|
OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$53,222.08
|
|
|
Service Code
|
MSDRG 629
|
| Min. Negotiated Rate |
$17,998.74 |
| Max. Negotiated Rate |
$53,222.08 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$33,364.99
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$38,706.97
|
| Rate for Payer: Aetna Government |
$38,706.97
|
| Rate for Payer: Brighton Health Commercial |
$32,810.60
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$39,481.11
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$39,076.29
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$32,247.43
|
| Rate for Payer: Elderplan Medicare Advantage |
$36,771.62
|
| Rate for Payer: EmblemHealth Commercial |
$19,403.50
|
| Rate for Payer: Fidelis Medicare Advantage |
$38,706.97
|
| Rate for Payer: Group Health Inc Commercial |
$38,706.97
|
| Rate for Payer: Group Health Inc Medicare |
$38,706.97
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$38,706.97
|
| Rate for Payer: Healthfirst Medicare Advantage |
$17,998.74
|
| Rate for Payer: Humana Medicare |
$53,222.08
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$38,706.97
|
| Rate for Payer: United Healthcare Commercial |
$45,000.30
|
| Rate for Payer: United Healthcare Medicare Advantage |
$38,706.97
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$38,706.97
|
| Rate for Payer: Wellcare Medicare |
$36,771.62
|
|
|
OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$86,622.86
|
|
|
Service Code
|
MSDRG 628
|
| Min. Negotiated Rate |
$29,294.27 |
| Max. Negotiated Rate |
$86,622.86 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$59,193.80
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$62,998.44
|
| Rate for Payer: Aetna Government |
$62,998.44
|
| Rate for Payer: Brighton Health Commercial |
$58,210.25
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$64,258.41
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$69,326.40
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$57,211.12
|
| Rate for Payer: Elderplan Medicare Advantage |
$59,848.52
|
| Rate for Payer: EmblemHealth Commercial |
$34,424.30
|
| Rate for Payer: Fidelis Medicare Advantage |
$62,998.44
|
| Rate for Payer: Group Health Inc Commercial |
$62,998.44
|
| Rate for Payer: Group Health Inc Medicare |
$62,998.44
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$62,998.44
|
| Rate for Payer: Healthfirst Medicare Advantage |
$29,294.27
|
| Rate for Payer: Humana Medicare |
$86,622.86
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$62,998.44
|
| Rate for Payer: United Healthcare Commercial |
$79,836.36
|
| Rate for Payer: United Healthcare Medicare Advantage |
$62,998.44
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$62,998.44
|
| Rate for Payer: Wellcare Medicare |
$59,848.52
|
|
|
OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$36,699.92
|
|
|
Service Code
|
MSDRG 630
|
| Min. Negotiated Rate |
$11,973.30 |
| Max. Negotiated Rate |
$36,699.92 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$20,588.44
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$26,690.85
|
| Rate for Payer: Aetna Government |
$26,690.85
|
| Rate for Payer: Brighton Health Commercial |
$20,246.35
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$27,224.67
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$24,112.70
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$19,898.84
|
| Rate for Payer: Elderplan Medicare Advantage |
$25,356.31
|
| Rate for Payer: EmblemHealth Commercial |
$11,973.30
|
| Rate for Payer: Fidelis Medicare Advantage |
$26,690.85
|
| Rate for Payer: Group Health Inc Commercial |
$26,690.85
|
| Rate for Payer: Group Health Inc Medicare |
$26,690.85
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$26,690.85
|
| Rate for Payer: Healthfirst Medicare Advantage |
$12,411.25
|
| Rate for Payer: Humana Medicare |
$36,699.92
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$26,690.85
|
| Rate for Payer: United Healthcare Commercial |
$27,768.22
|
| Rate for Payer: United Healthcare Medicare Advantage |
$26,690.85
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$26,690.85
|
| Rate for Payer: Wellcare Medicare |
$25,356.31
|
|
|
OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC
|
Facility
|
IP
|
$93,246.97
|
|
|
