|
TREAT HUMERUS FRACTURE
|
Facility
|
IP
|
$60,610.96
|
|
|
Service Code
|
HCPCS 24546
|
| Hospital Charge Code |
16000157
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$9,091.64 |
| Max. Negotiated Rate |
$9,091.64 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$9,091.64
|
|
|
TREAT KNEE DISLOCATION
|
Facility
|
IP
|
$9,423.70
|
|
|
Service Code
|
HCPCS 27552
|
| Hospital Charge Code |
1600000360
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$1,413.56 |
| Max. Negotiated Rate |
$1,413.56 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,413.56
|
|
|
TREAT KNEE DISLOCATION
|
Facility
|
OP
|
$9,423.70
|
|
|
Service Code
|
HCPCS 27552
|
| Hospital Charge Code |
1600000360
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$267.63 |
| Max. Negotiated Rate |
$6,929.76 |
| Rate for Payer: Aetna Commercial |
$5,196.12
|
| Rate for Payer: Aetna Medicare Advantage |
$6,189.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$6,929.76
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$6,929.76
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$1,910.34
|
| 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 |
$6,929.76
|
| Rate for Payer: Cigna Commercial |
$3,829.26
|
| Rate for Payer: Cigna Medicare Advantage |
$1,910.34
|
| Rate for Payer: Clover Medicare Advantage |
$1,814.82
|
| Rate for Payer: EmblemHealth Commercial |
$5,731.02
|
| Rate for Payer: Humana Medicare Advantage |
$1,967.65
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$1,910.34
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$2,450.16
|
| Rate for Payer: Oxford Commercial |
$5,018.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,413.56
|
| Rate for Payer: UnitedHealthcare Commercial |
$5,347.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$297.79
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$1,910.34
|
| Rate for Payer: Wellcare Medicare Advantage |
$1,910.34
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$267.63
|
|
|
TREAT KNUCKLE DISLOCATION
|
Facility
|
OP
|
$23,899.60
|
|
|
Service Code
|
HCPCS 26715
|
| Hospital Charge Code |
16000558
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$678.75 |
| Max. Negotiated Rate |
$14,100.89 |
| Rate for Payer: Aetna Commercial |
$10,573.24
|
| Rate for Payer: Aetna Medicare Advantage |
$12,594.59
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$14,100.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$14,100.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$3,887.22
|
| 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 |
$14,100.89
|
| Rate for Payer: Cigna Commercial |
$7,791.93
|
| Rate for Payer: Cigna Medicare Advantage |
$3,887.22
|
| Rate for Payer: Clover Medicare Advantage |
$3,692.86
|
| Rate for Payer: EmblemHealth Commercial |
$11,661.66
|
| Rate for Payer: Humana Medicare Advantage |
$4,003.84
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$3,887.22
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$6,213.90
|
| Rate for Payer: Oxford Commercial |
$7,525.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$3,584.94
|
| Rate for Payer: UnitedHealthcare Commercial |
$8,192.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$755.23
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$3,887.22
|
| Rate for Payer: Wellcare Medicare Advantage |
$3,887.22
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$678.75
|
|
|
TREAT KNUCKLE DISLOCATION
|
Facility
|
IP
|
$23,899.60
|
|
|
Service Code
|
HCPCS 26715
|
| Hospital Charge Code |
16000558
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$3,584.94 |
| Max. Negotiated Rate |
$3,584.94 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$3,584.94
|
|
|
TREAT LOWER LEG FRACTURE
|
Facility
|
OP
|
$8,575.05
|
|
|
Service Code
|
HCPCS 27825
|
| Hospital Charge Code |
5701006
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$140.00 |
| Max. Negotiated Rate |
$6,929.76 |
| Rate for Payer: Aetna Commercial |
$5,196.12
|
| Rate for Payer: Aetna Medicare Advantage |
$6,189.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$6,929.76
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$6,929.76
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$1,910.34
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$239.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$6,929.76
|
| Rate for Payer: Cigna Commercial |
$3,829.26
|
| Rate for Payer: Cigna Medicare Advantage |
$1,910.34
|
| Rate for Payer: Clover Medicare Advantage |
$1,814.82
|
| Rate for Payer: EmblemHealth Commercial |
$5,731.02
|
| Rate for Payer: Humana Medicare Advantage |
$1,967.65
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$1,910.34
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$2,229.51
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,286.26
|
| Rate for Payer: UnitedHealthcare Community & State |
$140.00
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$1,910.34
|
| Rate for Payer: Wellcare Medicare Advantage |
$1,910.34
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$243.53
|
|
|
TREAT LOWER LEG FRACTURE
|
Facility
|
IP
|
$8,575.05
|
|
|
Service Code
|
HCPCS 27825
|
| Hospital Charge Code |
5701006
