|
PSYCHIATRIC DIAG EVAL W/MS
|
Facility
|
OP
|
$1,296.00
|
|
|
Service Code
|
HCPCS 90792
|
| Hospital Charge Code |
87504010
|
|
Hospital Revenue Code
|
900
|
| Min. Negotiated Rate |
$36.81 |
| Max. Negotiated Rate |
$3,080.00 |
| Rate for Payer: Aetna Commercial |
$573.57
|
| Rate for Payer: Aetna Medicare Advantage |
$683.22
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$764.93
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$764.93
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$210.87
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$612.74
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$764.93
|
| Rate for Payer: Cigna Commercial |
$422.69
|
| Rate for Payer: Cigna Medicare Advantage |
$210.87
|
| Rate for Payer: Clover Medicare Advantage |
$200.33
|
| Rate for Payer: EmblemHealth Commercial |
$632.61
|
| Rate for Payer: Humana Medicare Advantage |
$217.20
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$210.87
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$336.96
|
| Rate for Payer: Oxford Commercial |
$2,715.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$194.40
|
| Rate for Payer: UnitedHealthcare Commercial |
$3,080.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$40.95
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$210.87
|
| Rate for Payer: Wellcare Medicare Advantage |
$210.87
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$437.76
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$36.81
|
|
|
PSYCHIATRIC DIAG EVAL W/MS
|
Facility
|
OP
|
$550.00
|
|
|
Service Code
|
HCPCS 90792
|
| Hospital Charge Code |
84517003
|
|
Hospital Revenue Code
|
900
|
| Min. Negotiated Rate |
$15.62 |
| Max. Negotiated Rate |
$3,080.00 |
| Rate for Payer: Aetna Commercial |
$573.57
|
| Rate for Payer: Aetna Medicare Advantage |
$683.22
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$764.93
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$764.93
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$210.87
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$612.74
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$764.93
|
| Rate for Payer: Cigna Commercial |
$422.69
|
| Rate for Payer: Cigna Medicare Advantage |
$210.87
|
| Rate for Payer: Clover Medicare Advantage |
$200.33
|
| Rate for Payer: EmblemHealth Commercial |
$632.61
|
| Rate for Payer: Humana Medicare Advantage |
$217.20
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$210.87
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$143.00
|
| Rate for Payer: Oxford Commercial |
$2,715.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$82.50
|
| Rate for Payer: UnitedHealthcare Commercial |
$3,080.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$17.38
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$210.87
|
| Rate for Payer: Wellcare Medicare Advantage |
$210.87
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$437.76
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$15.62
|
|
|
PSYCHIATRIC DIAG EVAL W/MS
|
Facility
|
IP
|
$6,800.00
|
|
|
Service Code
|
HCPCS 90792
|
| Hospital Charge Code |
87506020
|
|
Hospital Revenue Code
|
900
|
| Min. Negotiated Rate |
$1,020.00 |
| Max. Negotiated Rate |
$1,020.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,020.00
|
|
|
PSYCHIATRIC DIAG EVAL W/MS
|
Facility
|
IP
|
$550.00
|
|
|
Service Code
|
HCPCS 90792
|
| Hospital Charge Code |
84517003
|
|
Hospital Revenue Code
|
900
|
| Min. Negotiated Rate |
$82.50 |
| Max. Negotiated Rate |
$82.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$82.50
|
|
|
PSYCHIATRIC DIAG EVAL W/MS
|
Facility
|
OP
|
$550.00
|
|
|
Service Code
|
HCPCS 90792
|
| Hospital Charge Code |
84504010
|
|
Hospital Revenue Code
|
900
|
| Min. Negotiated Rate |
$15.62 |
| Max. Negotiated Rate |
$3,080.00 |
| Rate for Payer: Aetna Commercial |
$573.57
|
| Rate for Payer: Aetna Medicare Advantage |
$683.22
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$764.93
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$764.93
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$210.87
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$612.74
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$764.93
|
| Rate for Payer: Cigna Commercial |
$422.69
|
| Rate for Payer: Cigna Medicare Advantage |
$210.87
|
| Rate for Payer: Clover Medicare Advantage |