Service Code
|
MSDRG 319
|
| Min. Negotiated Rate |
$31,534.43 |
| Max. Negotiated Rate |
$93,246.97 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$64,316.22
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$67,815.98
|
| Rate for Payer: Aetna Government |
$67,815.98
|
| Rate for Payer: Brighton Health Commercial |
$63,247.55
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$69,172.30
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$75,325.65
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$62,161.96
|
| Rate for Payer: Elderplan Medicare Advantage |
$64,425.18
|
| Rate for Payer: EmblemHealth Commercial |
$37,403.30
|
| Rate for Payer: Fidelis Medicare Advantage |
$67,815.98
|
| Rate for Payer: Group Health Inc Commercial |
$67,815.98
|
| Rate for Payer: Group Health Inc Medicare |
$67,815.98
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$67,815.98
|
| Rate for Payer: Healthfirst Medicare Advantage |
$31,534.43
|
| Rate for Payer: Humana Medicare |
$93,246.97
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$67,815.98
|
| Rate for Payer: United Healthcare Commercial |
$86,745.11
|
| Rate for Payer: United Healthcare Medicare Advantage |
$67,815.98
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$67,815.98
|
| Rate for Payer: Wellcare Medicare |
$64,425.18
|
|
|
OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC
|
Facility
|
IP
|
$52,520.37
|
|
|
Service Code
|
MSDRG 320
|
| Min. Negotiated Rate |
$17,761.43 |
| Max. Negotiated Rate |
$52,520.37 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$32,822.37
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$38,196.63
|
| Rate for Payer: Aetna Government |
$38,196.63
|
| Rate for Payer: Brighton Health Commercial |
$32,277.00
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$38,960.56
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$38,440.79
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$31,722.99
|
| Rate for Payer: Elderplan Medicare Advantage |
$36,286.80
|
| Rate for Payer: EmblemHealth Commercial |
$19,088.00
|
| Rate for Payer: Fidelis Medicare Advantage |
$38,196.63
|
| Rate for Payer: Group Health Inc Commercial |
$38,196.63
|
| Rate for Payer: Group Health Inc Medicare |
$38,196.63
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$38,196.63
|
| Rate for Payer: Healthfirst Medicare Advantage |
$17,761.43
|
| Rate for Payer: Humana Medicare |
$52,520.37
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$38,196.63
|
| Rate for Payer: United Healthcare Commercial |
$44,268.46
|
| Rate for Payer: United Healthcare Medicare Advantage |
$38,196.63
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$38,196.63
|
| Rate for Payer: Wellcare Medicare |
$36,286.80
|
|
|
OTHER FACTORS INFLUENCING HEALTH STATUS
|
Facility
|
IP
|
$21,325.70
|
|
|
Service Code
|
MSDRG 951
|
| Min. Negotiated Rate |
$5,059.25 |
| Max. Negotiated Rate |
$21,325.70 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$8,699.55
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$15,509.60
|
| Rate for Payer: Aetna Government |
$15,509.60
|
| Rate for Payer: Brighton Health Commercial |
$8,555.00
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$15,819.79
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$10,188.71
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$8,408.16
|
| Rate for Payer: Elderplan Medicare Advantage |
$14,734.12
|
| Rate for Payer: EmblemHealth Commercial |
$5,059.25
|
| Rate for Payer: Fidelis Medicare Advantage |
$15,509.60
|
| Rate for Payer: Group Health Inc Commercial |
$15,509.60
|
| Rate for Payer: Group Health Inc Medicare |
$15,509.60
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$15,509.60
|
| Rate for Payer: Healthfirst Medicare Advantage |
$7,211.96
|
| Rate for Payer: Humana Medicare |
$21,325.70
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$15,509.60
|
| Rate for Payer: United Healthcare Commercial |
$11,733.33
|
| Rate for Payer: United Healthcare Medicare Advantage |
$15,509.60
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$15,509.60
|
| Rate for Payer: Wellcare Medicare |
$14,734.12
|
|
|
OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$58,072.89
|
|
|
Service Code
|
MSDRG 749
|
| Min. Negotiated Rate |
$1,000.00 |
| Max. Negotiated Rate |
