|
MAJOR CHEST PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$45,854.31
|
|
|
Service Code
|
MSDRG 165
|
| Min. Negotiated Rate |
$15,507.09 |
| Max. Negotiated Rate |
$45,854.31 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$27,667.52
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$33,348.59
|
| Rate for Payer: Aetna Government |
$33,348.59
|
| Rate for Payer: Brighton Health Commercial |
$27,207.80
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$34,015.56
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$32,403.55
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$26,740.80
|
| Rate for Payer: Elderplan Medicare Advantage |
$31,681.16
|
| Rate for Payer: EmblemHealth Commercial |
$16,090.10
|
| Rate for Payer: Fidelis Medicare Advantage |
$33,348.59
|
| Rate for Payer: Group Health Inc Commercial |
$33,348.59
|
| Rate for Payer: Group Health Inc Medicare |
$33,348.59
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$33,348.59
|
| Rate for Payer: Healthfirst Medicare Advantage |
$15,507.09
|
| Rate for Payer: Humana Medicare |
$45,854.31
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$33,348.59
|
| Rate for Payer: United Healthcare Commercial |
$37,315.97
|
| Rate for Payer: United Healthcare Medicare Advantage |
$33,348.59
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$33,348.59
|
| Rate for Payer: Wellcare Medicare |
$31,681.16
|
|
|
MAJOR CHEST TRAUMA WITH CC
|
Facility
|
IP
|
$30,133.06
|
|
|
Service Code
|
MSDRG 184
|
| Min. Negotiated Rate |
$9,020.04 |
| Max. Negotiated Rate |
$30,133.06 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$15,510.27
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$21,914.95
|
| Rate for Payer: Aetna Government |
$21,914.95
|
| Rate for Payer: Brighton Health Commercial |
$15,252.55
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$22,353.25
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$18,165.26
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$14,990.75
|
| Rate for Payer: Elderplan Medicare Advantage |
$20,819.20
|
| Rate for Payer: EmblemHealth Commercial |
$9,020.04
|
| Rate for Payer: Fidelis Medicare Advantage |
$21,914.95
|
| Rate for Payer: Group Health Inc Commercial |
$21,914.95
|
| Rate for Payer: Group Health Inc Medicare |
$21,914.95
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$21,914.95
|
| Rate for Payer: Healthfirst Medicare Advantage |
$10,190.45
|
| Rate for Payer: Humana Medicare |
$30,133.06
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$21,914.95
|
| Rate for Payer: United Healthcare Commercial |
$20,919.14
|
| Rate for Payer: United Healthcare Medicare Advantage |
$21,914.95
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$21,914.95
|
| Rate for Payer: Wellcare Medicare |
$20,819.20
|
|
|
MAJOR CHEST TRAUMA WITH MCC
|
Facility
|
IP
|
$40,097.80
|
|
|
Service Code
|
MSDRG 183
|
| Min. Negotiated Rate |
$13,501.30 |
| Max. Negotiated Rate |
$40,097.80 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$23,216.00
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$29,162.04
|
| Rate for Payer: Aetna Government |
$29,162.04
|
| Rate for Payer: Brighton Health Commercial |
$22,830.25
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$29,745.28
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$27,190.04
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$22,438.39
|
| Rate for Payer: Elderplan Medicare Advantage |
$27,703.94
|
| Rate for Payer: EmblemHealth Commercial |
$13,501.30
|
| Rate for Payer: Fidelis Medicare Advantage |
$29,162.04
|
| Rate for Payer: Group Health Inc Commercial |
$29,162.04
|
| Rate for Payer: Group Health Inc Medicare |
$29,162.04
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$29,162.04
|
| Rate for Payer: Healthfirst Medicare Advantage |
$13,560.35
|
| Rate for Payer: Humana Medicare |
$40,097.80
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$29,162.04
|
| Rate for Payer: United Healthcare Commercial |
$31,312.08
|
| Rate for Payer: United Healthcare Medicare Advantage |
$29,162.04
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$29,162.04
|
| Rate for Payer: Wellcare Medicare |
$27,703.94
|
|
|
MAJOR CHEST TRAUMA WITHOUT CC/MCC
|
Facility
|
IP
|
$24,485.22
|
|
|
Service Code
|
MSDRG 185
|
| Min. Negotiated Rate |
$6,480.13 |
| Max. Negotiated Rate |
$24,485.22 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$11,142.80
