|
TUBE VISIGI W/BULB 40FR
|
Facility
|
OP
|
$848.00
|
|
| Hospital Charge Code |
270692045
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$24.08 |
| Max. Negotiated Rate |
$424.00 |
| Rate for Payer: Aetna Commercial |
$322.24
|
| Rate for Payer: Aetna Medicare Advantage |
$254.40
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$216.24
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$216.24
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$216.24
|
| Rate for Payer: Cigna Commercial |
$424.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$220.48
|
| Rate for Payer: Oxford Commercial |
$169.60
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$127.20
|
| Rate for Payer: UnitedHealthcare Commercial |
$169.60
|
| Rate for Payer: UnitedHealthcare Community & State |
$26.80
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$24.08
|
|
|
TUBE VISIGI W/BULB 40FR
|
Facility
|
IP
|
$848.00
|
|
| Hospital Charge Code |
270692045
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$127.20 |
| Max. Negotiated Rate |
$127.20 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$127.20
|
|
|
TUBE WATER
|
Facility
|
IP
|
$310.25
|
|
| Hospital Charge Code |
270676862
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$46.54 |
| Max. Negotiated Rate |
$46.54 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$46.54
|
|
|
TUBE WATER
|
Facility
|
OP
|
$310.25
|
|
| Hospital Charge Code |
270676862
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$8.81 |
| Max. Negotiated Rate |
$155.12 |
| Rate for Payer: Aetna Commercial |
$117.89
|
| Rate for Payer: Aetna Medicare Advantage |
$93.08
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$79.11
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$79.11
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$79.11
|
| Rate for Payer: Cigna Commercial |
$155.12
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$80.67
|
| Rate for Payer: Oxford Commercial |
$62.05
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$46.54
|
| Rate for Payer: UnitedHealthcare Commercial |
$62.05
|
| Rate for Payer: UnitedHealthcare Community & State |
$9.80
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$8.81
|
|
|
TUBING AIR/WATER/SUCTN/BIOPSY
|
Facility
|
IP
|
$37.50
|
|
| Hospital Charge Code |
270677702
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$5.62 |
| Max. Negotiated Rate |
$5.62 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$5.62
|
|
|
TUBING AIR/WATER/SUCTN/BIOPSY
|
Facility
|
OP
|
$37.50
|
|
| Hospital Charge Code |
270677702
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.06 |
| Max. Negotiated Rate |
$18.75 |
| Rate for Payer: Aetna Commercial |
$14.25
|
| Rate for Payer: Aetna Medicare Advantage |
$11.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$9.56
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$9.56
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$9.56
|
| Rate for Payer: Cigna Commercial |
$18.75
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$9.75
|
| Rate for Payer: Oxford Commercial |
$7.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$5.62
|
| Rate for Payer: UnitedHealthcare Commercial |
$7.50
|
| Rate for Payer: UnitedHealthcare Community & State |
$1.19
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$1.06
|
|
|
TUBING ARTHROSCOPY 10K PUMP
|
Facility
|
IP
|
$226.60
|
|
| Hospital Charge Code |
270677533
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$33.99 |
| Max. Negotiated Rate |
$33.99 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$33.99
|
|
|
TUBING ARTHROSCOPY 10K PUMP
|
Facility
|
OP
|
$226.60
|
|
| Hospital Charge Code |
270677533
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$6.44 |
| Max. Negotiated Rate |
$113.30 |
| Rate for Payer: Aetna Commercial |
$86.11
|
| Rate for Payer: Aetna Medicare Advantage |
$67.98
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$57.78
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$57.78
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$57.78
|
| Rate for Payer: Cigna Commercial |
$113.30
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$58.92
|
| Rate for Payer: Oxford Commercial |
$45.32
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$33.99
|
| Rate for Payer: UnitedHealthcare Commercial |
$45.32
|
| Rate for Payer: UnitedHealthcare Community & State |
$7.16
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$6.44
|
|
|
TUBING ART PRESS 36IN 4236901
|
Facility
|
IP
|
$8.00
|
|
| Hospital Charge Code |
270616526
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.20 |
| Max. Negotiated Rate |
$1.20 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$1.20
|
|
|
TUBING ART PRESS 36IN 4236901