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$1,286.26 |
| Max. Negotiated Rate |
$1,286.26 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,286.26
|
|
|
TREAT LOWER LEG JOINT
|
Facility
|
OP
|
$63,197.33
|
|
|
Service Code
|
HCPCS 27829
|
| Hospital Charge Code |
16000234
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$1,794.80 |
| Max. Negotiated Rate |
$31,271.12 |
| Rate for Payer: Aetna Commercial |
$23,447.95
|
| Rate for Payer: Aetna Medicare Advantage |
$27,930.65
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$31,271.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$31,271.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$8,620.57
|
| 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 |
$31,271.12
|
| Rate for Payer: Cigna Commercial |
$17,279.91
|
| Rate for Payer: Cigna Medicare Advantage |
$8,620.57
|
| Rate for Payer: Clover Medicare Advantage |
$8,189.54
|
| Rate for Payer: EmblemHealth Commercial |
$25,861.71
|
| Rate for Payer: Humana Medicare Advantage |
$8,879.19
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$8,620.57
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$16,431.31
|
| Rate for Payer: Oxford Commercial |
$13,407.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$9,479.60
|
| Rate for Payer: UnitedHealthcare Commercial |
$14,869.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$1,997.04
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$8,620.57
|
| Rate for Payer: Wellcare Medicare Advantage |
$8,620.57
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$1,794.80
|
|
|
TREAT LOWER LEG JOINT
|
Facility
|
IP
|
$63,197.33
|
|
|
Service Code
|
HCPCS 27829
|
| Hospital Charge Code |
16000234
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$9,479.60 |
| Max. Negotiated Rate |
$9,479.60 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$9,479.60
|
|
|
TREATMENT BONE CYST
|
Facility
|
IP
|
$3,358.50
|
|
|
Service Code
|
HCPCS 20615
|
| Hospital Charge Code |
412320615
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$503.77 |
| Max. Negotiated Rate |
$503.77 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$503.77
|
|
|
TREATMENT BONE CYST
|
Facility
|
OP
|
$3,358.50
|
|
|
Service Code
|
HCPCS 20615
|
| Hospital Charge Code |
412320615
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$106.13 |
| Max. Negotiated Rate |
$3,629.00 |
| Rate for Payer: Aetna Commercial |
$2,288.28
|
| Rate for Payer: Aetna Medicare Advantage |
$2,725.75
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$3,051.74
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$3,051.74
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$841.28
|
| 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 |
$3,051.74
|
| Rate for Payer: Cigna Commercial |
$1,686.34
|
| Rate for Payer: Cigna Medicare Advantage |
$841.28
|
| Rate for Payer: Clover Medicare Advantage |
$799.22
|
| Rate for Payer: EmblemHealth Commercial |
$2,523.84
|
| Rate for Payer: Humana Medicare Advantage |
$866.52
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$841.28
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$873.21
|
| Rate for Payer: Oxford Commercial |
$3,505.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$503.77
|
| Rate for Payer: UnitedHealthcare Commercial |
$3,629.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$106.13
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$841.28
|
| Rate for Payer: Wellcare Medicare Advantage |
$841.28
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$1,950.58
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$1,912.33
|
|
|
TREATMENT KNEE FRACTURE
|
Facility
|
OP
|
$1,412.50
|
|
|
Service Code
|
HCPCS 27538
|
| Hospital Charge Code |
1600000718
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$44.63 |
| Max. Negotiated Rate |
$3,536.00 |
| Rate for Payer: Aetna Commercial |
$797.10
|
| Rate for Payer: Aetna Medicare Advantage |
$949.48
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1,063.04
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1,063.04
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$293.05
|
| 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 |
$1,063.04
|
| Rate for Payer: Cigna Commercial |
$587.42
|
| Rate for Payer: Cigna Medicare Advantage |
$293.05
|
| Rate for Payer: Clover Medicare Advantage |
$278.40
|
| Rate for Payer: EmblemHealth Commercial |
$879.15
|
| Rate for Payer: Humana Medicare Advantage |
$301.84
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$293.05
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$367.25
|
| Rate for Payer: Oxford Commercial |
$2,297.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$211.88
|
| Rate for Payer: UnitedHealthcare Commercial |
$2,256.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$44.63
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$293.05
|
| Rate for Payer: Wellcare Medicare Advantage |
$293.05
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$723.02
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$708.84
|
|
|
TREATMENT KNEE FRACTURE
|
Facility
|
IP
|
$1,412.50
|
|
|
Service Code
|
HCPCS 27538
|
| Hospital Charge Code |