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$17,807.43
|
| Rate for Payer: Aetna Government |
$17,807.43
|
| Rate for Payer: Brighton Health Commercial |
$10,957.65
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$18,163.58
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$13,050.18
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$10,769.57
|
| Rate for Payer: Elderplan Medicare Advantage |
$16,917.06
|
| Rate for Payer: EmblemHealth Commercial |
$6,480.13
|
| Rate for Payer: Fidelis Medicare Advantage |
$17,807.43
|
| Rate for Payer: Group Health Inc Commercial |
$17,807.43
|
| Rate for Payer: Group Health Inc Medicare |
$17,807.43
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$17,807.43
|
| Rate for Payer: Healthfirst Medicare Advantage |
$8,280.45
|
| Rate for Payer: Humana Medicare |
$24,485.22
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$17,807.43
|
| Rate for Payer: United Healthcare Commercial |
$15,028.61
|
| Rate for Payer: United Healthcare Medicare Advantage |
$17,807.43
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$17,807.43
|
| Rate for Payer: Wellcare Medicare |
$16,917.06
|
|
|
MAJOR ESOPHAGEAL DISORDERS WITH CC
|
Facility
|
IP
|
$28,920.36
|
|
|
Service Code
|
MSDRG 369
|
| Min. Negotiated Rate |
$8,474.67 |
| Max. Negotiated Rate |
$28,920.36 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$14,572.48
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$21,032.99
|
| Rate for Payer: Aetna Government |
$21,032.99
|
| Rate for Payer: Brighton Health Commercial |
$14,330.35
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$21,453.65
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$17,066.95
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$14,084.38
|
| Rate for Payer: Elderplan Medicare Advantage |
$19,981.34
|
| Rate for Payer: EmblemHealth Commercial |
$8,474.67
|
| Rate for Payer: Fidelis Medicare Advantage |
$21,032.99
|
| Rate for Payer: Group Health Inc Commercial |
$21,032.99
|
| Rate for Payer: Group Health Inc Medicare |
$21,032.99
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$21,032.99
|
| Rate for Payer: Healthfirst Medicare Advantage |
$9,780.34
|
| Rate for Payer: Humana Medicare |
$28,920.36
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$21,032.99
|
| Rate for Payer: United Healthcare Commercial |
$19,654.32
|
| Rate for Payer: United Healthcare Medicare Advantage |
$21,032.99
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$21,032.99
|
| Rate for Payer: Wellcare Medicare |
$19,981.34
|
|
|
MAJOR ESOPHAGEAL DISORDERS WITH MCC
|
Facility
|
IP
|
$41,575.54
|
|
|
Service Code
|
MSDRG 368
|
| Min. Negotiated Rate |
$14,060.09 |
| Max. Negotiated Rate |
$41,575.54 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$24,358.74
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$30,236.76
|
| Rate for Payer: Aetna Government |
$30,236.76
|
| Rate for Payer: Brighton Health Commercial |
$23,954.00
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$30,841.50
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$28,528.39
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$23,542.85
|
| Rate for Payer: Elderplan Medicare Advantage |
$28,724.92
|
| Rate for Payer: EmblemHealth Commercial |
$14,165.90
|
| Rate for Payer: Fidelis Medicare Advantage |
$30,236.76
|
| Rate for Payer: Group Health Inc Commercial |
$30,236.76
|
| Rate for Payer: Group Health Inc Medicare |
$30,236.76
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$30,236.76
|
| Rate for Payer: Healthfirst Medicare Advantage |
$14,060.09
|
| Rate for Payer: Humana Medicare |
$41,575.54
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$30,236.76
|
| Rate for Payer: United Healthcare Commercial |
$32,853.32
|
| Rate for Payer: United Healthcare Medicare Advantage |
$30,236.76
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$30,236.76
|
| Rate for Payer: Wellcare Medicare |
$28,724.92
|
|
|
MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC
|
Facility
|
IP
|
$24,256.39
|
|
|
Service Code
|
MSDRG 370
|
| Min. Negotiated Rate |
$6,377.23 |
| Max. Negotiated Rate |
$24,256.39 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$10,965.86
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$17,641.01
|
| Rate for Payer: Aetna Government |
$17,641.01
|
| Rate for Payer: Brighton Health Commercial |
