|
BLADE ZIM OSCIL LG BN 5071-551
|
Facility
|
OP
|
$51.50
|
|
| Hospital Charge Code |
270601059
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.46 |
| Max. Negotiated Rate |
$25.75 |
| Rate for Payer: Aetna Commercial |
$19.57
|
| Rate for Payer: Aetna Medicare Advantage |
$15.45
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$13.13
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$13.13
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$13.13
|
| Rate for Payer: Cigna Commercial |
$25.75
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$13.39
|
| Rate for Payer: Oxford Commercial |
$10.30
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$7.72
|
| Rate for Payer: UnitedHealthcare Commercial |
$10.30
|
| Rate for Payer: UnitedHealthcare Community & State |
$1.63
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$1.46
|
|
|
BLADE ZIM OSCIL LG BN 5071-553
|
Facility
|
IP
|
$72.60
|
|
| Hospital Charge Code |
270601057
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$10.89 |
| Max. Negotiated Rate |
$10.89 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$10.89
|
|
|
BLADE ZIM OSCIL LG BN 5071-553
|
Facility
|
OP
|
$72.60
|
|
| Hospital Charge Code |
270601057
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2.06 |
| Max. Negotiated Rate |
$36.30 |
| Rate for Payer: Aetna Commercial |
$27.59
|
| Rate for Payer: Aetna Medicare Advantage |
$21.78
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$18.51
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$18.51
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$18.51
|
| Rate for Payer: Cigna Commercial |
$36.30
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$18.88
|
| Rate for Payer: Oxford Commercial |
$14.52
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$10.89
|
| Rate for Payer: UnitedHealthcare Commercial |
$14.52
|
| Rate for Payer: UnitedHealthcare Community & State |
$2.29
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$2.06
|
|
|
BLADE ZIM OSCIL SM BN 5023-260
|
Facility
|
OP
|
$167.25
|
|
| Hospital Charge Code |
270601051
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$4.75 |
| Max. Negotiated Rate |
$83.62 |
| Rate for Payer: Aetna Commercial |
$63.55
|
| Rate for Payer: Aetna Medicare Advantage |
$50.17
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$42.65
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$42.65
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$42.65
|
| Rate for Payer: Cigna Commercial |
$83.62
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$43.48
|
| Rate for Payer: Oxford Commercial |
$33.45
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$25.09
|
| Rate for Payer: UnitedHealthcare Commercial |
$33.45
|
| Rate for Payer: UnitedHealthcare Community & State |
$5.29
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$4.75
|
|
|
BLADE ZIM OSCIL SM BN 5023-260
|
Facility
|
IP
|
$167.25
|
|
| Hospital Charge Code |
270601051
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$25.09 |
| Max. Negotiated Rate |
$25.09 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$25.09
|
|
|
BLADE ZIM OSCIL SM BN 5023-262
|
Facility
|
OP
|
$46.35
|
|
| Hospital Charge Code |
270601058
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.32 |
| Max. Negotiated Rate |
$23.18 |
| Rate for Payer: Aetna Commercial |
$17.61
|
| Rate for Payer: Aetna Medicare Advantage |
$13.90
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$11.82
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$11.82
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$11.82
|
| Rate for Payer: Cigna Commercial |
$23.18
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$12.05
|
| Rate for Payer: Oxford Commercial |
$9.27
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$6.95
|
| Rate for Payer: UnitedHealthcare Commercial |
$9.27
|
| Rate for Payer: UnitedHealthcare Community & State |
$1.46
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$1.32
|
|
|
BLADE ZIM OSCIL SM BN 5023-262
|
Facility
|
IP
|
$46.35
|
|
| Hospital Charge Code |
270601058
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$6.95 |
| Max. Negotiated Rate |
$6.95 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$6.95
|
|
|
BLADE ZIM OSCIL SM BN 5023-264
|
Facility
|
IP
|
$33.20
|
|
| Hospital Charge Code |
270600377
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$4.98 |
| Max. Negotiated Rate |
$4.98 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$4.98
|
|
|
BLADE ZIM OSCIL SM BN 5023-264
|
Facility
|
OP
|
$33.20
|
|
| Hospital Charge Code |
270600377
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.94 |
| Max. Negotiated Rate |
$16.60 |
| Rate for Payer: Aetna Commercial |
$12.62
|
| Rate for Payer: Aetna Medicare Advantage |
