|
CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$102,486.12
|
|
|
Service Code
|
APR-DRG 1654
|
| Min. Negotiated Rate |
$100,476.59 |
| Max. Negotiated Rate |
$102,486.12 |
| Rate for Payer: UnitedHealthcare Community & State |
$100,476.59
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$102,486.12
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$100,476.59
|
|
|
CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$52,691.02
|
|
|
Service Code
|
APR-DRG 1651
|
| Min. Negotiated Rate |
$51,657.86 |
| Max. Negotiated Rate |
$52,691.02 |
| Rate for Payer: UnitedHealthcare Community & State |
$51,657.86
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$52,691.02
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$51,657.86
|
|
|
CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$73,555.88
|
|
|
Service Code
|
APR-DRG 1653
|
| Min. Negotiated Rate |
$72,113.61 |
| Max. Negotiated Rate |
$73,555.88 |
| Rate for Payer: UnitedHealthcare Community & State |
$72,113.61
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$73,555.88
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$72,113.61
|
|
|
CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$61,183.25
|
|
|
Service Code
|
APR-DRG 1652
|
| Min. Negotiated Rate |
$59,983.58 |
| Max. Negotiated Rate |
$61,183.25 |
| Rate for Payer: UnitedHealthcare Community & State |
$59,983.58
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$61,183.25
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$59,983.58
|
|
|
CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC
|
Facility
|
IP
|
$261,003.76
|
|
|
Service Code
|
MSDRG 233
|
| Min. Negotiated Rate |
$79,472.30 |
| Max. Negotiated Rate |
$261,003.76 |
| Rate for Payer: Aetna Commercial |
$187,748.39
|
| Rate for Payer: Aetna Medicare Advantage |
$261,003.76
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$216,099.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$216,099.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$83,655.05
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$216,099.00
|
| Rate for Payer: Cigna Commercial |
$170,434.44
|
| Rate for Payer: Cigna Medicare Advantage |
$83,655.05
|
| Rate for Payer: Clover Medicare Advantage |
$79,472.30
|
| Rate for Payer: EmblemHealth Commercial |
$250,965.15
|
| Rate for Payer: Humana Medicare Advantage |
$86,164.70
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$83,655.05
|
| Rate for Payer: Oxford Commercial |
$134,708.42
|
| Rate for Payer: UnitedHealthcare Commercial |
$180,312.04
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$83,655.05
|
| Rate for Payer: Wellcare Medicare Advantage |
$83,655.05
|
|
|
CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC
|
Facility
|
IP
|
$192,050.79
|
|
|
Service Code
|
MSDRG 234
|
| Min. Negotiated Rate |
$58,477.00 |
| Max. Negotiated Rate |
$192,050.79 |
| Rate for Payer: Aetna Commercial |
$138,639.29
|
| Rate for Payer: Aetna Medicare Advantage |
$192,050.79
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$144,066.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$144,066.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$61,554.74
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$144,066.00
|
| Rate for Payer: Cigna Commercial |
$121,779.97
|
| Rate for Payer: Cigna Medicare Advantage |
$61,554.74
|
| Rate for Payer: Clover Medicare Advantage |
$58,477.00
|
| Rate for Payer: EmblemHealth Commercial |
$184,664.22
|
| Rate for Payer: Humana Medicare Advantage |
$63,401.38
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$61,554.74
|
| Rate for Payer: Oxford Commercial |
$96,252.77
|
| Rate for Payer: UnitedHealthcare Commercial |
$128,837.78
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$61,554.74
|
| Rate for Payer: Wellcare Medicare Advantage |
$61,554.74
|
|
|
CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$46,541.20
|
|
|
Service Code
|
APR-DRG 1661
|
| Min. Negotiated Rate |
$45,628.63 |
| Max. Negotiated Rate |
$46,541.20 |
| Rate for Payer: UnitedHealthcare Community & State |
$45,628.63
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$46,541.20
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$45,628.63
|
|
|
CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$90,216.06
|
|
|