$10,783.65
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$17,993.83
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$12,842.96
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$10,598.56
|
| Rate for Payer: Elderplan Medicare Advantage |
$16,758.96
|
| Rate for Payer: EmblemHealth Commercial |
$6,377.23
|
| Rate for Payer: Fidelis Medicare Advantage |
$17,641.01
|
| Rate for Payer: Group Health Inc Commercial |
$17,641.01
|
| Rate for Payer: Group Health Inc Medicare |
$17,641.01
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$17,641.01
|
| Rate for Payer: Healthfirst Medicare Advantage |
$8,203.07
|
| Rate for Payer: Humana Medicare |
$24,256.39
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$17,641.01
|
| Rate for Payer: United Healthcare Commercial |
$14,789.96
|
| Rate for Payer: United Healthcare Medicare Advantage |
$17,641.01
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$17,641.01
|
| Rate for Payer: Wellcare Medicare |
$16,758.96
|
|
|
MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC
|
Facility
|
IP
|
$29,950.00
|
|
|
Service Code
|
MSDRG 372
|
| Min. Negotiated Rate |
$8,937.72 |
| Max. Negotiated Rate |
$29,950.00 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$15,368.71
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$21,781.82
|
| Rate for Payer: Aetna Government |
$21,781.82
|
| Rate for Payer: Brighton Health Commercial |
$15,113.35
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$22,217.46
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$17,999.48
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$14,853.94
|
| Rate for Payer: Elderplan Medicare Advantage |
$20,692.73
|
| Rate for Payer: EmblemHealth Commercial |
$8,937.72
|
| Rate for Payer: Fidelis Medicare Advantage |
$21,781.82
|
| Rate for Payer: Group Health Inc Commercial |
$21,781.82
|
| Rate for Payer: Group Health Inc Medicare |
$21,781.82
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$21,781.82
|
| Rate for Payer: Healthfirst Medicare Advantage |
$10,128.55
|
| Rate for Payer: Humana Medicare |
$29,950.00
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$21,781.82
|
| Rate for Payer: United Healthcare Commercial |
$20,728.22
|
| Rate for Payer: United Healthcare Medicare Advantage |
$21,781.82
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$21,781.82
|
| Rate for Payer: Wellcare Medicare |
$20,692.73
|
|
|
MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC
|
Facility
|
IP
|
$43,400.32
|
|
|
Service Code
|
MSDRG 371
|
| Min. Negotiated Rate |
$14,677.20 |
| Max. Negotiated Rate |
$43,400.32 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$25,769.84
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$31,563.87
|
| Rate for Payer: Aetna Government |
$31,563.87
|
| Rate for Payer: Brighton Health Commercial |
$25,341.65
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$32,195.15
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$30,181.03
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$24,906.68
|
| Rate for Payer: Elderplan Medicare Advantage |
$29,985.68
|
| Rate for Payer: EmblemHealth Commercial |
$14,986.50
|
| Rate for Payer: Fidelis Medicare Advantage |
$31,563.87
|
| Rate for Payer: Group Health Inc Commercial |
$31,563.87
|
| Rate for Payer: Group Health Inc Medicare |
$31,563.87
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$31,563.87
|
| Rate for Payer: Healthfirst Medicare Advantage |
$14,677.20
|
| Rate for Payer: Humana Medicare |
$43,400.32
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$31,563.87
|
| Rate for Payer: United Healthcare Commercial |
$34,756.51
|
| Rate for Payer: United Healthcare Medicare Advantage |
$31,563.87
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$31,563.87
|
| Rate for Payer: Wellcare Medicare |
$29,985.68
|
|
|
MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC
|
Facility
|
IP
|
$23,737.75
|
|
|
Service Code
|
MSDRG 373
|
| Min. Negotiated Rate |
$6,143.99 |
| Max. Negotiated Rate |
$23,737.75 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$10,564.79
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$17,263.82
|
| Rate for Payer: Aetna Government |
$17,263.82
|
| Rate for Payer: Brighton Health Commercial |
$10,389.25
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$17,609.10
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$12,373.24