$58,072.89 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$37,116.11
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$42,234.83
|
| Rate for Payer: Aetna Government |
$42,234.83
|
| Rate for Payer: Brighton Health Commercial |
$36,499.40
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$43,079.53
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$43,469.53
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$35,872.92
|
| Rate for Payer: Elderplan Medicare Advantage |
$40,123.09
|
| Rate for Payer: EmblemHealth Commercial |
$21,585.00
|
| Rate for Payer: Fidelis Medicare Advantage |
$42,234.83
|
| Rate for Payer: Group Health Inc Commercial |
$1,000.00
|
| Rate for Payer: Group Health Inc Medicare |
$42,234.83
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$42,234.83
|
| Rate for Payer: Healthfirst Medicare Advantage |
$19,639.20
|
| Rate for Payer: Humana Medicare |
$58,072.89
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$42,234.83
|
| Rate for Payer: United Healthcare Commercial |
$50,059.56
|
| Rate for Payer: United Healthcare Medicare Advantage |
$42,234.83
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$42,234.83
|
| Rate for Payer: Wellcare Medicare |
$40,123.09
|
|
|
OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$36,007.80
|
|
|
Service Code
|
MSDRG 750
|
| Min. Negotiated Rate |
$1,000.00 |
| Max. Negotiated Rate |
$36,007.80 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$20,053.20
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$26,187.49
|
| Rate for Payer: Aetna Government |
$26,187.49
|
| Rate for Payer: Brighton Health Commercial |
$19,720.00
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$26,711.24
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$23,485.84
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$19,381.52
|
| Rate for Payer: Elderplan Medicare Advantage |
$24,878.12
|
| Rate for Payer: EmblemHealth Commercial |
$11,662.00
|
| Rate for Payer: Fidelis Medicare Advantage |
$26,187.49
|
| Rate for Payer: Group Health Inc Commercial |
$1,000.00
|
| Rate for Payer: Group Health Inc Medicare |
$26,187.49
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$26,187.49
|
| Rate for Payer: Healthfirst Medicare Advantage |
$12,177.18
|
| Rate for Payer: Humana Medicare |
$36,007.80
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$26,187.49
|
| Rate for Payer: United Healthcare Commercial |
$27,046.32
|
| Rate for Payer: United Healthcare Medicare Advantage |
$26,187.49
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$26,187.49
|
| Rate for Payer: Wellcare Medicare |
$24,878.12
|
|
|
OTHER HEART ASSIST SYSTEM IMPLANT
|
Facility
|
IP
|
$204,848.05
|
|
|
Service Code
|
MSDRG 215
|
| Min. Negotiated Rate |
$69,275.89 |
| Max. Negotiated Rate |
$204,848.05 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$150,617.23
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$148,980.40
|
| Rate for Payer: Aetna Government |
$148,980.40
|
| Rate for Payer: Brighton Health Commercial |
$148,114.60
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$151,960.01
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$176,399.38
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$145,572.34
|
| Rate for Payer: Elderplan Medicare Advantage |
$141,531.38
|
| Rate for Payer: EmblemHealth Commercial |
$87,591.90
|
| Rate for Payer: Fidelis Medicare Advantage |
$148,980.40
|
| Rate for Payer: Group Health Inc Commercial |
$148,980.40
|
| Rate for Payer: Group Health Inc Medicare |
$148,980.40
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$148,980.40
|
| Rate for Payer: Healthfirst Medicare Advantage |
$69,275.89
|
| Rate for Payer: Humana Medicare |
$204,848.05
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$148,980.40
|
| Rate for Payer: United Healthcare Commercial |
$203,141.73
|
| Rate for Payer: United Healthcare Medicare Advantage |
$148,980.40
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$148,980.40
|
| Rate for Payer: Wellcare Medicare |
$141,531.38
|
|
|
OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$50,722.28
|
|
|
Service Code
|
MSDRG 424
|
| Min. Negotiated Rate |
$17,153.35 |
| Max. Negotiated Rate |
$50,722.28 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$30,777.24