Service Code
|
APR-DRG 1664
|
| Min. Negotiated Rate |
$88,447.12 |
| Max. Negotiated Rate |
$90,216.06 |
| Rate for Payer: UnitedHealthcare Community & State |
$88,447.12
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$90,216.06
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$88,447.12
|
|
|
CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$61,347.55
|
|
|
Service Code
|
APR-DRG 1663
|
| Min. Negotiated Rate |
$60,144.66 |
| Max. Negotiated Rate |
$61,347.55 |
| Rate for Payer: UnitedHealthcare Community & State |
$60,144.66
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$61,347.55
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$60,144.66
|
|
|
CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$51,905.90
|
|
|
Service Code
|
APR-DRG 1662
|
| Min. Negotiated Rate |
$50,888.14 |
| Max. Negotiated Rate |
$51,905.90 |
| Rate for Payer: UnitedHealthcare Community & State |
$50,888.14
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$51,905.90
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$50,888.14
|
|
|
CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC
|
Facility
|
IP
|
$204,874.61
|
|
|
Service Code
|
MSDRG 235
|
| Min. Negotiated Rate |
$62,381.69 |
| Max. Negotiated Rate |
$204,874.61 |
| Rate for Payer: Aetna Commercial |
$147,772.57
|
| Rate for Payer: Aetna Medicare Advantage |
$204,874.61
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$162,905.40
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$162,905.40
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$65,664.94
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$162,905.40
|
| Rate for Payer: Cigna Commercial |
$130,828.70
|
| Rate for Payer: Cigna Medicare Advantage |
$65,664.94
|
| Rate for Payer: Clover Medicare Advantage |
$62,381.69
|
| Rate for Payer: EmblemHealth Commercial |
$196,994.82
|
| Rate for Payer: Humana Medicare Advantage |
$67,634.89
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$65,664.94
|
| Rate for Payer: Oxford Commercial |
$103,404.73
|
| Rate for Payer: UnitedHealthcare Commercial |
$138,410.93
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$65,664.94
|
| Rate for Payer: Wellcare Medicare Advantage |
$65,664.94
|
|
|
CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC
|
Facility
|
IP
|
$151,803.72
|
|
|
Service Code
|
MSDRG 236
|
| Min. Negotiated Rate |
$46,222.29 |
| Max. Negotiated Rate |
$151,803.72 |
| Rate for Payer: Aetna Commercial |
$109,974.87
|
| Rate for Payer: Aetna Medicare Advantage |
$151,803.72
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$111,928.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$111,928.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$48,655.04
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$111,928.20
|
| Rate for Payer: Cigna Commercial |
$93,380.92
|
| Rate for Payer: Cigna Medicare Advantage |
$48,655.04
|
| Rate for Payer: Clover Medicare Advantage |
$46,222.29
|
| Rate for Payer: EmblemHealth Commercial |
$145,965.12
|
| Rate for Payer: Humana Medicare Advantage |
$50,114.69
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$48,655.04
|
| Rate for Payer: Oxford Commercial |
$73,806.66
|
| Rate for Payer: UnitedHealthcare Commercial |
$98,792.85
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$48,655.04
|
| Rate for Payer: Wellcare Medicare Advantage |
$48,655.04
|
|
|
CORONARY BYPASS WITH PTCA WITH MCC
|
Facility
|
IP
|
$285,795.18
|
|
|
Service Code
|
MSDRG 231
|
| Min. Negotiated Rate |
$87,020.97 |
| Max. Negotiated Rate |
$285,795.18 |
| Rate for Payer: Aetna Commercial |
$205,405.15
|
| Rate for Payer: Aetna Medicare Advantage |
$285,795.18
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$224,964.60
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$224,964.60
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$91,601.02
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$224,964.60
|
| Rate for Payer: Cigna Commercial |
$187,927.76
|
| Rate for Payer: Cigna Medicare Advantage |
$91,601.02
|
| Rate for Payer: Clover Medicare Advantage |
$87,020.97
|
| Rate for Payer: EmblemHealth Commercial |
$274,803.06
|
| Rate for Payer: Humana Medicare Advantage |
$94,349.05
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$91,601.02
|
| Rate for Payer: Oxford Commercial |