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$10,210.93
|
| Rate for Payer: Elderplan Medicare Advantage |
$16,400.63
|
| Rate for Payer: EmblemHealth Commercial |
$6,143.99
|
| Rate for Payer: Fidelis Medicare Advantage |
$17,263.82
|
| Rate for Payer: Group Health Inc Commercial |
$17,263.82
|
| Rate for Payer: Group Health Inc Medicare |
$17,263.82
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$17,263.82
|
| Rate for Payer: Healthfirst Medicare Advantage |
$8,027.68
|
| Rate for Payer: Humana Medicare |
$23,737.75
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$17,263.82
|
| Rate for Payer: United Healthcare Commercial |
$14,249.04
|
| Rate for Payer: United Healthcare Medicare Advantage |
$17,263.82
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$17,263.82
|
| Rate for Payer: Wellcare Medicare |
$16,400.63
|
|
|
MAJOR HEAD AND NECK PROCEDURES WITH CC
|
Facility
|
IP
|
$49,578.25
|
|
|
Service Code
|
MSDRG 141
|
| Min. Negotiated Rate |
$16,766.46 |
| Max. Negotiated Rate |
$49,578.25 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$30,547.22
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$36,056.91
|
| Rate for Payer: Aetna Government |
$36,056.91
|
| Rate for Payer: Brighton Health Commercial |
$30,039.65
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$36,778.05
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$35,776.19
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$29,524.05
|
| Rate for Payer: Elderplan Medicare Advantage |
$34,254.06
|
| Rate for Payer: EmblemHealth Commercial |
$17,764.80
|
| Rate for Payer: Fidelis Medicare Advantage |
$36,056.91
|
| Rate for Payer: Group Health Inc Commercial |
$36,056.91
|
| Rate for Payer: Group Health Inc Medicare |
$36,056.91
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$36,056.91
|
| Rate for Payer: Healthfirst Medicare Advantage |
$16,766.46
|
| Rate for Payer: Humana Medicare |
$49,578.25
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$36,056.91
|
| Rate for Payer: United Healthcare Commercial |
$41,199.90
|
| Rate for Payer: United Healthcare Medicare Advantage |
$36,056.91
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$36,056.91
|
| Rate for Payer: Wellcare Medicare |
$34,254.06
|
|
|
MAJOR HEAD AND NECK PROCEDURES WITH MCC
|
Facility
|
IP
|
$82,115.29
|
|
|
Service Code
|
MSDRG 140
|
| Min. Negotiated Rate |
$27,769.90 |
| Max. Negotiated Rate |
$82,115.29 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$55,708.08
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$59,720.21
|
| Rate for Payer: Aetna Government |
$59,720.21
|
| Rate for Payer: Brighton Health Commercial |
$54,782.45
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$60,914.61
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$65,244.01
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$53,842.16
|
| Rate for Payer: Elderplan Medicare Advantage |
$56,734.20
|
| Rate for Payer: EmblemHealth Commercial |
$32,397.20
|
| Rate for Payer: Fidelis Medicare Advantage |
$59,720.21
|
| Rate for Payer: Group Health Inc Commercial |
$59,720.21
|
| Rate for Payer: Group Health Inc Medicare |
$59,720.21
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$59,720.21
|
| Rate for Payer: Healthfirst Medicare Advantage |
$27,769.90
|
| Rate for Payer: Humana Medicare |
$82,115.29
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$59,720.21
|
| Rate for Payer: United Healthcare Commercial |
$75,135.07
|
| Rate for Payer: United Healthcare Medicare Advantage |
$59,720.21
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$59,720.21
|
| Rate for Payer: Wellcare Medicare |
$56,734.20
|
|
|
MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$39,535.31
|
|
|
Service Code
|
MSDRG 142
|
| Min. Negotiated Rate |
$13,248.40 |
| Max. Negotiated Rate |
$39,535.31 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$22,781.03
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$28,752.95
|
| Rate for Payer: Aetna Government |
$28,752.95
|
| Rate for Payer: Brighton Health Commercial |
$22,402.50
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$29,328.01
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$26,680.60
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$22,017.98
|
| Rate for Payer: Elderplan Medicare Advantage |
$27,315.30
|
| Rate for Payer: EmblemHealth Commercial |
$13,248.40
|