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$36,888.93
|
| Rate for Payer: Aetna Government |
$36,888.93
|
| Rate for Payer: Brighton Health Commercial |
$30,265.85
|
| 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 |
$17,898.60
|
| 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
|
|
|
OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$84,647.45
|
|
|
Service Code
|
MSDRG 423
|
| Min. Negotiated Rate |
$28,626.23 |
| Max. Negotiated Rate |
$84,647.45 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$57,666.22
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$61,561.78
|
| Rate for Payer: Aetna Government |
$61,561.78
|
| Rate for Payer: Brighton Health Commercial |
$56,708.05
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$62,793.02
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$67,537.33
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$55,734.71
|
| Rate for Payer: Elderplan Medicare Advantage |
$58,483.69
|
| Rate for Payer: EmblemHealth Commercial |
$33,536.00
|
| Rate for Payer: Fidelis Medicare Advantage |
$61,561.78
|
| Rate for Payer: Group Health Inc Commercial |
$61,561.78
|
| Rate for Payer: Group Health Inc Medicare |
$61,561.78
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$61,561.78
|
| Rate for Payer: Healthfirst Medicare Advantage |
$28,626.23
|
| Rate for Payer: Humana Medicare |
$84,647.45
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$61,561.78
|
| Rate for Payer: United Healthcare Commercial |
$77,776.07
|
| Rate for Payer: United Healthcare Medicare Advantage |
$61,561.78
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$61,561.78
|
| Rate for Payer: Wellcare Medicare |
$58,483.69
|
|
|
OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$40,620.25
|
|
|
Service Code
|
MSDRG 425
|
| Min. Negotiated Rate |
$1,100.00 |
| Max. Negotiated Rate |
$40,620.25 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$23,620.02
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$29,542.00
|
| Rate for Payer: Aetna Government |
$29,542.00
|
| Rate for Payer: Brighton Health Commercial |
$23,227.55
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$30,132.84
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$27,663.21
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$22,828.87
|
| Rate for Payer: Elderplan Medicare Advantage |
$28,064.90
|
| Rate for Payer: EmblemHealth Commercial |
$13,736.30
|
| Rate for Payer: Fidelis Medicare Advantage |
$29,542.00
|
| Rate for Payer: Group Health Inc Commercial |
$1,100.00
|
| Rate for Payer: Group Health Inc Medicare |
$29,542.00
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$29,542.00
|
| Rate for Payer: Healthfirst Medicare Advantage |
$13,737.03
|
| Rate for Payer: Humana Medicare |
$40,620.25
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$29,542.00
|
| Rate for Payer: United Healthcare Commercial |
$31,856.99
|
| Rate for Payer: United Healthcare Medicare Advantage |
$29,542.00
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$29,542.00
|
| Rate for Payer: Wellcare Medicare |
$28,064.90
|
|
|
OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC
|
Facility
|
IP
|
$30,773.72
|
|
|
Service Code
|
MSDRG 868
|
| Min. Negotiated Rate |
$9,308.16 |
| Max. Negotiated Rate |
$30,773.72 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$16,005.70
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$22,380.89
|
| Rate for Payer: Aetna Government |
$22,380.89
|
| Rate for Payer: Brighton Health Commercial |
$15,739.75
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$22,828.51
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$18,745.50
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$15,469.59
|
| Rate for Payer: Elderplan Medicare Advantage |
$21,261.85
|
| Rate for Payer: EmblemHealth Commercial |
$9,308.16
|
| Rate for Payer: Fidelis Medicare Advantage |
$22,380.89
|
| Rate for Payer: Group Health Inc Commercial |
$22,380.89
|
| Rate for Payer: Group Health Inc Medicare |
$22,380.89
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$22,380.89
|
| Rate for Payer: Healthfirst Medicare Advantage |
$10,407.11
|
| Rate for Payer: Humana Medicare |
$30,773.72
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$22,380.89
|
| Rate for Payer: United Healthcare Commercial |