|
Facility
|
OP
|
$8.00
|
|
| Hospital Charge Code |
270616526
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.23 |
| Max. Negotiated Rate |
$4.00 |
| Rate for Payer: Aetna Commercial |
$3.04
|
| Rate for Payer: Aetna Medicare Advantage |
$2.40
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$2.04
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$2.04
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$2.04
|
| Rate for Payer: Cigna Commercial |
$4.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$2.08
|
| Rate for Payer: Oxford Commercial |
$1.60
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1.20
|
| Rate for Payer: UnitedHealthcare Commercial |
$1.60
|
| Rate for Payer: UnitedHealthcare Community & State |
$0.25
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$0.23
|
|
|
TUBING ASPIRATION
|
Facility
|
IP
|
$2,190.00
|
|
| Hospital Charge Code |
270683398
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$328.50 |
| Max. Negotiated Rate |
$328.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$328.50
|
|
|
TUBING ASPIRATION
|
Facility
|
OP
|
$2,190.00
|
|
| Hospital Charge Code |
270683398N
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$62.20 |
| Max. Negotiated Rate |
$1,095.00 |
| Rate for Payer: Aetna Commercial |
$832.20
|
| Rate for Payer: Aetna Medicare Advantage |
$657.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$558.45
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$558.45
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$558.45
|
| Rate for Payer: Cigna Commercial |
$1,095.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$569.40
|
| Rate for Payer: Oxford Commercial |
$438.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$328.50
|
| Rate for Payer: UnitedHealthcare Commercial |
$438.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$69.20
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$62.20
|
|
|
TUBING ASPIRATION
|
Facility
|
OP
|
$2,190.00
|
|
| Hospital Charge Code |
270683398
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$62.20 |
| Max. Negotiated Rate |
$1,095.00 |
| Rate for Payer: Aetna Commercial |
$832.20
|
| Rate for Payer: Aetna Medicare Advantage |
$657.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$558.45
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$558.45
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$558.45
|
| Rate for Payer: Cigna Commercial |
$1,095.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$569.40
|
| Rate for Payer: Oxford Commercial |
$438.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$328.50
|
| Rate for Payer: UnitedHealthcare Commercial |
$438.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$69.20
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$62.20
|
|
|
TUBING ASPIRATION
|
Facility
|
IP
|
$2,190.00
|
|
| Hospital Charge Code |
270683398N
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$328.50 |
| Max. Negotiated Rate |
$328.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$328.50
|
|
|
TUBING BLOOD ADMIN S V2560-37
|
Facility
|
OP
|
$19.10
|
|
| Hospital Charge Code |
270040275
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.54 |
| Max. Negotiated Rate |
$9.55 |
| Rate for Payer: Aetna Commercial |
$7.26
|
| Rate for Payer: Aetna Medicare Advantage |
$5.73
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$4.87
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$4.87
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$4.87
|
| Rate for Payer: Cigna Commercial |
$9.55
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$4.97
|
| Rate for Payer: Oxford Commercial |
$3.82
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$2.87
|
| Rate for Payer: UnitedHealthcare Commercial |
$3.82
|
| Rate for Payer: UnitedHealthcare Community & State |
$0.60
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$0.54
|
|
|
TUBING BLOOD ADMIN S V2560-37
|
Facility
|
IP
|
$19.10
|
|
| Hospital Charge Code |
270040275
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2.87 |
| Max. Negotiated Rate |
$2.87 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$2.87
|
|
|
TUBING BLOOD PUMP 2C7613
|
Facility
|
OP
|
$67.50
|
|
| Hospital Charge Code |
270605803
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.92 |
| Max. Negotiated Rate |
$33.75 |
| Rate for Payer: Aetna Commercial |
$25.65
|
| Rate for Payer: Aetna Medicare Advantage |
$20.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$17.21
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$17.21
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$17.21
|
| Rate for Payer: Cigna Commercial |
$33.75
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$17.55