| Rate for Payer: Fidelis Medicare Advantage |
$28,752.95
|
| Rate for Payer: Group Health Inc Commercial |
$28,752.95
|
| Rate for Payer: Group Health Inc Medicare |
$28,752.95
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$28,752.95
|
| Rate for Payer: Healthfirst Medicare Advantage |
$13,370.12
|
| Rate for Payer: Humana Medicare |
$39,535.31
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$28,752.95
|
| Rate for Payer: United Healthcare Commercial |
$30,725.42
|
| Rate for Payer: United Healthcare Medicare Advantage |
$28,752.95
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$28,752.95
|
| Rate for Payer: Wellcare Medicare |
$27,315.30
|
|
|
MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC
|
Facility
|
IP
|
$33,040.86
|
|
|
Service Code
|
MSDRG 809
|
| Min. Negotiated Rate |
$10,327.70 |
| Max. Negotiated Rate |
$33,040.86 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$17,758.88
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$24,029.72
|
| Rate for Payer: Aetna Government |
$24,029.72
|
| Rate for Payer: Brighton Health Commercial |
$17,463.80
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$24,510.31
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$20,798.78
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$17,164.05
|
| Rate for Payer: Elderplan Medicare Advantage |
$22,828.23
|
| Rate for Payer: EmblemHealth Commercial |
$10,327.70
|
| Rate for Payer: Fidelis Medicare Advantage |
$24,029.72
|
| Rate for Payer: Group Health Inc Commercial |
$24,029.72
|
| Rate for Payer: Group Health Inc Medicare |
$24,029.72
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$24,029.72
|
| Rate for Payer: Healthfirst Medicare Advantage |
$11,173.82
|
| Rate for Payer: Humana Medicare |
$33,040.86
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$24,029.72
|
| Rate for Payer: United Healthcare Commercial |
$23,951.90
|
| Rate for Payer: United Healthcare Medicare Advantage |
$24,029.72
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$24,029.72
|
| Rate for Payer: Wellcare Medicare |
$22,828.23
|
|
|
MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC
|
Facility
|
IP
|
$51,835.85
|
|
|
Service Code
|
MSDRG 808
|
| Min. Negotiated Rate |
$17,529.94 |
| Max. Negotiated Rate |
$51,835.85 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$32,293.02
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$37,698.80
|
| Rate for Payer: Aetna Government |
$37,698.80
|
| Rate for Payer: Brighton Health Commercial |
$31,756.45
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$38,452.78
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$37,820.84
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$31,211.38
|
| Rate for Payer: Elderplan Medicare Advantage |
$35,813.86
|
| Rate for Payer: EmblemHealth Commercial |
$18,780.10
|
| Rate for Payer: Fidelis Medicare Advantage |
$37,698.80
|
| Rate for Payer: Group Health Inc Commercial |
$37,698.80
|
| Rate for Payer: Group Health Inc Medicare |
$37,698.80
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$37,698.80
|
| Rate for Payer: Healthfirst Medicare Advantage |
$17,529.94
|
| Rate for Payer: Humana Medicare |
$51,835.85
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$37,698.80
|
| Rate for Payer: United Healthcare Commercial |
$43,554.52
|
| Rate for Payer: United Healthcare Medicare Advantage |
$37,698.80
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$37,698.80
|
| Rate for Payer: Wellcare Medicare |
$35,813.86
|
|
|
MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC
|
Facility
|
IP
|
$29,229.23
|
|
|
Service Code
|
MSDRG 810
|
| Min. Negotiated Rate |
$8,613.59 |
| Max. Negotiated Rate |
$29,229.23 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$14,811.35
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$21,257.62
|
| Rate for Payer: Aetna Government |
$21,257.62
|
| Rate for Payer: Brighton Health Commercial |
$14,565.25
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$21,682.77
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$17,346.71
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$14,315.25
|
| Rate for Payer: Elderplan Medicare Advantage |
$20,194.74
|
| Rate for Payer: EmblemHealth Commercial |
$8,613.59
|
| Rate for Payer: Fidelis Medicare Advantage |
$21,257.62
|
| Rate for Payer: Group Health Inc Commercial |
$21,257.62
|
