DRG 7214
|
| Min. Negotiated Rate |
$27,366.17 |
| Max. Negotiated Rate |
$27,913.49 |
| Rate for Payer: UnitedHealthcare Community & State |
$27,366.17
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$27,913.49
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$27,366.17
|
|
|
POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS
|
Facility
|
IP
|
$15,865.31
|
|
|
Service Code
|
APR-DRG 7213
|
| Min. Negotiated Rate |
$15,554.23 |
| Max. Negotiated Rate |
$15,865.31 |
| Rate for Payer: UnitedHealthcare Community & State |
$15,554.23
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$15,865.31
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$15,554.23
|
|
|
POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS
|
Facility
|
IP
|
$7,651.08
|
|
|
Service Code
|
APR-DRG 7211
|
| Min. Negotiated Rate |
$7,501.06 |
| Max. Negotiated Rate |
$7,651.08 |
| Rate for Payer: UnitedHealthcare Community & State |
$7,501.06
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$7,651.08
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$7,501.06
|
|
|
POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS
|
Facility
|
IP
|
$10,084.87
|
|
|
Service Code
|
APR-DRG 7212
|
| Min. Negotiated Rate |
$9,887.13 |
| Max. Negotiated Rate |
$10,084.87 |
| Rate for Payer: UnitedHealthcare Community & State |
$9,887.13
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$10,084.87
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$9,887.13
|
|
|
POSTOP IMPLANT 8X14MM
|
Facility
|
IP
|
$7,475.00
|
|
| Hospital Charge Code |
270656549
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,121.25 |
| Max. Negotiated Rate |
$1,808.95 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,495.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,808.95
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,121.25
|
|
|
POSTOP IMPLANT 8X14MM
|
Facility
|
OP
|
$7,475.00
|
|
| Hospital Charge Code |
270656549
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$212.29 |
| Max. Negotiated Rate |
$3,737.50 |
| Rate for Payer: Aetna Commercial |
$2,840.50
|
| Rate for Payer: Aetna Medicare Advantage |
$2,242.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1,906.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1,906.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,495.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1,906.12
|
| Rate for Payer: Cigna Commercial |
$3,737.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,808.95
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,121.25
|
| Rate for Payer: UnitedHealthcare Community & State |
$236.21
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$212.29
|
|
|
POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES
|
Facility
|
IP
|
$72,851.41
|
|
|
Service Code
|
MSDRG 769
|
| Min. Negotiated Rate |
$22,182.32 |
| Max. Negotiated Rate |
$72,851.41 |
| Rate for Payer: Aetna Commercial |
$53,744.09
|
| Rate for Payer: Aetna Medicare Advantage |
$72,851.41
|
| 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 |
$23,349.81
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$42,665.70
|
| Rate for Payer: Cigna Commercial |
$37,670.71
|
| Rate for Payer: Cigna Medicare Advantage |
$23,349.81
|
| Rate for Payer: Clover Medicare Advantage |
$22,182.32
|
| Rate for Payer: EmblemHealth Commercial |
$70,049.43
|
| Rate for Payer: Humana Medicare Advantage |
$24,050.30
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$23,349.81
|
| Rate for Payer: Oxford Commercial |
$29,774.28
|
| Rate for Payer: UnitedHealthcare Commercial |
$39,853.93
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$23,349.81
|
| Rate for Payer: Wellcare Medicare Advantage |
$23,349.81
|
|
|
POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES
|
Facility
|
IP
|
$40,148.97
|
|
|
Service Code
|
MSDRG 776
|
| Min. Negotiated Rate |
$11,535.81 |
| Max. Negotiated Rate |
$40,148.97 |
| Rate for Payer: Aetna Commercial |
$30,453.04
|
| Rate for Payer: Aetna Medicare Advantage |
$40,148.97
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$19,947.60
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$19,947.60
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$12,868.26
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$19,947.60
|
| Rate for Payer: Cigna Commercial |
$14,595.23
|
| Rate for Payer: Cigna Medicare Advantage |
$12,868.26
|
| Rate for Payer: Clover Medicare Advantage |
$12,224.85
|
| Rate for Payer: EmblemHealth Commercial |
$38,604.78
|
| Rate for Payer: Humana Medicare Advantage |
$13,254.31
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$12,868.26
|
| Rate for Payer: Oxford Commercial |
$11,535.81
|
| Rate for Payer: UnitedHealthcare Commercial |
$15,441.10
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$12,868.26
|
| Rate for Payer: Wellcare Medicare Advantage |
$12,868.26
|
|
|
POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE
|
Facility
|
IP
|
$18,219.03
|
|
|
Service Code
|
APR-DRG 5614
|
| Min. Negotiated Rate |
$17,861.79 |
| Max. Negotiated Rate |
$18,219.03 |
| Rate for Payer: UnitedHealthcare Community & State |
$17,861.79
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$18,219.03
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$17,861.79
|
|
|
POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE
|
Facility
|
IP
|
$4,982.74
|
|
|
Service Code
|
APR-DRG 5612
|
| Min. Negotiated Rate |
$4,885.04 |
| Max. Negotiated Rate |
$4,982.74 |
| Rate for Payer: UnitedHealthcare Community & State |
$4,885.04
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$4,982.74
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$4,885.04
|
|
|
POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE
|
Facility
|
IP
|
$8,076.57
|
|
|
Service Code
|
APR-DRG 5613
|
| Min. Negotiated Rate |
$7,918.21 |
| Max. Negotiated Rate |
$8,076.57 |
| Rate for Payer: UnitedHealthcare Community & State |
$7,918.21
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$8,076.57
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$7,918.21
|
|
|
POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE
|
Facility
|
IP
|
$3,297.52
|