$200.33
|
| Rate for Payer: EmblemHealth Commercial |
$632.61
|
| Rate for Payer: Humana Medicare Advantage |
$217.20
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$210.87
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$143.00
|
| Rate for Payer: Oxford Commercial |
$2,715.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$82.50
|
| Rate for Payer: UnitedHealthcare Commercial |
$3,080.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$17.38
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$210.87
|
| Rate for Payer: Wellcare Medicare Advantage |
$210.87
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$437.76
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$15.62
|
|
|
PSYCHIATRIC DIAG EVAL W/MS
|
Facility
|
IP
|
$550.00
|
|
|
Service Code
|
HCPCS 90792
|
| Hospital Charge Code |
84518003
|
|
Hospital Revenue Code
|
900
|
| Min. Negotiated Rate |
$82.50 |
| Max. Negotiated Rate |
$82.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$82.50
|
|
|
PSYCHIATRIC DIAG EVAL W/MS
|
Facility
|
OP
|
$6,800.00
|
|
|
Service Code
|
HCPCS 90792
|
| Hospital Charge Code |
87506020
|
|
Hospital Revenue Code
|
900
|
| Min. Negotiated Rate |
$193.12 |
| Max. Negotiated Rate |
$3,080.00 |
| Rate for Payer: Aetna Commercial |
$573.57
|
| Rate for Payer: Aetna Medicare Advantage |
$683.22
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$764.93
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$764.93
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$210.87
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$612.74
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$764.93
|
| Rate for Payer: Cigna Commercial |
$422.69
|
| Rate for Payer: Cigna Medicare Advantage |
$210.87
|
| Rate for Payer: Clover Medicare Advantage |
$200.33
|
| Rate for Payer: EmblemHealth Commercial |
$632.61
|
| Rate for Payer: Humana Medicare Advantage |
$217.20
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$210.87
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,768.00
|
| Rate for Payer: Oxford Commercial |
$2,715.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,020.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$3,080.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$214.88
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$210.87
|
| Rate for Payer: Wellcare Medicare Advantage |
$210.87
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$437.76
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$193.12
|
|
|
PSYCHIATRIC DIAGNOSTIC EVAL
|
Facility
|
IP
|
$6,800.00
|
|
|
Service Code
|
HCPCS 90791
|
| Hospital Charge Code |
84527001
|
|
Hospital Revenue Code
|
900
|
| Min. Negotiated Rate |
$1,020.00 |
| Max. Negotiated Rate |
$1,020.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,020.00
|
|
|
PSYCHIATRIC DIAGNOSTIC EVAL
|
Facility
|
IP
|
$1,296.00
|
|
|
Service Code
|
HCPCS 90791
|
| Hospital Charge Code |
87504005
|
|
Hospital Revenue Code
|
900
|
| Min. Negotiated Rate |
$194.40 |
| Max. Negotiated Rate |
$194.40 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$194.40
|
|
|
PSYCHIATRIC DIAGNOSTIC EVAL
|
Facility
|
OP
|
$1,296.00
|
|
|
Service Code
|
HCPCS 90791
|
| Hospital Charge Code |
87504005
|
|
Hospital Revenue Code
|
900
|
| Min. Negotiated Rate |
$36.81 |
| Max. Negotiated Rate |
$3,080.00 |
| Rate for Payer: Aetna Commercial |
$573.57
|
| Rate for Payer: Aetna Medicare Advantage |
$683.22
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$764.93
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$764.93
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$210.87
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$246.53
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$764.93
|
| Rate for Payer: Cigna Commercial |
$422.69
|
| Rate for Payer: Cigna Medicare Advantage |
$210.87
|
| Rate for Payer: Clover Medicare Advantage |
$200.33
|
| Rate for Payer: EmblemHealth Commercial |
$632.61
|
| Rate for Payer: Humana Medicare Advantage |
$217.20
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$210.87
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$336.96
|
| Rate for Payer: Oxford Commercial |
$2,715.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$194.40
|
| Rate for Payer: UnitedHealthcare Commercial |
$3,080.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$40.95