| Rate for Payer: Group Health Inc Medicare |
$21,257.62
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$21,257.62
|
| Rate for Payer: Healthfirst Medicare Advantage |
$9,884.79
|
| Rate for Payer: Humana Medicare |
$29,229.23
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$21,257.62
|
| Rate for Payer: United Healthcare Commercial |
$19,976.49
|
| Rate for Payer: United Healthcare Medicare Advantage |
$21,257.62
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$21,257.62
|
| Rate for Payer: Wellcare Medicare |
$20,194.74
|
|
|
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT
|
Facility
|
IP
|
$73,567.24
|
|
|
Service Code
|
MSDRG 469
|
| Min. Negotiated Rate |
$24,879.10 |
| Max. Negotiated Rate |
$73,567.24 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$49,097.90
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$53,503.45
|
| Rate for Payer: Aetna Government |
$53,503.45
|
| Rate for Payer: Brighton Health Commercial |
$48,282.10
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$54,573.52
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$57,502.32
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$47,453.38
|
| Rate for Payer: Elderplan Medicare Advantage |
$50,828.28
|
| Rate for Payer: EmblemHealth Commercial |
$28,553.00
|
| Rate for Payer: Fidelis Medicare Advantage |
$53,503.45
|
| Rate for Payer: Group Health Inc Commercial |
$53,503.45
|
| Rate for Payer: Group Health Inc Medicare |
$53,503.45
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$53,503.45
|
| Rate for Payer: Healthfirst Medicare Advantage |
$24,879.10
|
| Rate for Payer: Humana Medicare |
$73,567.24
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$53,503.45
|
| Rate for Payer: United Healthcare Commercial |
$66,219.73
|
| Rate for Payer: United Healthcare Medicare Advantage |
$53,503.45
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$53,503.45
|
| Rate for Payer: Wellcare Medicare |
$50,828.28
|
|
|
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC
|
Facility
|
IP
|
$45,955.39
|
|
|
Service Code
|
MSDRG 470
|
| Min. Negotiated Rate |
$15,541.28 |
| Max. Negotiated Rate |
$45,955.39 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$27,745.67
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$33,422.10
|
| Rate for Payer: Aetna Government |
$33,422.10
|
| Rate for Payer: Brighton Health Commercial |
$27,284.65
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$34,090.54
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$32,495.08
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$26,816.33
|
| Rate for Payer: Elderplan Medicare Advantage |
$31,751.00
|
| Rate for Payer: EmblemHealth Commercial |
$16,135.60
|
| Rate for Payer: Fidelis Medicare Advantage |
$33,422.10
|
| Rate for Payer: Group Health Inc Commercial |
$33,422.10
|
| Rate for Payer: Group Health Inc Medicare |
$33,422.10
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$33,422.10
|
| Rate for Payer: Healthfirst Medicare Advantage |
$15,541.28
|
| Rate for Payer: Humana Medicare |
$45,955.39
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$33,422.10
|
| Rate for Payer: United Healthcare Commercial |
$37,421.37
|
| Rate for Payer: United Healthcare Medicare Advantage |
$33,422.10
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$33,422.10
|
| Rate for Payer: Wellcare Medicare |
$31,751.00
|
|
|
MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES
|
Facility
|
IP
|
$57,443.62
|
|
|
Service Code
|
MSDRG 483
|
| Min. Negotiated Rate |
$19,426.39 |
| Max. Negotiated Rate |
$57,443.62 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$36,629.53
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$41,777.18
|
| Rate for Payer: Aetna Government |
$41,777.18
|
| Rate for Payer: Brighton Health Commercial |
$36,020.90
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$42,612.72
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$42,899.65
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$35,402.63
|
| Rate for Payer: Elderplan Medicare Advantage |
$39,688.32
|
| Rate for Payer: EmblemHealth Commercial |
$21,302.00
|
| Rate for Payer: Fidelis Medicare Advantage |
$41,777.18
|
| Rate for Payer: Group Health Inc Commercial |
$41,777.18
|
| Rate for Payer: Group Health Inc Medicare |
$41,777.18
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$41,777.18
|
| Rate for Payer: Healthfirst Medicare Advantage |
