|
ACUTE ANXIETY AND STRESS SYNDROMES
|
Facility
|
IP
|
$5,915.27
|
|
|
Service Code
|
APR-DRG 7561
|
| Min. Negotiated Rate |
$5,799.28 |
| Max. Negotiated Rate |
$5,915.27 |
| Rate for Payer: UnitedHealthcare Community & State |
$5,799.28
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$5,915.27
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$5,799.28
|
|
|
ACUTE ANXIETY AND STRESS SYNDROMES
|
Facility
|
IP
|
$18,617.88
|
|
|
Service Code
|
APR-DRG 7564
|
| Min. Negotiated Rate |
$18,252.82 |
| Max. Negotiated Rate |
$18,617.88 |
| Rate for Payer: UnitedHealthcare Community & State |
$18,252.82
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$18,617.88
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$18,252.82
|
|
|
ACUTE ANXIETY AND STRESS SYNDROMES
|
Facility
|
IP
|
$8,205.79
|
|
|
Service Code
|
APR-DRG 7563
|
| Min. Negotiated Rate |
$8,044.89 |
| Max. Negotiated Rate |
$8,205.79 |
| Rate for Payer: UnitedHealthcare Community & State |
$8,044.89
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$8,205.79
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$8,044.89
|
|
|
ACUTE BRONCHITIS AND RELATED SYMPTOMS
|
Facility
|
IP
|
$19,165.60
|
|
|
Service Code
|
APR-DRG 1454
|
| Min. Negotiated Rate |
$18,789.80 |
| Max. Negotiated Rate |
$19,165.60 |
| Rate for Payer: UnitedHealthcare Community & State |
$18,789.80
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$19,165.60
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$18,789.80
|
|
|
ACUTE BRONCHITIS AND RELATED SYMPTOMS
|
Facility
|
IP
|
$8,101.91
|
|
|
Service Code
|
APR-DRG 1452
|
| Min. Negotiated Rate |
$7,943.05 |
| Max. Negotiated Rate |
$8,101.91 |
| Rate for Payer: UnitedHealthcare Community & State |
$7,943.05
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$8,101.91
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$7,943.05
|
|
|
ACUTE BRONCHITIS AND RELATED SYMPTOMS
|
Facility
|
IP
|
$10,698.55
|
|
|
Service Code
|
APR-DRG 1453
|
| Min. Negotiated Rate |
$10,488.77 |
| Max. Negotiated Rate |
$10,698.55 |
| Rate for Payer: UnitedHealthcare Community & State |
$10,488.77
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$10,698.55
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$10,488.77
|
|
|
ACUTE BRONCHITIS AND RELATED SYMPTOMS
|
Facility
|
IP
|
$6,412.38
|
|
|
Service Code
|
APR-DRG 1451
|
| Min. Negotiated Rate |
$6,286.65 |
| Max. Negotiated Rate |
$6,412.38 |
| Rate for Payer: UnitedHealthcare Community & State |
$6,286.65
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$6,412.38
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$6,286.65
|
|
|
ACUTE KIDNEY INJURY
|
Facility
|
IP
|
$6,337.98
|
|
|
Service Code
|
APR-DRG 4691
|
| Min. Negotiated Rate |
$6,213.71 |
| Max. Negotiated Rate |
$6,337.98 |
| Rate for Payer: UnitedHealthcare Community & State |
$6,213.71
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$6,337.98
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$6,213.71
|
|
|
ACUTE KIDNEY INJURY
|
Facility
|
IP
|
$25,972.61
|
|
|
Service Code
|
APR-DRG 4694
|
| Min. Negotiated Rate |
$25,463.34 |
| Max. Negotiated Rate |
$25,972.61 |
| Rate for Payer: UnitedHealthcare Community & State |
$25,463.34
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$25,972.61
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$25,463.34
|
|
|
ACUTE KIDNEY INJURY
|
Facility
|
IP
|
$13,152.06
|
|
|
Service Code
|
APR-DRG 4693
|
| Min. Negotiated Rate |
$12,894.18 |
| Max. Negotiated Rate |
$13,152.06 |
| Rate for Payer: UnitedHealthcare Community & State |
$12,894.18
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$13,152.06
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$12,894.18
|
|
|
ACUTE KIDNEY INJURY
|
Facility
|
IP
|
$8,256.38
|
|
|
Service Code
|
APR-DRG 4692
|
| Min. Negotiated Rate |
$8,094.49 |
| Max. Negotiated Rate |
$8,256.38 |
| Rate for Payer: UnitedHealthcare Community & State |
$8,094.49
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$8,256.38
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$8,094.49
|
|
|
ACUTE LEUKEMIA
|
Facility
|
IP
|
$11,774.32
|
|
|
Service Code
|
APR-DRG 6901
|
| Min. Negotiated Rate |
$11,543.45 |
| Max. Negotiated Rate |
$11,774.32 |
| Rate for Payer: UnitedHealthcare Community & State |
$11,543.45
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$11,774.32