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$210.87
|
| Rate for Payer: Wellcare Medicare Advantage |
$210.87
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$171.99
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$36.81
|
|
|
PSYCHIATRIC DIAGNOSTIC EVAL
|
Facility
|
OP
|
$6,800.00
|
|
|
Service Code
|
HCPCS 90791
|
| Hospital Charge Code |
84518001
|
|
Hospital Revenue Code
|
900
|
| Min. Negotiated Rate |
$171.99 |
| Max. Negotiated Rate |
$3,080.00 |
| Rate for Payer: Aetna Commercial |
$573.57
|
| Rate for Payer: Aetna Medicare Advantage |
$683.22
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$764.93
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$764.93
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$210.87
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$246.53
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$764.93
|
| Rate for Payer: Cigna Commercial |
$422.69
|
| Rate for Payer: Cigna Medicare Advantage |
$210.87
|
| Rate for Payer: Clover Medicare Advantage |
$200.33
|
| Rate for Payer: EmblemHealth Commercial |
$632.61
|
| Rate for Payer: Humana Medicare Advantage |
$217.20
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$210.87
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,768.00
|
| Rate for Payer: Oxford Commercial |
$2,715.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,020.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$3,080.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$214.88
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$210.87
|
| Rate for Payer: Wellcare Medicare Advantage |
$210.87
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$171.99
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$193.12
|
|
|
PSYCHIATRIC DIAGNOSTIC EVAL
|
Facility
|
IP
|
$6,800.00
|
|
|
Service Code
|
HCPCS 90791
|
| Hospital Charge Code |
84517001
|
|
Hospital Revenue Code
|
900
|
| Min. Negotiated Rate |
$1,020.00 |
| Max. Negotiated Rate |
$1,020.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,020.00
|
|
|
PSYCHIATRIC DIAGNOSTIC EVAL
|
Facility
|
OP
|
$6,800.00
|
|
|
Service Code
|
HCPCS 90791
|
| Hospital Charge Code |
84527001
|
|
Hospital Revenue Code
|
900
|
| Min. Negotiated Rate |
$171.99 |
| Max. Negotiated Rate |
$3,080.00 |
| Rate for Payer: Aetna Commercial |
$573.57
|
| Rate for Payer: Aetna Medicare Advantage |
$683.22
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$764.93
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$764.93
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$210.87
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$246.53
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$764.93
|
| Rate for Payer: Cigna Commercial |
$422.69
|
| Rate for Payer: Cigna Medicare Advantage |
$210.87
|
| Rate for Payer: Clover Medicare Advantage |
$200.33
|
| Rate for Payer: EmblemHealth Commercial |
$632.61
|
| Rate for Payer: Humana Medicare Advantage |
$217.20
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$210.87
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,768.00
|
| Rate for Payer: Oxford Commercial |
$2,715.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,020.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$3,080.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$214.88
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$210.87
|
| Rate for Payer: Wellcare Medicare Advantage |
$210.87
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$171.99
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$193.12
|
|
|
PSYCHIATRIC DIAGNOSTIC EVAL
|
Facility
|
OP
|
$6,800.00
|
|
|
Service Code
|
HCPCS 90791
|
| Hospital Charge Code |
84511001
|
|
Hospital Revenue Code
|
900
|
| Min. Negotiated Rate |
$171.99 |
| Max. Negotiated Rate |
$3,080.00 |
| Rate for Payer: Aetna Commercial |
$573.57
|
| Rate for Payer: Aetna Medicare Advantage |
$683.22
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$764.93
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$764.93
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$210.87
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$246.53
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$764.93
|
| Rate for Payer: Cigna Commercial |
$422.69
|
| Rate for Payer: Cigna Medicare Advantage |
$210.87
|
| Rate for Payer: Clover Medicare Advantage |
$200.33