$19,426.39
|
| Rate for Payer: Humana Medicare |
$57,443.62
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$41,777.18
|
| Rate for Payer: United Healthcare Commercial |
$49,403.29
|
| Rate for Payer: United Healthcare Medicare Advantage |
$41,777.18
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$41,777.18
|
| Rate for Payer: Wellcare Medicare |
$39,688.32
|
|
|
MAJOR MALE PELVIC PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$47,484.59
|
|
|
Service Code
|
MSDRG 707
|
| Min. Negotiated Rate |
$16,058.43 |
| Max. Negotiated Rate |
$47,484.59 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$28,928.22
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$34,534.25
|
| Rate for Payer: Aetna Government |
$34,534.25
|
| Rate for Payer: Brighton Health Commercial |
$28,447.55
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$35,224.94
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$33,880.05
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$27,959.27
|
| Rate for Payer: Elderplan Medicare Advantage |
$32,807.54
|
| Rate for Payer: EmblemHealth Commercial |
$16,823.30
|
| Rate for Payer: Fidelis Medicare Advantage |
$34,534.25
|
| Rate for Payer: Group Health Inc Commercial |
$34,534.25
|
| Rate for Payer: Group Health Inc Medicare |
$34,534.25
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$34,534.25
|
| Rate for Payer: Healthfirst Medicare Advantage |
$16,058.43
|
| Rate for Payer: Humana Medicare |
$47,484.59
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$34,534.25
|
| Rate for Payer: United Healthcare Commercial |
$39,016.31
|
| Rate for Payer: United Healthcare Medicare Advantage |
$34,534.25
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$34,534.25
|
| Rate for Payer: Wellcare Medicare |
$32,807.54
|
|
|
MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$37,885.94
|
|
|
Service Code
|
MSDRG 708
|
| Min. Negotiated Rate |
$12,506.60 |
| Max. Negotiated Rate |
$37,885.94 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$21,505.58
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$27,553.41
|
| Rate for Payer: Aetna Government |
$27,553.41
|
| Rate for Payer: Brighton Health Commercial |
$21,148.25
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$28,104.48
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$25,186.84
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$20,785.26
|
| Rate for Payer: Elderplan Medicare Advantage |
$26,175.74
|
| Rate for Payer: EmblemHealth Commercial |
$12,506.60
|
| Rate for Payer: Fidelis Medicare Advantage |
$27,553.41
|
| Rate for Payer: Group Health Inc Commercial |
$27,553.41
|
| Rate for Payer: Group Health Inc Medicare |
$27,553.41
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$27,553.41
|
| Rate for Payer: Healthfirst Medicare Advantage |
$12,812.34
|
| Rate for Payer: Humana Medicare |
$37,885.94
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$27,553.41
|
| Rate for Payer: United Healthcare Commercial |
$29,005.19
|
| Rate for Payer: United Healthcare Medicare Advantage |
$27,553.41
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$27,553.41
|
| Rate for Payer: Wellcare Medicare |
$26,175.74
|
|
|
MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$50,722.28
|
|
|
Service Code
|
MSDRG 507
|
| Min. Negotiated Rate |
$17,153.35 |
| Max. Negotiated Rate |
$50,722.28 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$31,431.92
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$36,888.93
|
| Rate for Payer: Aetna Government |
$36,888.93
|
| Rate for Payer: Brighton Health Commercial |
$30,909.65
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$37,626.71
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$36,812.33
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$30,379.11
|
| Rate for Payer: Elderplan Medicare Advantage |
$35,044.48
|
| Rate for Payer: EmblemHealth Commercial |
$18,279.30
|
| Rate for Payer: Fidelis Medicare Advantage |
$36,888.93
|
| Rate for Payer: Group Health Inc Commercial |
$36,888.93
|
| Rate for Payer: Group Health Inc Medicare |
$36,888.93
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$36,888.93
|
| Rate for Payer: Healthfirst Medicare Advantage |
$17,153.35
|
| Rate for Payer: Humana Medicare |
$50,722.28
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$36,888.93
|
| Rate for Payer: United Healthcare Commercial |
