65 JAMES STREET, EDISON, NJ, 08818-
Explore this hospital across cost reports, quality ratings, and non-profit filings.
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychoses | MS-DRG | 885 | 16 | — | — | $1,202.6 | $15,272 | $84,979 |
| inpatient | ||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 7 | — | — | $8,479 | $78,395 | $113,925 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 7 | — | — | $8,479 | $43,261 | $58,240 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 7 | — | — | $6,371.74 | $29,890 | $39,420 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 16 | — | — | $8,479 | $35,619 | $97,452 |
| COPD w MCC | MS-DRG | 190 | 16 | — | — | $8,479 | $23,258 | $67,701 |
| COPD w CC | MS-DRG | 191 | 16 | — | — | $6,690 | $18,759 | $51,792 |
| COPD w/o CC/MCC | MS-DRG | 192 | 16 | — | — | $5,314 | $14,908 | $39,017 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 16 | — | — | $6,658 | $18,958 | $49,435 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 16 | — | — | $5,111 | $14,500 | $37,540 |
| AMI discharged alive w MCC | MS-DRG | 280 | 16 | — | — | $8,479 | $33,266 | $98,953 |
| AMI discharged alive w CC | MS-DRG | 281 | 16 | — | — | $7,259 | $20,286 | $55,572 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 16 | — | — | $5,529 | $15,721 | $43,713 |
| Heart failure & shock w MCC | MS-DRG | 291 | 16 | — | — | $8,479 | $28,403 | $78,661 |
| Heart failure & shock w CC | MS-DRG | 292 | 16 | — | — | $6,785 | $19,244 | $51,918 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 16 | — | — | $4,910 | $13,554 | $34,993 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 16 | — | — | $8,479 | $24,504 | $72,699 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 16 | — | — | $5,667 | $16,173 | $44,569 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 16 | — | — | $4,191 | $12,248 | $33,730 |
| GI hemorrhage w CC | MS-DRG | 378 | 16 | — | — | $7,404 | $20,364 | $59,436 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 16 | — | — | $4,838 | $14,105 | $38,384 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 16 | — | — | $5,706 | $15,894 | $47,041 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 16 | — | — | $8,479 | $29,395 | $91,930 |
| Kidney/UTI w MCC | MS-DRG | 689 | 16 | — | — | $8,382 | $22,647 | $70,553 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 16 | — | — | $5,926 | $16,564 | $48,386 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 16 | — | — | $8,479 | $36,551 | $118,287 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 16 | — | — | $7,788 | $21,245 | $62,155 |
| surgery | ||||||||
| PCI w drug-eluting stent w MCC | MS-DRG | 246 | 1 | — | — | $28,015 | $28,015 | $28,015 |
| PCI w drug-eluting stent w/o MCC | MS-DRG | 247 | 1 | — | — | $17,820 | $17,820 | $17,820 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 16 | — | — | $11,497 | $64,092 | $276,827 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 16 | — | — | $11,497 | $34,647 | $142,498 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 16 | — | — | $11,497 | $25,228 | $99,532 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 16 | — | — | $11,497 | $25,326 | $99,978 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 16 | — | — | $9,792 | $20,823 | $79,433 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 16 | — | — | $11,497 | $50,052 | $212,779 |
| Spinal fusion (non-cervical) w MCC | MS-DRG | 459 | 1 | — | — | $60,337 | $60,337 | $60,337 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG | 460 | 1 | — | — | $35,248 | $35,248 | $35,248 |
| Major joint replacement w MCC | MS-DRG | 469 | 16 | — | — | $11,497 | $46,606 | $197,057 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 16 | — | — | $11,497 | $28,327 | $113,669 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 16 | — | — | $11,497 | $42,276 | $177,301 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 16 | — | — | $11,497 | $30,830 | $125,087 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 16 | — | — | $11,497 | $24,375 | $95,638 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 18 | — | — | $11,497 | $31,723 | $164,370 |
| OR procedure for obesity w CC | MS-DRG | 620 | 18 | — | — | $11,497 | $24,515 | $96,277 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 18 | — | — | $11,497 | $22,728 | $88,126 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 16 | — | — | $8,606 | $19,251 | $72,265 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 16 | — | — | $11,497 | $29,233 | $117,799 |
| Payer | Codes covered | Median rate |
|---|---|---|
| amerihealth | 47 | $12,018 |
| vaccn | 43 | $13,744 |
| brighton health plan | 43 | $50,625 |
| Aetna | 43 | $47,041 |
| horizon | 43 | $36,526 |
| UnitedHealthcare | 43 | $31,795 |
| oxford | 43 | $49,962 |
| qualcare | 40 | $37,909 |
| seoul medical group | 40 | $16,012 |
| WellCare | 40 | $13,743 |
| amerigroup | 40 | $14,297 |
| Blue Cross Blue Shield | 40 | $14,297 |
| Cigna | 40 | $54,342 |
| clover | 40 | $15,726 |
| karna | 40 | $20,738 |
| optum health | 40 | $13,016 |
| lhp health | 3 | $19,095 |
| activecare first mco | 3 | $25,169 |