|
| Rate for Payer: Oxford Commercial |
$13.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$10.12
|
| Rate for Payer: UnitedHealthcare Commercial |
$13.50
|
| Rate for Payer: UnitedHealthcare Community & State |
$2.13
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$1.92
|
|
|
TUBING BLOOD PUMP 2C7613
|
Facility
|
IP
|
$67.50
|
|
| Hospital Charge Code |
270605803
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$10.12 |
| Max. Negotiated Rate |
$10.12 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$10.12
|
|
|
TUBING BLOOD SECONDARY PUMP
|
Facility
|
OP
|
$11.95
|
|
| Hospital Charge Code |
270650120
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$0.34 |
| Max. Negotiated Rate |
$5.97 |
| Rate for Payer: Aetna Commercial |
$4.54
|
| Rate for Payer: Aetna Medicare Advantage |
$3.58
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$3.05
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$3.05
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$3.05
|
| Rate for Payer: Cigna Commercial |
$5.97
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$3.11
|
| Rate for Payer: Oxford Commercial |
$2.39
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1.79
|
| Rate for Payer: UnitedHealthcare Commercial |
$2.39
|
| Rate for Payer: UnitedHealthcare Community & State |
$0.38
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$0.34
|
|
|
TUBING BLOOD SECONDARY PUMP
|
Facility
|
IP
|
$11.95
|
|
| Hospital Charge Code |
270650120
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$1.79 |
| Max. Negotiated Rate |
$1.79 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$1.79
|
|
|
TUBING BLOOD SET V7490
|
Facility
|
IP
|
$36.08
|
|
| Hospital Charge Code |
270040297
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$5.41 |
| Max. Negotiated Rate |
$5.41 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$5.41
|
|
|
TUBING BLOOD SET V7490
|
Facility
|
OP
|
$36.08
|
|
| Hospital Charge Code |
270040297
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.02 |
| Max. Negotiated Rate |
$18.04 |
| Rate for Payer: Aetna Commercial |
$13.71
|
| Rate for Payer: Aetna Medicare Advantage |
$10.82
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$9.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$9.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$9.20
|
| Rate for Payer: Cigna Commercial |
$18.04
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$9.38
|
| Rate for Payer: Oxford Commercial |
$7.22
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$5.41
|
| Rate for Payer: UnitedHealthcare Commercial |
$7.22
|
| Rate for Payer: UnitedHealthcare Community & State |
$1.14
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$1.02
|
|
|
TUBING BURETT MINIDRIP NF3115
|
Facility
|
IP
|
$83.25
|
|
| Hospital Charge Code |
270040241
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$12.49 |
| Max. Negotiated Rate |
$12.49 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$12.49
|
|
|
TUBING BURETT MINIDRIP NF3115
|
Facility
|
OP
|
$83.25
|
|
| Hospital Charge Code |
270040241
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2.36 |
| Max. Negotiated Rate |
$41.62 |
| Rate for Payer: Aetna Commercial |
$31.64
|
| Rate for Payer: Aetna Medicare Advantage |
$24.98
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$21.23
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$21.23
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$21.23
|
| Rate for Payer: Cigna Commercial |
$41.62
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$21.64
|
| Rate for Payer: Oxford Commercial |
$16.65
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$12.49
|
| Rate for Payer: UnitedHealthcare Commercial |
$16.65
|
| Rate for Payer: UnitedHealthcare Community & State |
$2.63
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$2.36
|
|
|
TUBING CANNULA 02 NASAL W/34
|
Facility
|
OP
|
$1.57
|
|
| Hospital Charge Code |
270649217
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$0.04 |
| Max. Negotiated Rate |
$0.79 |
| Rate for Payer: Aetna Commercial |
$0.60
|
| Rate for Payer: Aetna Medicare Advantage |
$0.47
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$0.40
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$0.40
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$0.40
|
| Rate for Payer: Cigna Commercial |
$0.79
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$0.41
|
| Rate for Payer: Oxford Commercial |
$0.31
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$0.24
|
| Rate for Payer: UnitedHealthcare Commercial |
$0.31
|
| Rate for Payer: UnitedHealthcare Community & State |
$0.05
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$0.04
|
|