1600000718
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$211.88 |
| Max. Negotiated Rate |
$211.88 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$211.88
|
|
|
TREATMENT OF FIBULA FRACTURE
|
Facility
|
IP
|
$49,807.20
|
|
|
Service Code
|
HCPCS 27784
|
| Hospital Charge Code |
16000628
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$7,471.08 |
| Max. Negotiated Rate |
$7,471.08 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$7,471.08
|
|
|
TREATMENT OF FIBULA FRACTURE
|
Facility
|
OP
|
$49,807.20
|
|
|
Service Code
|
HCPCS 27784
|
| Hospital Charge Code |
16000628
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$1,414.52 |
| Max. Negotiated Rate |
$31,271.12 |
| Rate for Payer: Aetna Commercial |
$23,447.95
|
| Rate for Payer: Aetna Medicare Advantage |
$27,930.65
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$31,271.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$31,271.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$8,620.57
|
| 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 |
$31,271.12
|
| Rate for Payer: Cigna Commercial |
$17,279.91
|
| Rate for Payer: Cigna Medicare Advantage |
$8,620.57
|
| Rate for Payer: Clover Medicare Advantage |
$8,189.54
|
| Rate for Payer: EmblemHealth Commercial |
$25,861.71
|
| Rate for Payer: Humana Medicare Advantage |
$8,879.19
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$8,620.57
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$12,949.87
|
| Rate for Payer: Oxford Commercial |
$13,407.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$7,471.08
|
| Rate for Payer: UnitedHealthcare Commercial |
$14,869.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$1,573.91
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$8,620.57
|
| Rate for Payer: Wellcare Medicare Advantage |
$8,620.57
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$1,414.52
|
|
|
TREATMENT ON BLADDER LESION
|
Facility
|
OP
|
$1,313.00
|
|
|
Service Code
|
HCPCS 51720
|
| Hospital Charge Code |
3400130
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$37.29 |
| Max. Negotiated Rate |
$3,536.00 |
| Rate for Payer: Aetna Commercial |
$2,253.28
|
| Rate for Payer: Aetna Medicare Advantage |
$2,684.05
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$3,005.06
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$3,005.06
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$828.41
|
| 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 |
$3,005.06
|
| Rate for Payer: Cigna Commercial |
$1,660.53
|
| Rate for Payer: Cigna Medicare Advantage |
$828.41
|
| Rate for Payer: Clover Medicare Advantage |
$786.99
|
| Rate for Payer: EmblemHealth Commercial |
$2,485.23
|
| Rate for Payer: Humana Medicare Advantage |
$853.26
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$828.41
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$341.38
|
| Rate for Payer: Oxford Commercial |
$2,297.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$196.95
|
| Rate for Payer: UnitedHealthcare Commercial |
$2,256.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$41.49
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$828.41
|
| Rate for Payer: Wellcare Medicare Advantage |
$828.41
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$37.29
|
|
|
TREATMENT ON BLADDER LESION
|
Facility
|
IP
|
$1,313.00
|
|
|
Service Code
|
HCPCS 51720
|
| Hospital Charge Code |
3400130
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$196.95 |
| Max. Negotiated Rate |
$196.95 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$196.95
|
|
|
TREATMENT TIBIAL FX
|
Facility
|
IP
|
$645.00
|
|
|
Service Code
|
HCPCS 27760
|
| Hospital Charge Code |
9808210
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$96.75 |
| Max. Negotiated Rate |
$96.75 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$96.75
|
|
|
TREATMENT TIBIAL FX
|
Facility
|
OP
|
$645.00
|
|
|
Service Code
|
HCPCS 27760
|
| Hospital Charge Code |
9808210
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$18.32 |
| Max. Negotiated Rate |
$3,536.00 |
| Rate for Payer: Aetna Commercial |
$797.10
|
| Rate for Payer: Aetna Medicare Advantage |
$949.48
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1,063.04
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1,063.04
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$293.05
|
| 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 |
$1,063.04
|
| Rate for Payer: Cigna Commercial |
$587.42
|
| Rate for Payer: Cigna Medicare Advantage |
$293.05
|
| Rate for Payer: Clover Medicare Advantage |
$278.40
|
| Rate for Payer: EmblemHealth Commercial |
$879.15
|
| Rate for Payer: Humana Medicare Advantage |
$301.84
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$293.05
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$167.70
|
| Rate for Payer: Oxford Commercial |
$2,297.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$96.75
|
| Rate for Payer: UnitedHealthcare Commercial |
$2,256.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$20.38
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$293.05
|
| Rate for Payer: Wellcare Medicare Advantage |
$293.05
