|
CRISIS PSYCHOTX 1ST HOUR CHILD
|
Facility
|
IP
|
$2,000.00
|
|
|
Service Code
|
HCPCS 90839
|
| Hospital Charge Code |
4824511
|
|
Hospital Revenue Code
|
914
|
| Min. Negotiated Rate |
$300.00 |
| Max. Negotiated Rate |
$300.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$300.00
|
|
|
CRISIS PSYCHOTX 1ST HOUR CHILD
|
Facility
|
IP
|
$2,000.00
|
|
|
Service Code
|
HCPCS 90839
|
| Hospital Charge Code |
4504511
|
|
Hospital Revenue Code
|
914
|
| Min. Negotiated Rate |
$300.00 |
| Max. Negotiated Rate |
$300.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$300.00
|
|
|
CRISIS PSYCHOTX 1ST HOUR CHILD
|
Facility
|
IP
|
$2,000.00
|
|
|
Service Code
|
HCPCS 90839
|
| Hospital Charge Code |
4510511
|
|
Hospital Revenue Code
|
914
|
| Min. Negotiated Rate |
$300.00 |
| Max. Negotiated Rate |
$300.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$300.00
|
|
|
CRISIS PSYCHOTX 1ST HOUR CHILD
|
Facility
|
IP
|
$2,000.00
|
|
|
Service Code
|
HCPCS 90839
|
| Hospital Charge Code |
4832511
|
|
Hospital Revenue Code
|
914
|
| Min. Negotiated Rate |
$300.00 |
| Max. Negotiated Rate |
$300.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$300.00
|
|
|
CRISIS PSYCHOTX 1ST HOUR CHILD
|
Facility
|
OP
|
$2,000.00
|
|
|
Service Code
|
HCPCS 90839
|
| Hospital Charge Code |
4517511
|
|
Hospital Revenue Code
|
914
|
| Min. Negotiated Rate |
$56.80 |
| Max. Negotiated Rate |
$764.93 |
| 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 |
$111.38
|
| 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 |
$520.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$300.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$63.20
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$210.87
|
| Rate for Payer: Wellcare Medicare Advantage |
$210.87
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$56.80
|
|
|
CRISIS PSYCHOTX 1ST HOUR CHILD
|
Facility
|
OP
|
$2,000.00
|
|
|
Service Code
|
HCPCS 90839
|
| Hospital Charge Code |
4527511
|
|
Hospital Revenue Code
|
914
|
| Min. Negotiated Rate |
$56.80 |
| Max. Negotiated Rate |
$764.93 |
| 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 |
$111.38
|
| 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 |
$520.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$300.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$63.20
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$210.87
|
| Rate for Payer: Wellcare Medicare Advantage |
$210.87
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$56.80
|
|
|
CRISIS PSYCHOTX 1ST HOUR CHILD
|
Facility
|
OP
|
$2,000.00
|
|
|
Service Code
|
HCPCS 90839
|
| Hospital Charge Code |
4546511
|
|
Hospital Revenue Code
|
914
|
| Min. Negotiated Rate |
$56.80 |
| Max. Negotiated Rate |
$764.93 |
| 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 |
$111.38
|
| 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 |
$520.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$300.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$63.20
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$210.87
|
| Rate for Payer: Wellcare Medicare Advantage |
$210.87
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$56.80
|
|
|
CRISIS PSYCHOTX 1ST HOUR CHILD
|
Facility
|
IP
|
$2,000.00
|
|
|
Service Code
|
HCPCS 90839
|
| Hospital Charge Code |
4546511
|
|
Hospital Revenue Code
|
914
|
| Min. Negotiated Rate |
$300.00 |
| Max. Negotiated Rate |
$300.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$300.00
|
|
|
CRISIS PSYCHOTX 1ST HOUR CHILD
|
Facility
|
IP
|
$2,000.00
|
|
|
Service Code
|
HCPCS 90839
|
| Hospital Charge Code |
4527511
|
|
Hospital Revenue Code
|
914
|
| Min. Negotiated Rate |
$300.00 |
| Max. Negotiated Rate |
$300.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$300.00
|
|
|
CRISIS PSYCHOTX 1ST HOUR CHILD
|
Facility
|
OP
|
$2,000.00
|
|
|
Service Code
|
HCPCS 90839
|
| Hospital Charge Code |
4518511
|
|
Hospital Revenue Code
|
914
|
| Min. Negotiated Rate |
$56.80 |
| Max. Negotiated Rate |
$764.93 |
| 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 |
$111.38
|
| 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 |