|
| Rate for Payer: EmblemHealth Commercial |
$632.61
|
| Rate for Payer: Humana Medicare Advantage |
$217.20
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$210.87
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,768.00
|
| Rate for Payer: Oxford Commercial |
$2,715.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,020.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$3,080.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$214.88
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$210.87
|
| Rate for Payer: Wellcare Medicare Advantage |
$210.87
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$171.99
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$193.12
|
|
|
PSYCHIATRIC DIAGNOSTIC EVAL
|
Facility
|
IP
|
$6,800.00
|
|
|
Service Code
|
HCPCS 90791
|
| Hospital Charge Code |
84518001
|
|
Hospital Revenue Code
|
900
|
| Min. Negotiated Rate |
$1,020.00 |
| Max. Negotiated Rate |
$1,020.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,020.00
|
|
|
PSYCHIATRIC DIAGNOSTIC EVAL
|
Facility
|
IP
|
$6,800.00
|
|
|
Service Code
|
HCPCS 90791
|
| Hospital Charge Code |
84511001
|
|
Hospital Revenue Code
|
900
|
| Min. Negotiated Rate |
$1,020.00 |
| Max. Negotiated Rate |
$1,020.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,020.00
|
|
|
PSYCHIATRIC DIAGNOSTIC EVAL
|
Facility
|
OP
|
$6,800.00
|
|
|
Service Code
|
HCPCS 90791
|
| Hospital Charge Code |
84517001
|
|
Hospital Revenue Code
|
900
|
| Min. Negotiated Rate |
$171.99 |
| Max. Negotiated Rate |
$3,080.00 |
| Rate for Payer: Aetna Commercial |
$573.57
|
| Rate for Payer: Aetna Medicare Advantage |
$683.22
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$764.93
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$764.93
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$210.87
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$246.53
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$764.93
|
| Rate for Payer: Cigna Commercial |
$422.69
|
| Rate for Payer: Cigna Medicare Advantage |
$210.87
|
| Rate for Payer: Clover Medicare Advantage |
$200.33
|
| Rate for Payer: EmblemHealth Commercial |
$632.61
|
| Rate for Payer: Humana Medicare Advantage |
$217.20
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$210.87
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,768.00
|
| Rate for Payer: Oxford Commercial |
$2,715.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,020.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$3,080.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$214.88
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$210.87
|
| Rate for Payer: Wellcare Medicare Advantage |
$210.87
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$171.99
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$193.12
|
|
|
PSYCHIATRIC DIAGNOSTIC EVAL
|
Facility
|
OP
|
$6,800.00
|
|
|
Service Code
|
HCPCS 90791
|
| Hospital Charge Code |
84509001
|
|
Hospital Revenue Code
|
900
|
| Min. Negotiated Rate |
$171.99 |
| Max. Negotiated Rate |
$3,080.00 |
| Rate for Payer: Aetna Commercial |
$573.57
|
| Rate for Payer: Aetna Medicare Advantage |
$683.22
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$764.93
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$764.93
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$210.87
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$246.53
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$764.93
|
| Rate for Payer: Cigna Commercial |
$422.69
|
| Rate for Payer: Cigna Medicare Advantage |
$210.87
|
| Rate for Payer: Clover Medicare Advantage |
$200.33
|
| Rate for Payer: EmblemHealth Commercial |
$632.61
|
| Rate for Payer: Humana Medicare Advantage |
$217.20
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$210.87
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,768.00
|
| Rate for Payer: Oxford Commercial |
$2,715.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,020.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$3,080.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$214.88
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$210.87
|
| Rate for Payer: Wellcare Medicare Advantage |
$210.87
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$171.99
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$193.12
|
|
|
PSYCHIATRIC DIAGNOSTIC EVAL
|
Facility
|
IP
