425 JACK MARTIN BLVD, BRICK, NJ, 08724-
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| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychoses | MS-DRG | 885 | 15 | — | $11,634 | $2,297 | $12,845 | $53,989 |
| inpatient | ||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 7 | — | $16,418 | $9,963 | $46,022 | $76,188 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 7 | — | $8,393.2 | $7,731.45 | $25,397 | $38,948 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 7 | — | $5,681.03 | $5,398.04 | $17,895 | $26,363 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 14 | — | $13,342 | $9,963 | $17,677 | $62,593 |
| COPD w MCC | MS-DRG | 190 | 14 | — | $9,268.92 | $8,534.05 | $12,280 | $43,012 |
| COPD w CC | MS-DRG | 191 | 14 | — | $7,090.76 | $6,705.6 | $9,963 | $32,904 |
| COPD w/o CC/MCC | MS-DRG | 192 | 14 | — | $5,341.8 | $5,276.55 | $9,539.77 | $24,788 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 14 | — | $6,768.04 | $6,552.97 | $9,963 | $31,407 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 14 | — | $5,139.59 | $5,049.51 | $9,242.08 | $23,850 |
| AMI discharged alive w MCC | MS-DRG | 280 | 14 | — | $13,548 | $9,963 | $17,949 | $62,867 |
| AMI discharged alive w CC | MS-DRG | 281 | 14 | — | $7,608.27 | $7,077.67 | $10,080 | $35,306 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 14 | — | $5,984.77 | $5,508.9 | $9,963 | $27,772 |
| Heart failure & shock w MCC | MS-DRG | 291 | 14 | — | $10,769 | $9,963 | $14,269 | $49,975 |
| Heart failure & shock w CC | MS-DRG | 292 | 14 | — | $7,108.1 | $6,796.72 | $9,963 | $32,985 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 14 | — | $4,528.81 | $4,528.81 | $8,342.95 | $22,632 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 14 | — | $9,953.15 | $9,106.58 | $13,187 | $46,187 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 14 | — | $6,101.97 | $5,690.38 | $9,963 | $28,316 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 14 | — | $4,617.95 | $4,240.07 | $8,474.18 | $21,429 |
| GI hemorrhage w CC | MS-DRG | 378 | 14 | — | $8,137.33 | $7,541.62 | $10,781 | $37,761 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 14 | — | $5,255.14 | $4,837.66 | $9,412.19 | $24,386 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 14 | — | $6,440.37 | $5,804.28 | $9,963 | $29,886 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 14 | — | $12,586 | $9,963 | $16,675 | $58,405 |
| Kidney/UTI w MCC | MS-DRG | 689 | 14 | — | $9,659.32 | $8,438.38 | $12,798 | $44,824 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 14 | — | $6,624.43 | $6,015.37 | $9,963 | $30,740 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 14 | — | $16,195 | $9,963 | $21,456 | $75,150 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 14 | — | $8,509.58 | $7,757.26 | $11,274 | $39,488 |
| surgery | ||||||||
| PCI w drug-eluting stent w MCC | MS-DRG | 246 | 1 | — | — | $23,734 | $23,734 | $23,734 |
| PCI w drug-eluting stent w/o MCC | MS-DRG | 247 | 1 | — | — | $15,097 | $15,097 | $15,097 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 14 | — | $37,900 | $15,110 | $48,541 | $175,874 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 14 | — | $19,509 | $15,110 | $24,986 | $90,532 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 14 | — | $13,627 | $12,985 | $17,453 | $63,235 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 14 | — | $13,688 | $12,818 | $17,531 | $63,518 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 14 | — | $10,875 | $9,986.64 | $14,759 | $50,465 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 14 | — | $29,131 | $15,110 | $37,310 | $135,183 |
| Spinal fusion (non-cervical) w MCC | MS-DRG | 459 | 1 | — | — | $51,116 | $51,116 | $51,116 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG | 460 | 1 | — | — | $29,862 | $29,862 | $29,862 |
| Major joint replacement w MCC | MS-DRG | 469 | 14 | — | $26,979 | $15,110 | $34,553 | $125,194 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 14 | — | $15,562 | $14,426 | $19,931 | $72,217 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 14 | — | $24,274 | $15,110 | $31,089 | $112,643 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 14 | — | $17,126 | $15,110 | $21,934 | $79,471 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 14 | — | $13,094 | $12,505 | $16,770 | $60,761 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 15 | — | $22,504 | $15,110 | $32,310 | $99,313 |
| OR procedure for obesity w CC | MS-DRG | 620 | 15 | — | $13,181 | $13,181 | $19,272 | $61,532 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 15 | — | $12,065 | $12,065 | $17,711 | $53,667 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 14 | — | $9,893.72 | $8,597.84 | $14,109 | $45,911 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 14 | — | $16,128 | $13,622 | $20,656 | $74,840 |
| Payer | Codes covered | Median rate |
|---|---|---|
| amerihealth | 47 | $10,182 |
| Aetna | 43 | $21,730 |
| brighton health plan | 43 | $40,926 |
| horizon | 43 | $23,155 |
| oxford | 43 | $39,204 |
| UnitedHealthcare | 43 | $18,697 |
| vaccn | 43 | $10,769 |
| clover | 40 | $13,144 |
| karna | 40 | $17,608 |
| WellCare | 40 | $11,949 |
| amerigroup | 40 | $11,949 |
| Blue Cross Blue Shield | 40 | $11,949 |
| seoul medical group | 40 | $13,383 |
| Cigna | 40 | $41,292 |
| qualcare | 4 | $42,304 |