$520.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$300.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$63.20
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$210.87
|
| Rate for Payer: Wellcare Medicare Advantage |
$210.87
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$56.80
|
|
|
CRISIS PSYCHOTX EAADD 30MIN AD
|
Facility
|
IP
|
$1,000.00
|
|
|
Service Code
|
HCPCS 90840
|
| Hospital Charge Code |
4822512
|
|
Hospital Revenue Code
|
914
|
| Min. Negotiated Rate |
$150.00 |
| Max. Negotiated Rate |
$150.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$150.00
|
|
|
CRISIS PSYCHOTX EAADD 30MIN AD
|
Facility
|
OP
|
$1,000.00
|
|
|
Service Code
|
HCPCS 90840
|
| Hospital Charge Code |
4824512
|
|
Hospital Revenue Code
|
914
|
| Min. Negotiated Rate |
$28.40 |
| Max. Negotiated Rate |
$500.00 |
| Rate for Payer: Aetna Commercial |
$380.00
|
| Rate for Payer: Aetna Medicare Advantage |
$300.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$255.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$255.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$255.00
|
| Rate for Payer: Cigna Commercial |
$500.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$260.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$150.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$31.60
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$28.40
|
|
|
CRISIS PSYCHOTX EAADD 30MIN AD
|
Facility
|
OP
|
$1,000.00
|
|
|
Service Code
|
HCPCS 90840
|
| Hospital Charge Code |
4822512
|
|
Hospital Revenue Code
|
914
|
| Min. Negotiated Rate |
$28.40 |
| Max. Negotiated Rate |
$500.00 |
| Rate for Payer: Aetna Commercial |
$380.00
|
| Rate for Payer: Aetna Medicare Advantage |
$300.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$255.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$255.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$255.00
|
| Rate for Payer: Cigna Commercial |
$500.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$260.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$150.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$31.60
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$28.40
|
|
|
CRISIS PSYCHOTX EAADD 30MIN AD
|
Facility
|
IP
|
$1,000.00
|
|
|
Service Code
|
HCPCS 90840
|
| Hospital Charge Code |
4832512
|
|
Hospital Revenue Code
|
914
|
| Min. Negotiated Rate |
$150.00 |
| Max. Negotiated Rate |
$150.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$150.00
|
|
|
CRISIS PSYCHOTX EAADD 30MIN AD
|
Facility
|
OP
|
$1,000.00
|
|
|
Service Code
|
HCPCS 90840
|
| Hospital Charge Code |
4832512
|
|
Hospital Revenue Code
|
914
|
| Min. Negotiated Rate |
$28.40 |
| Max. Negotiated Rate |
$500.00 |
| Rate for Payer: Aetna Commercial |
$380.00
|
| Rate for Payer: Aetna Medicare Advantage |
$300.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$255.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$255.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$255.00
|
| Rate for Payer: Cigna Commercial |
$500.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$260.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$150.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$31.60
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$28.40
|
|
|
CRISIS PSYCHOTX EAADD 30MIN AD
|
Facility
|
IP
|
$1,000.00
|
|
|
Service Code
|
HCPCS 90840
|
| Hospital Charge Code |
4824512
|
|
Hospital Revenue Code
|
914
|
| Min. Negotiated Rate |
$150.00 |
| Max. Negotiated Rate |
$150.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$150.00
|
|
|
CRISIS PSYCHOTX EAADD 30MIN AD
|
Facility
|
OP
|
$1,000.00
|
|
|
Service Code
|
HCPCS 90840
|
| Hospital Charge Code |
4502512
|
|
Hospital Revenue Code
|
914
|
| Min. Negotiated Rate |
$28.40 |
| Max. Negotiated Rate |
$500.00 |
| Rate for Payer: Aetna Commercial |
$380.00
|
| Rate for Payer: Aetna Medicare Advantage |
$300.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$255.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$255.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$255.00
|
| Rate for Payer: Cigna Commercial |