$9.96
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$8.47
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$8.47
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$8.47
|
| Rate for Payer: Cigna Commercial |
$16.60
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$8.63
|
| Rate for Payer: Oxford Commercial |
$6.64
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$4.98
|
| Rate for Payer: UnitedHealthcare Commercial |
$6.64
|
| Rate for Payer: UnitedHealthcare Community & State |
$1.05
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$0.94
|
|
|
BLADE ZIM OSCIL SM BN 5023-266
|
Facility
|
IP
|
$139.25
|
|
| Hospital Charge Code |
270601054
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$20.89 |
| Max. Negotiated Rate |
$20.89 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$20.89
|
|
|
BLADE ZIM OSCIL SM BN 5023-266
|
Facility
|
OP
|
$139.25
|
|
| Hospital Charge Code |
270601054
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3.95 |
| Max. Negotiated Rate |
$69.62 |
| Rate for Payer: Aetna Commercial |
$52.91
|
| Rate for Payer: Aetna Medicare Advantage |
$41.77
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$35.51
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$35.51
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$35.51
|
| Rate for Payer: Cigna Commercial |
$69.62
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$36.20
|
| Rate for Payer: Oxford Commercial |
$27.85
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$20.89
|
| Rate for Payer: UnitedHealthcare Commercial |
$27.85
|
| Rate for Payer: UnitedHealthcare Community & State |
$4.40
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$3.95
|
|
|
BLADE ZIM RCPRCT 5052-179
|
Facility
|
OP
|
$215.00
|
|
| Hospital Charge Code |
270608532
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$6.11 |
| Max. Negotiated Rate |
$107.50 |
| Rate for Payer: Aetna Commercial |
$81.70
|
| Rate for Payer: Aetna Medicare Advantage |
$64.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$54.83
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$54.83
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$54.83
|
| Rate for Payer: Cigna Commercial |
$107.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$55.90
|
| Rate for Payer: Oxford Commercial |
$43.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$32.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$43.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$6.79
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$6.11
|
|
|
BLADE ZIM RCPRCT 5052-179
|
Facility
|
IP
|
$215.00
|
|
| Hospital Charge Code |
270608532
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$32.25 |
| Max. Negotiated Rate |
$32.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$32.25
|
|
|
BLADE ZIM SAGIT SAW 5023-242
|
Facility
|
OP
|
$66.40
|
|
| Hospital Charge Code |
270601043
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.89 |
| Max. Negotiated Rate |
$33.20 |
| Rate for Payer: Aetna Commercial |
$25.23
|
| Rate for Payer: Aetna Medicare Advantage |
$19.92
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$16.93
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$16.93
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$16.93
|
| Rate for Payer: Cigna Commercial |
$33.20
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$17.26
|
| Rate for Payer: Oxford Commercial |
$13.28
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$9.96
|
| Rate for Payer: UnitedHealthcare Commercial |
$13.28
|
| Rate for Payer: UnitedHealthcare Community & State |
$2.10
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$1.89
|
|
|
BLADE ZIM SAGIT SAW 5023-242
|
Facility
|
IP
|
$66.40
|
|
| Hospital Charge Code |
270601043
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$9.96 |
| Max. Negotiated Rate |
$9.96 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$9.96
|
|
|
BLADE ZIM SAG SAW 5023-139
|
Facility
|
OP
|
$48.90
|
|
| Hospital Charge Code |
270616382
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.39 |
| Max. Negotiated Rate |
$24.45 |
| Rate for Payer: Aetna Commercial |
$18.58
|
| Rate for Payer: Aetna Medicare Advantage |
$14.67
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$12.47
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$12.47
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$12.47
|
| Rate for Payer: Cigna Commercial |
$24.45
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$12.71
|
| Rate for Payer: Oxford Commercial |
$9.78
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$7.33
|
| Rate for Payer: UnitedHealthcare Commercial |
$9.78
|
| Rate for Payer: UnitedHealthcare Community & State |
$1.55
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$1.39