$148,534.84
|
| Rate for Payer: UnitedHealthcare Commercial |
$198,819.19
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$91,601.02
|
| Rate for Payer: Wellcare Medicare Advantage |
$91,601.02
|
|
|
CORONARY BYPASS WITH PTCA WITHOUT MCC
|
Facility
|
IP
|
$211,003.76
|
|
|
Service Code
|
MSDRG 232
|
| Min. Negotiated Rate |
$64,247.94 |
| Max. Negotiated Rate |
$211,003.76 |
| Rate for Payer: Aetna Commercial |
$152,137.82
|
| Rate for Payer: Aetna Medicare Advantage |
$211,003.76
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$164,844.75
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$164,844.75
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$67,629.41
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$164,844.75
|
| Rate for Payer: Cigna Commercial |
$135,153.54
|
| Rate for Payer: Cigna Medicare Advantage |
$67,629.41
|
| Rate for Payer: Clover Medicare Advantage |
$64,247.94
|
| Rate for Payer: EmblemHealth Commercial |
$202,888.23
|
| Rate for Payer: Humana Medicare Advantage |
$69,658.29
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$67,629.41
|
| Rate for Payer: Oxford Commercial |
$106,823.01
|
| Rate for Payer: UnitedHealthcare Commercial |
$142,986.42
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$67,629.41
|
| Rate for Payer: Wellcare Medicare Advantage |
$67,629.41
|
|
|
CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC
|
Facility
|
IP
|
$156,182.61
|
|
|
Service Code
|
MSDRG 323
|
| Min. Negotiated Rate |
$47,555.60 |
| Max. Negotiated Rate |
$156,182.61 |
| Rate for Payer: Aetna Commercial |
$113,093.57
|
| Rate for Payer: Aetna Medicare Advantage |
$156,182.61
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$50,058.53
|
| Rate for Payer: Cigna Commercial |
$96,470.73
|
| Rate for Payer: Cigna Medicare Advantage |
$50,058.53
|
| Rate for Payer: Clover Medicare Advantage |
$47,555.60
|
| Rate for Payer: EmblemHealth Commercial |
$150,175.59
|
| Rate for Payer: Humana Medicare Advantage |
$51,560.29
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$50,058.53
|
| Rate for Payer: Oxford Commercial |
$76,248.79
|
| Rate for Payer: UnitedHealthcare Commercial |
$102,061.73
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$50,058.53
|
| Rate for Payer: Wellcare Medicare Advantage |
$50,058.53
|
|
|
CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC
|
Facility
|
IP
|
$119,015.96
|
|
|
Service Code
|
MSDRG 324
|
| Min. Negotiated Rate |
$36,238.83 |
| Max. Negotiated Rate |
$119,015.96 |
| Rate for Payer: Aetna Commercial |
$86,623.03
|
| Rate for Payer: Aetna Medicare Advantage |
$119,015.96
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$38,146.14
|
| Rate for Payer: Cigna Commercial |
$70,245.24
|
| Rate for Payer: Cigna Medicare Advantage |
$38,146.14
|
| Rate for Payer: Clover Medicare Advantage |
$36,238.83
|
| Rate for Payer: EmblemHealth Commercial |
$114,438.42
|
| Rate for Payer: Humana Medicare Advantage |
$39,290.52
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$38,146.14
|
| Rate for Payer: Oxford Commercial |
$55,520.62
|
| Rate for Payer: UnitedHealthcare Commercial |
$74,316.34
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$38,146.14
|
| Rate for Payer: Wellcare Medicare Advantage |
$38,146.14
|
|
|
CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE
|
Facility
|
IP
|
$120,892.61
|
|
|
Service Code
|
MSDRG 325
|
| Min. Negotiated Rate |
$36,810.25 |
| Max. Negotiated Rate |
$120,892.61 |
| Rate for Payer: Aetna Commercial |
$87,959.62
|
| Rate for Payer: Aetna Medicare Advantage |
$120,892.61
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$38,747.63
|
| Rate for Payer: Cigna Commercial |
$71,569.45
|
| Rate for Payer: Cigna Medicare Advantage |
$38,747.63
|
| Rate for Payer: Clover Medicare Advantage |
$36,810.25
|
| Rate for Payer: EmblemHealth Commercial |
$116,242.89
|
| Rate for Payer: Humana Medicare Advantage |
$39,910.06
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$38,747.63
|
| Rate for Payer: Oxford Commercial |
$56,567.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$75,717.28
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$38,747.63
|
| Rate for Payer: Wellcare Medicare Advantage |
$38,747.63
|
|
|
CORPECTOMY CAGE 12X14X28MM 6D
|