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$11,543.45
|
|
|
ACUTE LEUKEMIA
|
Facility
|
IP
|
$21,638.70
|
|
|
Service Code
|
APR-DRG 6902
|
| Min. Negotiated Rate |
$21,214.41 |
| Max. Negotiated Rate |
$21,638.70 |
| Rate for Payer: UnitedHealthcare Community & State |
$21,214.41
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$21,638.70
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$21,214.41
|
|
|
ACUTE LEUKEMIA
|
Facility
|
IP
|
$38,187.93
|
|
|
Service Code
|
APR-DRG 6903
|
| Min. Negotiated Rate |
$37,439.15 |
| Max. Negotiated Rate |
$38,187.93 |
| Rate for Payer: UnitedHealthcare Community & State |
$37,439.15
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$38,187.93
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$37,439.15
|
|
|
ACUTE LEUKEMIA
|
Facility
|
IP
|
$75,691.94
|
|
|
Service Code
|
APR-DRG 6904
|
| Min. Negotiated Rate |
$74,207.78 |
| Max. Negotiated Rate |
$75,691.94 |
| Rate for Payer: UnitedHealthcare Community & State |
$74,207.78
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$75,691.94
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$74,207.78
|
|
|
ACUTE LEUKEMIA WITH CC
|
Facility
|
IP
|
$85,362.51
|
|
|
Service Code
|
MSDRG 835
|
| Min. Negotiated Rate |
$25,991.79 |
| Max. Negotiated Rate |
$85,362.51 |
| Rate for Payer: Aetna Commercial |
$62,654.66
|
| Rate for Payer: Aetna Medicare Advantage |
$85,362.51
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$27,359.78
|
| Rate for Payer: Cigna Commercial |
$46,498.74
|
| Rate for Payer: Cigna Medicare Advantage |
$27,359.78
|
| Rate for Payer: Clover Medicare Advantage |
$25,991.79
|
| Rate for Payer: EmblemHealth Commercial |
$82,079.34
|
| Rate for Payer: Humana Medicare Advantage |
$28,180.57
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$27,359.78
|
| Rate for Payer: Oxford Commercial |
$36,751.80
|
| Rate for Payer: UnitedHealthcare Commercial |
$49,193.59
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$27,359.78
|
| Rate for Payer: Wellcare Medicare Advantage |
$27,359.78
|
|
|
ACUTE LEUKEMIA WITH MCC
|
Facility
|
IP
|
$192,910.16
|
|
|
Service Code
|
MSDRG 834
|
| Min. Negotiated Rate |
$58,738.67 |
| Max. Negotiated Rate |
$192,910.16 |
| Rate for Payer: Aetna Commercial |
$139,251.34
|
| Rate for Payer: Aetna Medicare Advantage |
$192,910.16
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$61,830.18
|
| Rate for Payer: Cigna Commercial |
$122,386.34
|
| Rate for Payer: Cigna Medicare Advantage |
$61,830.18
|
| Rate for Payer: Clover Medicare Advantage |
$58,738.67
|
| Rate for Payer: EmblemHealth Commercial |
$185,490.54
|
| Rate for Payer: Humana Medicare Advantage |
$63,685.09
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$61,830.18
|
| Rate for Payer: Oxford Commercial |
$96,732.04
|
| Rate for Payer: UnitedHealthcare Commercial |
$129,479.29
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$61,830.18
|
| Rate for Payer: Wellcare Medicare Advantage |
$61,830.18
|
|
|
ACUTE LEUKEMIA WITH OTHER PROCEDURES
|
Facility
|
IP
|
$293,049.09
|
|
|
Service Code
|
MSDRG 850
|
| Min. Negotiated Rate |
$89,229.69 |
| Max. Negotiated Rate |
$293,049.09 |
| Rate for Payer: Aetna Commercial |
$210,571.45
|
| Rate for Payer: Aetna Medicare Advantage |
$293,049.09
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$93,925.99
|
| Rate for Payer: Cigna Commercial |
$193,046.23
|
| Rate for Payer: Cigna Medicare Advantage |
$93,925.99
|
| Rate for Payer: Clover Medicare Advantage |
$89,229.69
|
| Rate for Payer: EmblemHealth Commercial |
$281,777.97
|
| Rate for Payer: Humana Medicare Advantage |
$96,743.77
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$93,925.99
|
| Rate for Payer: Oxford Commercial |
$152,580.39
|
| Rate for Payer: UnitedHealthcare Commercial |
$204,234.31
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$93,925.99
|
| Rate for Payer: Wellcare Medicare Advantage |
$93,925.99
|
|
|
ACUTE LEUKEMIA WITHOUT CC/MCC
|
Facility
|
IP
|
$57,993.00
|
|
|
Service Code
|
MSDRG 836
|
| Min. Negotiated Rate |
$17,658.12 |
| Max. Negotiated Rate |
$57,993.00 |
| Rate for Payer: Aetna Commercial |
$43,161.78
|
| Rate for Payer: Aetna Medicare Advantage |
$57,993.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$18,587.50
|