$42,393.12
|
| Rate for Payer: United Healthcare Medicare Advantage |
$36,888.93
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$36,888.93
|
| Rate for Payer: Wellcare Medicare |
$35,044.48
|
|
|
MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$37,418.78
|
|
|
Service Code
|
MSDRG 508
|
| Min. Negotiated Rate |
$12,296.60 |
| Max. Negotiated Rate |
$37,418.78 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$21,144.33
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$27,213.66
|
| Rate for Payer: Aetna Government |
$27,213.66
|
| Rate for Payer: Brighton Health Commercial |
$20,793.00
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$27,757.93
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$24,763.75
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$20,436.11
|
| Rate for Payer: Elderplan Medicare Advantage |
$25,852.98
|
| Rate for Payer: EmblemHealth Commercial |
$12,296.60
|
| Rate for Payer: Fidelis Medicare Advantage |
$27,213.66
|
| Rate for Payer: Group Health Inc Commercial |
$27,213.66
|
| Rate for Payer: Group Health Inc Medicare |
$27,213.66
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$27,213.66
|
| Rate for Payer: Healthfirst Medicare Advantage |
$12,654.35
|
| Rate for Payer: Humana Medicare |
$37,418.78
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$27,213.66
|
| Rate for Payer: United Healthcare Commercial |
$28,517.96
|
| Rate for Payer: United Healthcare Medicare Advantage |
$27,213.66
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$27,213.66
|
| Rate for Payer: Wellcare Medicare |
$25,852.98
|
|
|
MAJOR SKIN DISORDERS WITH MCC
|
Facility
|
IP
|
$51,547.94
|
|
|
Service Code
|
MSDRG 595
|
| Min. Negotiated Rate |
$17,432.58 |
| Max. Negotiated Rate |
$51,547.94 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$32,070.38
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$37,489.41
|
| Rate for Payer: Aetna Government |
$37,489.41
|
| Rate for Payer: Brighton Health Commercial |
$31,537.50
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$38,239.20
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$37,560.08
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$30,996.19
|
| Rate for Payer: Elderplan Medicare Advantage |
$35,614.94
|
| Rate for Payer: EmblemHealth Commercial |
$18,650.60
|
| Rate for Payer: Fidelis Medicare Advantage |
$37,489.41
|
| Rate for Payer: Group Health Inc Commercial |
$37,489.41
|
| Rate for Payer: Group Health Inc Medicare |
$37,489.41
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$37,489.41
|
| Rate for Payer: Healthfirst Medicare Advantage |
$17,432.58
|
| Rate for Payer: Humana Medicare |
$51,547.94
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$37,489.41
|
| Rate for Payer: United Healthcare Commercial |
$43,254.22
|
| Rate for Payer: United Healthcare Medicare Advantage |
$37,489.41
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$37,489.41
|
| Rate for Payer: Wellcare Medicare |
$35,614.94
|
|
|
MAJOR SKIN DISORDERS WITHOUT MCC
|
Facility
|
IP
|
$29,315.07
|
|
|
Service Code
|
MSDRG 596
|
| Min. Negotiated Rate |
$8,652.18 |
| Max. Negotiated Rate |
$29,315.07 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$14,877.71
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$21,320.05
|
| Rate for Payer: Aetna Government |
$21,320.05
|
| Rate for Payer: Brighton Health Commercial |
$14,630.50
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$21,746.45
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$17,424.42
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$14,379.38
|
| Rate for Payer: Elderplan Medicare Advantage |
$20,254.05
|
| Rate for Payer: EmblemHealth Commercial |
$8,652.18
|
| Rate for Payer: Fidelis Medicare Advantage |
$21,320.05
|
| Rate for Payer: Group Health Inc Commercial |
$21,320.05
|
| Rate for Payer: Group Health Inc Medicare |
$21,320.05
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$21,320.05
|
| Rate for Payer: Healthfirst Medicare Advantage |
$9,913.82
|
| Rate for Payer: Humana Medicare |
$29,315.07
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$21,320.05
|
| Rate for Payer: United Healthcare Commercial |
$20,065.98
|
| Rate for Payer: United Healthcare Medicare Advantage |
$21,320.05
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$21,320.05
|
| Rate for Payer: Wellcare Medicare |
$20,254.05
|
|