$21,587.34
|
| Rate for Payer: United Healthcare Medicare Advantage |
$22,380.89
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$22,380.89
|
| Rate for Payer: Wellcare Medicare |
$21,261.85
|
|
|
OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC
|
Facility
|
IP
|
$49,971.03
|
|
|
Service Code
|
MSDRG 867
|
| Min. Negotiated Rate |
$16,899.30 |
| Max. Negotiated Rate |
$49,971.03 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$30,850.96
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$36,342.57
|
| Rate for Payer: Aetna Government |
$36,342.57
|
| Rate for Payer: Brighton Health Commercial |
$30,338.35
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$37,069.42
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$36,131.93
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$29,817.62
|
| Rate for Payer: Elderplan Medicare Advantage |
$34,525.44
|
| Rate for Payer: EmblemHealth Commercial |
$17,941.50
|
| Rate for Payer: Fidelis Medicare Advantage |
$36,342.57
|
| Rate for Payer: Group Health Inc Commercial |
$36,342.57
|
| Rate for Payer: Group Health Inc Medicare |
$36,342.57
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$36,342.57
|
| Rate for Payer: Healthfirst Medicare Advantage |
$16,899.30
|
| Rate for Payer: Humana Medicare |
$49,971.03
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$36,342.57
|
| Rate for Payer: United Healthcare Commercial |
$41,609.57
|
| Rate for Payer: United Healthcare Medicare Advantage |
$36,342.57
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$36,342.57
|
| Rate for Payer: Wellcare Medicare |
$34,525.44
|
|
|
OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$23,245.80
|
|
|
Service Code
|
MSDRG 869
|
| Min. Negotiated Rate |
$5,922.75 |
| Max. Negotiated Rate |
$23,245.80 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$10,184.37
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$16,906.04
|
| Rate for Payer: Aetna Government |
$16,906.04
|
| Rate for Payer: Brighton Health Commercial |
$10,015.15
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$17,244.16
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$11,927.70
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$9,843.25
|
| Rate for Payer: Elderplan Medicare Advantage |
$16,060.74
|
| Rate for Payer: EmblemHealth Commercial |
$5,922.75
|
| Rate for Payer: Fidelis Medicare Advantage |
$16,906.04
|
| Rate for Payer: Group Health Inc Commercial |
$16,906.04
|
| Rate for Payer: Group Health Inc Medicare |
$16,906.04
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$16,906.04
|
| Rate for Payer: Healthfirst Medicare Advantage |
$7,861.31
|
| Rate for Payer: Humana Medicare |
$23,245.80
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$16,906.04
|
| Rate for Payer: United Healthcare Commercial |
$13,735.95
|
| Rate for Payer: United Healthcare Medicare Advantage |
$16,906.04
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$16,906.04
|
| Rate for Payer: Wellcare Medicare |
$16,060.74
|
|
|
OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC
|
Facility
|
IP
|
$43,346.92
|
|
|
Service Code
|
MSDRG 922
|
| Min. Negotiated Rate |
$14,659.14 |
| Max. Negotiated Rate |
$43,346.92 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$25,728.55
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$31,525.03
|
| Rate for Payer: Aetna Government |
$31,525.03
|
| Rate for Payer: Brighton Health Commercial |
$25,301.05
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$32,155.53
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$30,132.68
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$24,866.78
|
| Rate for Payer: Elderplan Medicare Advantage |
$29,948.78
|
| Rate for Payer: EmblemHealth Commercial |
$14,962.50
|
| Rate for Payer: Fidelis Medicare Advantage |
$31,525.03
|
| Rate for Payer: Group Health Inc Commercial |
$31,525.03
|
| Rate for Payer: Group Health Inc Medicare |
$31,525.03
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$31,525.03
|
| Rate for Payer: Healthfirst Medicare Advantage |
$14,659.14
|
| Rate for Payer: Humana Medicare |
$43,346.92
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$31,525.03
|
| Rate for Payer: United Healthcare Commercial |
$34,700.83
|