$500.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$260.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$150.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$31.60
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$28.40
|
|
|
CRISIS PSYCHOTX EAADD 30MIN AD
|
Facility
|
OP
|
$1,000.00
|
|
|
Service Code
|
HCPCS 90840
|
| Hospital Charge Code |
4509512
|
|
Hospital Revenue Code
|
914
|
| Min. Negotiated Rate |
$28.40 |
| Max. Negotiated Rate |
$500.00 |
| Rate for Payer: Aetna Commercial |
$380.00
|
| Rate for Payer: Aetna Medicare Advantage |
$300.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$255.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$255.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$255.00
|
| Rate for Payer: Cigna Commercial |
$500.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$260.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$150.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$31.60
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$28.40
|
|
|
CRISIS PSYCHOTX EAADD 30MIN AD
|
Facility
|
IP
|
$1,000.00
|
|
|
Service Code
|
HCPCS 90840
|
| Hospital Charge Code |
4509512
|
|
Hospital Revenue Code
|
914
|
| Min. Negotiated Rate |
$150.00 |
| Max. Negotiated Rate |
$150.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$150.00
|
|
|
CRISIS PSYCHOTX EAADD 30MIN AD
|
Facility
|
IP
|
$1,000.00
|
|
|
Service Code
|
HCPCS 90840
|
| Hospital Charge Code |
4502512
|
|
Hospital Revenue Code
|
914
|
| Min. Negotiated Rate |
$150.00 |
| Max. Negotiated Rate |
$150.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$150.00
|
|
|
CRISIS PSYCHOTX EAADD 30MIN AD
|
Facility
|
OP
|
$1,000.00
|
|
|
Service Code
|
HCPCS 90840
|
| Hospital Charge Code |
4535512
|
|
Hospital Revenue Code
|
914
|
| Min. Negotiated Rate |
$28.40 |
| Max. Negotiated Rate |
$500.00 |
| Rate for Payer: Aetna Commercial |
$380.00
|
| Rate for Payer: Aetna Medicare Advantage |
$300.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$255.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$255.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$255.00
|
| Rate for Payer: Cigna Commercial |
$500.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$260.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$150.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$31.60
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$28.40
|
|
|
CRISIS PSYCHOTX EAADD 30MIN AD
|
Facility
|
IP
|
$1,000.00
|
|
|
Service Code
|
HCPCS 90840
|
| Hospital Charge Code |
4535512
|
|
Hospital Revenue Code
|
914
|
| Min. Negotiated Rate |
$150.00 |
| Max. Negotiated Rate |
$150.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$150.00
|
|
|
CRISIS PSYCHOTX EAADD 30MIN AD
|
Facility
|
IP
|
$1,000.00
|
|
|
Service Code
|
HCPCS 90840
|
| Hospital Charge Code |
4504512
|
|
Hospital Revenue Code
|
914
|
| Min. Negotiated Rate |
$150.00 |
| Max. Negotiated Rate |
$150.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$150.00
|
|
|
CRISIS PSYCHOTX EAADD 30MIN AD
|
Facility
|
IP
|
$1,000.00
|
|
|
Service Code
|
HCPCS 90840
|
| Hospital Charge Code |
4511512
|
|
Hospital Revenue Code
|
914
|
| Min. Negotiated Rate |
$150.00 |
| Max. Negotiated Rate |
$150.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$150.00
|
|
|
CRISIS PSYCHOTX EAADD 30MIN AD
|
Facility
|
OP
|
$1,000.00
|
|
|
Service Code
|
HCPCS 90840
|
| Hospital Charge Code |
4511512
|
|
Hospital Revenue Code
|
914
|
| Min. Negotiated Rate |
$28.40 |
| Max. Negotiated Rate |
$500.00 |
| Rate for Payer: Aetna Commercial |
$380.00
|
| Rate for Payer: Aetna Medicare Advantage |
$300.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$255.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$255.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$255.00
|
| Rate for Payer: Cigna Commercial |
$500.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$260.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$150.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$31.60
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$28.40
|
|