|
|
Service Code
|
APR-DRG 5611
|
| Min. Negotiated Rate |
$3,232.86 |
| Max. Negotiated Rate |
$3,297.52 |
| Rate for Payer: UnitedHealthcare Community & State |
$3,232.86
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$3,297.52
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$3,232.86
|
|
|
POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE
|
Facility
|
IP
|
$19,630.47
|
|
|
Service Code
|
APR-DRG 5483
|
| Min. Negotiated Rate |
$19,245.56 |
| Max. Negotiated Rate |
$19,630.47 |
| Rate for Payer: UnitedHealthcare Community & State |
$19,245.56
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$19,630.47
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$19,245.56
|
|
|
POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE
|
Facility
|
IP
|
$43,056.89
|
|
|
Service Code
|
APR-DRG 5484
|
| Min. Negotiated Rate |
$42,212.64 |
| Max. Negotiated Rate |
$43,056.89 |
| Rate for Payer: UnitedHealthcare Community & State |
$42,212.64
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$43,056.89
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$42,212.64
|
|
|
POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE
|
Facility
|
IP
|
$5,565.55
|
|
|
Service Code
|
APR-DRG 5481
|
| Min. Negotiated Rate |
$5,456.42 |
| Max. Negotiated Rate |
$5,565.55 |
| Rate for Payer: UnitedHealthcare Community & State |
$5,456.42
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$5,565.55
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$5,456.42
|
|
|
POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE
|
Facility
|
IP
|
$11,470.98
|
|
|
Service Code
|
APR-DRG 5482
|
| Min. Negotiated Rate |
$11,246.06 |
| Max. Negotiated Rate |
$11,470.98 |
| Rate for Payer: UnitedHealthcare Community & State |
$11,246.06
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$11,470.98
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$11,246.06
|
|
|
POSTR COLPORPHY REP RCTCL
|
Facility
|
IP
|
$33,259.50
|
|
|
Service Code
|
HCPCS 57250
|
| Hospital Charge Code |
1600000719
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$4,988.93 |
| Max. Negotiated Rate |
$4,988.93 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$4,988.93
|
|
|
POSTR COLPORPHY REP RCTCL
|
Facility
|
OP
|
$33,259.50
|
|
|
Service Code
|
HCPCS 57250
|
| Hospital Charge Code |
1600000719
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$944.57 |
| Max. Negotiated Rate |
$21,558.38 |
| Rate for Payer: Aetna Commercial |
$16,165.07
|
| Rate for Payer: Aetna Medicare Advantage |
$19,255.45
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$21,558.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$21,558.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$5,943.04
|
| 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 |
$21,558.38
|
| Rate for Payer: Cigna Commercial |
$11,912.81
|
| Rate for Payer: Cigna Medicare Advantage |
$5,943.04
|
| Rate for Payer: Clover Medicare Advantage |
$5,645.89
|
| Rate for Payer: EmblemHealth Commercial |
$17,829.12
|
| Rate for Payer: Humana Medicare Advantage |
$6,121.33
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$5,943.04
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$8,647.47
|
| Rate for Payer: Oxford Commercial |
$9,354.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$4,988.93
|
| Rate for Payer: UnitedHealthcare Commercial |
$10,269.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$1,051.00
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$5,943.04
|
| Rate for Payer: Wellcare Medicare Advantage |
$5,943.04
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$944.57
|
|
|
POST STAB FEMORAL SZ8 RT PS
|
Facility
|
OP
|
$6,873.10
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
270698639
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$195.20 |
| Max. Negotiated Rate |
$3,436.55 |
| Rate for Payer: Aetna Commercial |
$2,611.78
|
| Rate for Payer: Aetna Medicare Advantage |
$2,061.93
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1,752.64
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1,752.64
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,374.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1,752.64
|
| Rate for Payer: Cigna Commercial |
$3,436.55
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,663.29
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,030.96
|
| Rate for Payer: UnitedHealthcare Community & State |
$217.19
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$195.20
|
|
|
POST STAB FEMORAL SZ8 RT PS
|
Facility
|
IP
|
$6,873.10
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
270698639
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,030.96 |
| Max. Negotiated Rate |
$1,663.29 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,374.62
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,663.29
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,030.96
|
|
|
POST TAPER 9.5MM X 18MM
|
Facility
|
IP
|
$2,580.00
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
270692681
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$387.00 |
| Max. Negotiated Rate |
$624.36 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$516.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$624.36
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$387.00
|
|
|
POST TAPER 9.5MM X 18MM
|
Facility
|
OP
|
$2,580.00
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
270692681
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$73.27 |
| Max. Negotiated Rate |
$1,290.00 |
| Rate for Payer: Aetna Commercial |
$980.40
|
| Rate for Payer: Aetna Medicare Advantage |
$774.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$657.90
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$657.90
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$516.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$657.90
|
| Rate for Payer: Cigna Commercial |
$1,290.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$624.36
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$387.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$81.53
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$73.27
|
|