Facility
|
OP
|
$39,975.00
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
270695757
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,135.29 |
| Max. Negotiated Rate |
$19,987.50 |
| Rate for Payer: Aetna Commercial |
$15,190.50
|
| Rate for Payer: Aetna Medicare Advantage |
$11,992.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$10,193.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$10,193.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$7,995.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$10,193.62
|
| Rate for Payer: Cigna Commercial |
$19,987.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$9,673.95
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$5,996.25
|
| Rate for Payer: UnitedHealthcare Community & State |
$1,263.21
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$1,135.29
|
|
|
CORPECTOMY CAGE 12X14X28MM 6D
|
Facility
|
IP
|
$39,975.00
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
270695757
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$5,996.25 |
| Max. Negotiated Rate |
$9,673.95 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$7,995.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$9,673.95
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$5,996.25
|
|
|
CORPECTOMY MATRIXX 15X23MM 12D
|
Facility
|
IP
|
$39,975.00
|
|
|
Service Code
|
HCPCS C1889
|
| Hospital Charge Code |
270694188
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$5,996.25 |
| Max. Negotiated Rate |
$9,673.95 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$7,995.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$9,673.95
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$5,996.25
|
|
|
CORPECTOMY MATRIXX 15X23MM 12D
|
Facility
|
OP
|
$39,975.00
|
|
|
Service Code
|
HCPCS C1889
|
| Hospital Charge Code |
270694188
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,135.29 |
| Max. Negotiated Rate |
$19,987.50 |
| Rate for Payer: Aetna Commercial |
$15,190.50
|
| Rate for Payer: Aetna Medicare Advantage |
$11,992.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$10,193.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$10,193.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$7,995.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$10,193.62
|
| Rate for Payer: Cigna Commercial |
$19,987.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$9,673.95
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$5,996.25
|
| Rate for Payer: UnitedHealthcare Community & State |
$1,263.21
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$1,135.29
|
|
|
CORRECTION HALLUX VALGUS
|
Facility
|
IP
|
$12,289.64
|
|
|
Service Code
|
HCPCS 28295
|
| Hospital Charge Code |
16000482
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$1,843.45 |
| Max. Negotiated Rate |
$1,843.45 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,843.45
|
|
|
CORRECTION HALLUX VALGUS
|
Facility
|
OP
|
$12,289.64
|
|
|
Service Code
|
HCPCS 28295
|
| Hospital Charge Code |
16000482
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$349.03 |
| 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 |
$3,195.31
|
| Rate for Payer: Oxford Commercial |
$9,354.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,843.45
|
| Rate for Payer: UnitedHealthcare Commercial |
$10,269.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$388.35
|
| 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 |
$349.03
|
|
|
CORRECTION OF BUNION-LT
|
Facility
|
OP
|
$46,489.60
|
|
|
Service Code
|
HCPCS 28298
|
| Hospital Charge Code |
16000365
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$1,320.30 |
| 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 |
$12,087.30
|
| Rate for Payer: Oxford Commercial |
$9,354.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$6,973.44
|
| Rate for Payer: UnitedHealthcare Commercial |
$10,269.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$1,469.07
|
| 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 |
$1,320.30
|
|
|
CORRECTION OF BUNION-LT
|
Facility
|
IP
|
$46,489.60
|
|
|
Service Code
|
HCPCS 28298
|
| Hospital Charge Code |
16000365
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$6,973.44 |
| Max. Negotiated Rate |
$6,973.44 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$6,973.44
|
|