| Rate for Payer: United Healthcare Medicare Advantage |
$31,525.03
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$31,525.03
|
| Rate for Payer: Wellcare Medicare |
$29,948.78
|
|
|
OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC
|
Facility
|
IP
|
$29,360.83
|
|
|
Service Code
|
MSDRG 923
|
| Min. Negotiated Rate |
$8,672.76 |
| Max. Negotiated Rate |
$29,360.83 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$14,913.09
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$21,353.33
|
| Rate for Payer: Aetna Government |
$21,353.33
|
| Rate for Payer: Brighton Health Commercial |
$14,665.30
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$21,780.40
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$17,465.87
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$14,413.58
|
| Rate for Payer: Elderplan Medicare Advantage |
$20,285.66
|
| Rate for Payer: EmblemHealth Commercial |
$8,672.76
|
| Rate for Payer: Fidelis Medicare Advantage |
$21,353.33
|
| Rate for Payer: Group Health Inc Commercial |
$21,353.33
|
| Rate for Payer: Group Health Inc Medicare |
$21,353.33
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$21,353.33
|
| Rate for Payer: Healthfirst Medicare Advantage |
$9,929.30
|
| Rate for Payer: Humana Medicare |
$29,360.83
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$21,353.33
|
| Rate for Payer: United Healthcare Commercial |
$20,113.71
|
| Rate for Payer: United Healthcare Medicare Advantage |
$21,353.33
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$21,353.33
|
| Rate for Payer: Wellcare Medicare |
$20,285.66
|
|
|
OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC
|
Facility
|
IP
|
$29,540.05
|
|
|
Service Code
|
MSDRG 699
|
| Min. Negotiated Rate |
$8,753.36 |
| Max. Negotiated Rate |
$29,540.05 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$15,051.70
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$21,483.67
|
| Rate for Payer: Aetna Government |
$21,483.67
|
| Rate for Payer: Brighton Health Commercial |
$14,801.60
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$21,913.34
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$17,628.20
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$14,547.54
|
| Rate for Payer: Elderplan Medicare Advantage |
$20,409.49
|
| Rate for Payer: EmblemHealth Commercial |
$8,753.36
|
| Rate for Payer: Fidelis Medicare Advantage |
$21,483.67
|
| Rate for Payer: Group Health Inc Commercial |
$21,483.67
|
| Rate for Payer: Group Health Inc Medicare |
$21,483.67
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$21,483.67
|
| Rate for Payer: Healthfirst Medicare Advantage |
$9,989.91
|
| Rate for Payer: Humana Medicare |
$29,540.05
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$21,483.67
|
| Rate for Payer: United Healthcare Commercial |
$20,300.65
|
| Rate for Payer: United Healthcare Medicare Advantage |
$21,483.67
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$21,483.67
|
| Rate for Payer: Wellcare Medicare |
$20,409.49
|
|
|
OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC
|
Facility
|
IP
|
$41,621.30
|
|
|
Service Code
|
MSDRG 698
|
| Min. Negotiated Rate |
$14,075.57 |
| Max. Negotiated Rate |
$41,621.30 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$24,394.13
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$30,270.04
|
| Rate for Payer: Aetna Government |
$30,270.04
|
| Rate for Payer: Brighton Health Commercial |
$23,988.80
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$30,875.44
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$28,569.83
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$23,577.05
|
| Rate for Payer: Elderplan Medicare Advantage |
$28,756.54
|
| Rate for Payer: EmblemHealth Commercial |
$14,186.50
|
| Rate for Payer: Fidelis Medicare Advantage |
$30,270.04
|
| Rate for Payer: Group Health Inc Commercial |
$30,270.04
|
| Rate for Payer: Group Health Inc Medicare |
$30,270.04
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$30,270.04
|
| Rate for Payer: Healthfirst Medicare Advantage |
$14,075.57
|
| Rate for Payer: Humana Medicare |
$41,621.30
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$30,270.04
|
| Rate for Payer: United Healthcare Commercial |
$32,901.05
|
| Rate for Payer: United Healthcare Medicare Advantage |
$30,270.04