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$18.32
|
|
|
TREAT METACARPAL FRACTURE
|
Facility
|
IP
|
$48,992.10
|
|
|
Service Code
|
HCPCS 26615
|
| Hospital Charge Code |
16000256
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$7,348.81 |
| Max. Negotiated Rate |
$7,348.81 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$7,348.81
|
|
|
TREAT METACARPAL FRACTURE
|
Facility
|
OP
|
$48,992.10
|
|
|
Service Code
|
HCPCS 26615
|
| Hospital Charge Code |
16000256
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$1,391.38 |
| Max. Negotiated Rate |
$14,869.00 |
| Rate for Payer: Aetna Commercial |
$10,573.24
|
| Rate for Payer: Aetna Medicare Advantage |
$12,594.59
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$14,100.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$14,100.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$3,887.22
|
| 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 |
$14,100.89
|
| Rate for Payer: Cigna Commercial |
$7,791.93
|
| Rate for Payer: Cigna Medicare Advantage |
$3,887.22
|
| Rate for Payer: Clover Medicare Advantage |
$3,692.86
|
| Rate for Payer: EmblemHealth Commercial |
$11,661.66
|
| Rate for Payer: Humana Medicare Advantage |
$4,003.84
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$3,887.22
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$12,737.95
|
| Rate for Payer: Oxford Commercial |
$13,407.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$7,348.81
|
| Rate for Payer: UnitedHealthcare Commercial |
$14,869.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$1,548.15
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$3,887.22
|
| Rate for Payer: Wellcare Medicare Advantage |
$3,887.22
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$1,391.38
|
|
|
TREAT METATARSAL FRACTURES
|
Facility
|
OP
|
$48,992.10
|
|
|
Service Code
|
HCPCS 28485
|
| Hospital Charge Code |
16000222
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$1,391.38 |
| Max. Negotiated Rate |
$31,271.12 |
| Rate for Payer: Aetna Commercial |
$23,447.95
|
| Rate for Payer: Aetna Medicare Advantage |
$27,930.65
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$31,271.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$31,271.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$8,620.57
|
| 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 |
$31,271.12
|
| Rate for Payer: Cigna Commercial |
$17,279.91
|
| Rate for Payer: Cigna Medicare Advantage |
$8,620.57
|
| Rate for Payer: Clover Medicare Advantage |
$8,189.54
|
| Rate for Payer: EmblemHealth Commercial |
$25,861.71
|
| Rate for Payer: Humana Medicare Advantage |
$8,879.19
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$8,620.57
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$12,737.95
|
| Rate for Payer: Oxford Commercial |
$13,407.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$7,348.81
|
| Rate for Payer: UnitedHealthcare Commercial |
$14,869.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$1,548.15
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$8,620.57
|
| Rate for Payer: Wellcare Medicare Advantage |
$8,620.57
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$1,391.38
|
|
|
TREAT METATARSAL FRACTURES
|
Facility
|
IP
|
$48,992.10
|
|
|
Service Code
|
HCPCS 28485
|
| Hospital Charge Code |
16000222
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$7,348.81 |
| Max. Negotiated Rate |
$7,348.81 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$7,348.81
|
|
|
TREAT PLEURODESIS W/AGENT
|
Facility
|
OP
|
$2,912.40
|
|
|
Service Code
|
HCPCS 32560
|
| Hospital Charge Code |
160000236
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$82.71 |
| Max. Negotiated Rate |
$3,629.00 |
| Rate for Payer: Aetna Commercial |
$2,027.08
|
| Rate for Payer: Aetna Medicare Advantage |
$2,414.61
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$2,703.39
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$2,703.39
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$745.25
|
| 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 |
$2,703.39
|
| Rate for Payer: Cigna Commercial |
$1,493.86
|
| Rate for Payer: Cigna Medicare Advantage |
$745.25
|
| Rate for Payer: Clover Medicare Advantage |
$707.99
|
| Rate for Payer: EmblemHealth Commercial |
$2,235.75
|
| Rate for Payer: Humana Medicare Advantage |
$767.61
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$745.25
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$757.22
|
| Rate for Payer: Oxford Commercial |
$3,505.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$436.86
|
| Rate for Payer: UnitedHealthcare Commercial |
$3,629.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$92.03
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$745.25
|
| Rate for Payer: Wellcare Medicare Advantage |
$745.25
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$82.71
|
|
|
TREAT PLEURODESIS W/AGENT
|
Facility
|
IP
|
$2,912.40
|
|
|
Service Code
|
HCPCS 32560
|
| Hospital Charge Code |
160000236
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$436.86 |
| Max. Negotiated Rate |
$436.86 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$436.86
|
|