| Rate for Payer: Cigna Commercial |
$27,186.31
|
| Rate for Payer: Cigna Medicare Advantage |
$18,587.50
|
| Rate for Payer: Clover Medicare Advantage |
$17,658.12
|
| Rate for Payer: EmblemHealth Commercial |
$55,762.50
|
| Rate for Payer: Humana Medicare Advantage |
$19,145.12
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$18,587.50
|
| Rate for Payer: Oxford Commercial |
$21,487.59
|
| Rate for Payer: UnitedHealthcare Commercial |
$28,761.91
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$18,587.50
|
| Rate for Payer: Wellcare Medicare Advantage |
$18,587.50
|
|
|
ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$85,362.51
|
|
|
Service Code
|
MSDRG 835
|
| Min. Negotiated Rate |
$25,991.79 |
| Max. Negotiated Rate |
$85,362.51 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$62,059.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$62,059.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$62,059.20
|
|
|
ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$192,910.16
|
|
|
Service Code
|
MSDRG 834
|
| Min. Negotiated Rate |
$58,738.67 |
| Max. Negotiated Rate |
$192,910.16 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$155,148.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$155,148.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$155,148.00
|
|
|
ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$57,993.00
|
|
|
Service Code
|
MSDRG 836
|
| Min. Negotiated Rate |
$17,658.12 |
| Max. Negotiated Rate |
$57,993.00 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$39,064.05
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$39,064.05
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$39,064.05
|
|
|
ACUTE MAJOR EYE INFECTIONS WITH CC/MCC
|
Facility
|
IP
|
$56,217.41
|
|
|
Service Code
|
MSDRG 121
|
| Min. Negotiated Rate |
$17,117.48 |
| Max. Negotiated Rate |
$56,217.41 |
| Rate for Payer: Aetna Commercial |
$41,897.19
|
| Rate for Payer: Aetna Medicare Advantage |
$56,217.41
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$35,462.40
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$35,462.40
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$18,018.40
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$35,462.40
|
| Rate for Payer: Cigna Commercial |
$25,933.45
|
| Rate for Payer: Cigna Medicare Advantage |
$18,018.40
|
| Rate for Payer: Clover Medicare Advantage |
$17,117.48
|
| Rate for Payer: EmblemHealth Commercial |
$54,055.20
|
| Rate for Payer: Humana Medicare Advantage |
$18,558.95
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$18,018.40
|
| Rate for Payer: Oxford Commercial |
$20,497.35
|
| Rate for Payer: UnitedHealthcare Commercial |
$27,436.43
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$18,018.40
|
| Rate for Payer: Wellcare Medicare Advantage |
$18,018.40
|
|
|
ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC
|
Facility
|
IP
|
$44,290.86
|
|
|
Service Code
|
MSDRG 122
|
| Min. Negotiated Rate |
$13,486.00 |
| Max. Negotiated Rate |
$44,290.86 |
| Rate for Payer: Aetna Commercial |
$33,402.98
|
| Rate for Payer: Aetna Medicare Advantage |
$44,290.86
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$20,501.70
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$20,501.70
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$14,195.79
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$20,501.70
|
| Rate for Payer: Cigna Commercial |
$17,517.84
|
| Rate for Payer: Cigna Medicare Advantage |
$14,195.79
|
| Rate for Payer: Clover Medicare Advantage |
$13,486.00
|
| Rate for Payer: EmblemHealth Commercial |
$42,587.37
|
| Rate for Payer: Humana Medicare Advantage |
$14,621.66
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$14,195.79
|
| Rate for Payer: Oxford Commercial |
$13,845.80
|
| Rate for Payer: UnitedHealthcare Commercial |
$18,533.09
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$14,195.79
|
| Rate for Payer: Wellcare Medicare Advantage |
$14,195.79
|
|
|
ACUTE MYOCARDIAL INFARCTION
|
Facility
|
IP
|
$15,064.78
|
|
|
Service Code
|
APR-DRG 1903
|
| Min. Negotiated Rate |
$14,769.39 |
| Max. Negotiated Rate |
$15,064.78 |
| Rate for Payer: UnitedHealthcare Community & State |
$14,769.39
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$15,064.78
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$14,769.39
|
|