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$30,270.04
|
| Rate for Payer: Wellcare Medicare |
$28,756.54
|
|
|
OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$23,581.42
|
|
|
Service Code
|
MSDRG 700
|
| Min. Negotiated Rate |
$6,073.67 |
| Max. Negotiated Rate |
$23,581.42 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$10,443.88
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$17,150.12
|
| Rate for Payer: Aetna Government |
$17,150.12
|
| Rate for Payer: Brighton Health Commercial |
$10,270.35
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$17,493.12
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$12,231.63
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$10,094.07
|
| Rate for Payer: Elderplan Medicare Advantage |
$16,292.61
|
| Rate for Payer: EmblemHealth Commercial |
$6,073.67
|
| Rate for Payer: Fidelis Medicare Advantage |
$17,150.12
|
| Rate for Payer: Group Health Inc Commercial |
$17,150.12
|
| Rate for Payer: Group Health Inc Medicare |
$17,150.12
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$17,150.12
|
| Rate for Payer: Healthfirst Medicare Advantage |
$7,974.81
|
| Rate for Payer: Humana Medicare |
$23,581.42
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$17,150.12
|
| Rate for Payer: United Healthcare Commercial |
$14,085.96
|
| Rate for Payer: United Healthcare Medicare Advantage |
$17,150.12
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$17,150.12
|
| Rate for Payer: Wellcare Medicare |
$16,292.61
|
|
|
OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC
|
Facility
|
IP
|
$55,498.75
|
|
|
Service Code
|
MSDRG 674
|
| Min. Negotiated Rate |
$18,768.67 |
| Max. Negotiated Rate |
$55,498.75 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$35,125.54
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$40,362.73
|
| Rate for Payer: Aetna Government |
$40,362.73
|
| Rate for Payer: Brighton Health Commercial |
$34,541.90
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$41,169.98
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$41,138.21
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$33,949.02
|
| Rate for Payer: Elderplan Medicare Advantage |
$38,344.59
|
| Rate for Payer: EmblemHealth Commercial |
$20,427.40
|
| Rate for Payer: Fidelis Medicare Advantage |
$40,362.73
|
| Rate for Payer: Group Health Inc Commercial |
$40,362.73
|
| Rate for Payer: Group Health Inc Medicare |
$40,362.73
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$40,362.73
|
| Rate for Payer: Healthfirst Medicare Advantage |
$18,768.67
|
| Rate for Payer: Humana Medicare |
$55,498.75
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$40,362.73
|
| Rate for Payer: United Healthcare Commercial |
$47,374.81
|
| Rate for Payer: United Healthcare Medicare Advantage |
$40,362.73
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$40,362.73
|
| Rate for Payer: Wellcare Medicare |
$38,344.59
|
|
|
OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC
|
Facility
|
IP
|
$80,587.97
|
|
|
Service Code
|
MSDRG 673
|
| Min. Negotiated Rate |
$27,253.38 |
| Max. Negotiated Rate |
$80,587.97 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$54,527.01
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$58,609.43
|
| Rate for Payer: Aetna Government |
$58,609.43
|
| Rate for Payer: Brighton Health Commercial |
$53,621.00
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$59,781.62
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$63,860.76
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$52,700.64
|
| Rate for Payer: Elderplan Medicare Advantage |
$55,678.96
|
| Rate for Payer: EmblemHealth Commercial |
$31,710.40
|
| Rate for Payer: Fidelis Medicare Advantage |
$58,609.43
|
| Rate for Payer: Group Health Inc Commercial |
$58,609.43
|
| Rate for Payer: Group Health Inc Medicare |
$58,609.43
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$58,609.43
|
| Rate for Payer: Healthfirst Medicare Advantage |
$27,253.38
|
| Rate for Payer: Humana Medicare |
$80,587.97
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$58,609.43
|
| Rate for Payer: United Healthcare Commercial |
$73,542.13
|
| Rate for Payer: United Healthcare Medicare Advantage |
$58,609.43
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$58,609.43