|
$6,800.00
|
|
|
Service Code
|
HCPCS 90791
|
| Hospital Charge Code |
84509001
|
|
Hospital Revenue Code
|
900
|
| Min. Negotiated Rate |
$1,020.00 |
| Max. Negotiated Rate |
$1,020.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,020.00
|
|
|
PSYCHIATRIC EMER SCREENING EVA
|
Facility
|
IP
|
$6,800.00
|
|
|
Service Code
|
HCPCS 90791
|
| Hospital Charge Code |
5792230
|
|
Hospital Revenue Code
|
900
|
| Min. Negotiated Rate |
$1,020.00 |
| Max. Negotiated Rate |
$1,020.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,020.00
|
|
|
PSYCHIATRIC EMER SCREENING EVA
|
Facility
|
OP
|
$6,800.00
|
|
|
Service Code
|
HCPCS 90791
|
| Hospital Charge Code |
5792230
|
|
Hospital Revenue Code
|
900
|
| Min. Negotiated Rate |
$171.99 |
| Max. Negotiated Rate |
$3,080.00 |
| Rate for Payer: Aetna Commercial |
$573.57
|
| Rate for Payer: Aetna Medicare Advantage |
$683.22
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$764.93
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$764.93
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$210.87
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$246.53
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$764.93
|
| Rate for Payer: Cigna Commercial |
$422.69
|
| Rate for Payer: Cigna Medicare Advantage |
$210.87
|
| Rate for Payer: Clover Medicare Advantage |
$200.33
|
| Rate for Payer: EmblemHealth Commercial |
$632.61
|
| Rate for Payer: Humana Medicare Advantage |
$217.20
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$210.87
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,768.00
|
| Rate for Payer: Oxford Commercial |
$2,715.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,020.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$3,080.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$214.88
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$210.87
|
| Rate for Payer: Wellcare Medicare Advantage |
$210.87
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$171.99
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$193.12
|
|
|
PSYCHIATRIC EVALUATION
|
Facility
|
IP
|
$1,103.00
|
|
|
Service Code
|
HCPCS 96101
|
| Hospital Charge Code |
83246250
|
|
Hospital Revenue Code
|
918
|
| Min. Negotiated Rate |
$165.45 |
| Max. Negotiated Rate |
$165.45 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$165.45
|
|
|
PSYCHIATRIC EVALUATION
|
Facility
|
OP
|
$1,103.00
|
|
|
Service Code
|
HCPCS 96101
|
| Hospital Charge Code |
83246250
|
|
Hospital Revenue Code
|
918
|
| Min. Negotiated Rate |
$31.33 |
| Max. Negotiated Rate |
$3,080.00 |
| Rate for Payer: Aetna Commercial |
$419.14
|
| Rate for Payer: Aetna Medicare Advantage |
$330.90
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$281.26
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$281.26
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$281.26
|
| Rate for Payer: Cigna Commercial |
$551.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$286.78
|
| Rate for Payer: Oxford Commercial |
$2,715.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$165.45
|
| Rate for Payer: UnitedHealthcare Commercial |
$3,080.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$34.85
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$31.33
|
|
|
PSYCH INTERACTIVE COMPLEXITY
|
Facility
|
IP
|
$896.00
|
|
|
Service Code
|
HCPCS 90875
|
| Hospital Charge Code |
84310130
|
|
Hospital Revenue Code
|
914
|
| Min. Negotiated Rate |
$134.40 |
| Max. Negotiated Rate |
$134.40 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$134.40
|
|
|
PSYCH INTERACTIVE COMPLEXITY
|
Facility
|
OP
|
$896.00
|
|
|
Service Code
|
HCPCS 90875
|
| Hospital Charge Code |
84310130
|
|
Hospital Revenue Code
|
914
|
| Min. Negotiated Rate |
$25.45 |
| Max. Negotiated Rate |
$448.00 |
| Rate for Payer: Aetna Commercial |
$340.48
|
| Rate for Payer: Aetna Medicare Advantage |
$268.80
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$228.48
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$228.48
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$228.48
|
| Rate for Payer: Cigna Commercial |
$448.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$232.96
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$134.40
|
| Rate for Payer: UnitedHealthcare Community & State |
$28.31
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$25.45
|
|