|
|
|
BLADE ZIM SAG SAW 5023-139
|
Facility
|
IP
|
$48.90
|
|
| Hospital Charge Code |
270616382
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$7.33 |
| Max. Negotiated Rate |
$7.33 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$7.33
|
|
|
BLAKE DRAIN
|
Facility
|
OP
|
$94.00
|
|
| Hospital Charge Code |
270338791
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$2.67 |
| Max. Negotiated Rate |
$47.00 |
| Rate for Payer: Aetna Commercial |
$35.72
|
| Rate for Payer: Aetna Medicare Advantage |
$28.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$23.97
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$23.97
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$18.80
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$23.97
|
| Rate for Payer: Cigna Commercial |
$47.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$22.75
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$14.10
|
| Rate for Payer: UnitedHealthcare Community & State |
$2.97
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$2.67
|
|
|
BLAKE DRAIN
|
Facility
|
IP
|
$94.00
|
|
| Hospital Charge Code |
270338791
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$14.10 |
| Max. Negotiated Rate |
$22.75 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$18.80
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$22.75
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$14.10
|
|
|
BLAKE DRAIN 15 FR
|
Facility
|
OP
|
$82.15
|
|
| Hospital Charge Code |
270660573
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$2.33 |
| Max. Negotiated Rate |
$41.08 |
| Rate for Payer: Aetna Commercial |
$31.22
|
| Rate for Payer: Aetna Medicare Advantage |
$24.64
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$20.95
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$20.95
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$20.95
|
| Rate for Payer: Cigna Commercial |
$41.08
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$21.36
|
| Rate for Payer: Oxford Commercial |
$16.43
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$12.32
|
| Rate for Payer: UnitedHealthcare Commercial |
$16.43
|
| Rate for Payer: UnitedHealthcare Community & State |
$2.60
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$2.33
|
|
|
BLAKE DRAIN 15 FR
|
Facility
|
IP
|
$82.15
|
|
| Hospital Charge Code |
270660573
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$12.32 |
| Max. Negotiated Rate |
$12.32 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$12.32
|
|
|
BLANKET BAIRHUGGER FULL BODY
|
Facility
|
OP
|
$23.37
|
|
| Hospital Charge Code |
270600903
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$0.66 |
| Max. Negotiated Rate |
$11.69 |
| Rate for Payer: Aetna Commercial |
$8.88
|
| Rate for Payer: Aetna Medicare Advantage |
$7.01
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$5.96
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$5.96
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$5.96
|
| Rate for Payer: Cigna Commercial |
$11.69
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$6.08
|
| Rate for Payer: Oxford Commercial |
$4.67
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$3.51
|
| Rate for Payer: UnitedHealthcare Commercial |
$4.67
|
| Rate for Payer: UnitedHealthcare Community & State |
$0.74
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$0.66
|
|
|
BLANKET BAIRHUGGER FULL BODY
|
Facility
|
IP
|
$23.37
|
|
| Hospital Charge Code |
270600903
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$3.51 |
| Max. Negotiated Rate |
$3.51 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$3.51
|
|
|
BLANKET BEARHUGGER UPPER BH522
|
Facility
|
IP
|
$26.75
|
|
| Hospital Charge Code |
270600865
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$4.01 |
| Max. Negotiated Rate |
$4.01 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$4.01
|
|
|
BLANKET BEARHUGGER UPPER BH522
|
Facility
|
OP
|
$26.75
|
|
| Hospital Charge Code |
270600865
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.76 |
| Max. Negotiated Rate |
$13.38 |
| Rate for Payer: Aetna Commercial |
$10.16
|
| Rate for Payer: Aetna Medicare Advantage |
$8.03
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$6.82
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$6.82
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$6.82
|
| Rate for Payer: Cigna Commercial |
$13.38
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$6.96
|
| Rate for Payer: Oxford Commercial |
$5.35
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$4.01
|
| Rate for Payer: UnitedHealthcare Commercial |
$5.35
|
| Rate for Payer: UnitedHealthcare Community & State |
$0.85
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$0.76
|
|