|
| Rate for Payer: Wellcare Medicare |
$55,678.96
|
|
|
OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$40,326.60
|
|
|
Service Code
|
MSDRG 675
|
| Min. Negotiated Rate |
$13,604.20 |
| Max. Negotiated Rate |
$40,326.60 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$23,392.94
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$29,328.44
|
| Rate for Payer: Aetna Government |
$29,328.44
|
| Rate for Payer: Brighton Health Commercial |
$23,004.25
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$29,915.01
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$27,397.27
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$22,609.40
|
| Rate for Payer: Elderplan Medicare Advantage |
$27,862.02
|
| Rate for Payer: EmblemHealth Commercial |
$13,604.20
|
| Rate for Payer: Fidelis Medicare Advantage |
$29,328.44
|
| Rate for Payer: Group Health Inc Commercial |
$29,328.44
|
| Rate for Payer: Group Health Inc Medicare |
$29,328.44
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$29,328.44
|
| Rate for Payer: Healthfirst Medicare Advantage |
$13,637.72
|
| Rate for Payer: Humana Medicare |
$40,326.60
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$29,328.44
|
| Rate for Payer: United Healthcare Commercial |
$31,550.73
|
| Rate for Payer: United Healthcare Medicare Advantage |
$29,328.44
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$29,328.44
|
| Rate for Payer: Wellcare Medicare |
$27,862.02
|
|
|
OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC
|
Facility
|
IP
|
$75,977.40
|
|
|
Service Code
|
MSDRG 271
|
| Min. Negotiated Rate |
$25,694.17 |
| Max. Negotiated Rate |
$75,977.40 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$50,961.67
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$55,256.29
|
| Rate for Payer: Aetna Government |
$55,256.29
|
| Rate for Payer: Brighton Health Commercial |
$50,114.90
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$56,361.42
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$59,685.12
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$49,254.72
|
| Rate for Payer: Elderplan Medicare Advantage |
$52,493.48
|
| Rate for Payer: EmblemHealth Commercial |
$29,636.90
|
| Rate for Payer: Fidelis Medicare Advantage |
$55,256.29
|
| Rate for Payer: Group Health Inc Commercial |
$55,256.29
|
| Rate for Payer: Group Health Inc Medicare |
$55,256.29
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$55,256.29
|
| Rate for Payer: Healthfirst Medicare Advantage |
$25,694.17
|
| Rate for Payer: Humana Medicare |
$75,977.40
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$55,256.29
|
| Rate for Payer: United Healthcare Commercial |
$68,733.45
|
| Rate for Payer: United Healthcare Medicare Advantage |
$55,256.29
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$55,256.29
|
| Rate for Payer: Wellcare Medicare |
$52,493.48
|
|
|
OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC
|
Facility
|
IP
|
$106,499.00
|
|
|
Service Code
|
MSDRG 270
|
| Min. Negotiated Rate |
$36,016.03 |
| Max. Negotiated Rate |
$106,499.00 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$74,563.99
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$77,453.82
|
| Rate for Payer: Aetna Government |
$77,453.82
|
| Rate for Payer: Brighton Health Commercial |
$73,325.05
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$79,002.90
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$87,327.61
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$72,066.49
|
| Rate for Payer: Elderplan Medicare Advantage |
$73,581.13
|
| Rate for Payer: EmblemHealth Commercial |
$43,362.90
|
| Rate for Payer: Fidelis Medicare Advantage |
$77,453.82
|
| Rate for Payer: Group Health Inc Commercial |
$77,453.82
|
| Rate for Payer: Group Health Inc Medicare |
$77,453.82
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$77,453.82
|
| Rate for Payer: Healthfirst Medicare Advantage |
$36,016.03
|
| Rate for Payer: Humana Medicare |
$106,499.00
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$77,453.82
|
| Rate for Payer: United Healthcare Commercial |
$100,566.57
|
| Rate for Payer: United Healthcare Medicare Advantage |
$77,453.82
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$77,453.82
|
| Rate for Payer: Wellcare Medicare |
$73,581.13
|
|
