|
OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$56,591.32
|
|
|
Service Code
|
MSDRG 272
|
| Min. Negotiated Rate |
$19,138.15 |
| Max. Negotiated Rate |
$56,591.32 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$35,970.43
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$41,157.32
|
| Rate for Payer: Aetna Government |
$41,157.32
|
| Rate for Payer: Brighton Health Commercial |
$35,372.75
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$41,980.47
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$42,127.73
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$34,765.61
|
| Rate for Payer: Elderplan Medicare Advantage |
$39,099.45
|
| Rate for Payer: EmblemHealth Commercial |
$20,918.70
|
| Rate for Payer: Fidelis Medicare Advantage |
$41,157.32
|
| Rate for Payer: Group Health Inc Commercial |
$41,157.32
|
| Rate for Payer: Group Health Inc Medicare |
$41,157.32
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$41,157.32
|
| Rate for Payer: Healthfirst Medicare Advantage |
$19,138.15
|
| Rate for Payer: Humana Medicare |
$56,591.32
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$41,157.32
|
| Rate for Payer: United Healthcare Commercial |
$48,514.34
|
| Rate for Payer: United Healthcare Medicare Advantage |
$41,157.32
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$41,157.32
|
| Rate for Payer: Wellcare Medicare |
$39,099.45
|
|
|
OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC
|
Facility
|
IP
|
$29,217.80
|
|
|
Service Code
|
MSDRG 729
|
| Min. Negotiated Rate |
$8,608.44 |
| Max. Negotiated Rate |
$29,217.80 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$14,802.51
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$21,249.31
|
| Rate for Payer: Aetna Government |
$21,249.31
|
| Rate for Payer: Brighton Health Commercial |
$14,556.55
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$21,674.30
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$17,336.35
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$14,306.70
|
| Rate for Payer: Elderplan Medicare Advantage |
$20,186.84
|
| Rate for Payer: EmblemHealth Commercial |
$8,608.44
|
| Rate for Payer: Fidelis Medicare Advantage |
$21,249.31
|
| Rate for Payer: Group Health Inc Commercial |
$21,249.31
|
| Rate for Payer: Group Health Inc Medicare |
$21,249.31
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$21,249.31
|
| Rate for Payer: Healthfirst Medicare Advantage |
$9,880.93
|
| Rate for Payer: Humana Medicare |
$29,217.80
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$21,249.31
|
| Rate for Payer: United Healthcare Commercial |
$19,964.56
|
| Rate for Payer: United Healthcare Medicare Advantage |
$21,249.31
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$21,249.31
|
| Rate for Payer: Wellcare Medicare |
$20,186.84
|
|
|
OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$21,928.22
|
|
|
Service Code
|
MSDRG 730
|
| Min. Negotiated Rate |
$5,330.22 |
| Max. Negotiated Rate |
$21,928.22 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$9,165.49
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$15,947.80
|
| Rate for Payer: Aetna Government |
$15,947.80
|
| Rate for Payer: Brighton Health Commercial |
$9,013.20
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$16,266.76
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$10,734.41
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$8,858.50
|
| Rate for Payer: Elderplan Medicare Advantage |
$15,150.41
|
| Rate for Payer: EmblemHealth Commercial |
$5,330.22
|
| Rate for Payer: Fidelis Medicare Advantage |
$15,947.80
|
| Rate for Payer: Group Health Inc Commercial |
$15,947.80
|
| Rate for Payer: Group Health Inc Medicare |
$15,947.80
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$15,947.80
|
| Rate for Payer: Healthfirst Medicare Advantage |
$7,415.73
|
| Rate for Payer: Humana Medicare |
$21,928.22
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$15,947.80
|
| Rate for Payer: United Healthcare Commercial |
$12,361.76
|
| Rate for Payer: United Healthcare Medicare Advantage |
$15,947.80
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$15,947.80
|
| Rate for Payer: Wellcare Medicare |
$15,150.41
|
|
|
OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC
|
Facility
|
IP
|
$44,658.78
|
|
|
Service Code
|
MSDRG 717
|
| Min. Negotiated Rate |
$15,102.79 |
| Max. Negotiated Rate |
$44,658.78 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$26,743.01
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$32,479.11
|
| Rate for Payer: Aetna Government |
$32,479.11
|
| Rate for Payer: Brighton Health Commercial |
$26,298.65
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$33,128.69
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$31,320.79
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$25,847.26
|
| Rate for Payer: Elderplan Medicare Advantage |
$30,855.15
|
| Rate for Payer: EmblemHealth Commercial |
$15,552.50
|
| Rate for Payer: Fidelis Medicare Advantage |
$32,479.11
|
| Rate for Payer: Group Health Inc Commercial |
$32,479.11
|
| Rate for Payer: Group Health Inc Medicare |
$32,479.11
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$32,479.11
|
| Rate for Payer: Healthfirst Medicare Advantage |
$15,102.79
|
| Rate for Payer: Humana Medicare |
$44,658.78
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$32,479.11
|
| Rate for Payer: United Healthcare Commercial |
$36,069.05
|
| Rate for Payer: United Healthcare Medicare Advantage |
$32,479.11
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$32,479.11
|
| Rate for Payer: Wellcare Medicare |
$30,855.15
|
|
|
OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC
|
Facility
|
IP
|
$32,495.51
|
|
|
Service Code
|
MSDRG 718
|
| Min. Negotiated Rate |
$10,082.50 |
| Max. Negotiated Rate |
$32,495.51 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$17,337.17
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$23,633.10
|
| Rate for Payer: Aetna Government |
$23,633.10
|
| Rate for Payer: Brighton Health Commercial |
$17,049.10
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$24,105.76
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$20,304.89
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$16,756.47
|
| Rate for Payer: Elderplan Medicare Advantage |
$22,451.44
|
| Rate for Payer: EmblemHealth Commercial |
$10,082.50
|
| Rate for Payer: Fidelis Medicare Advantage |
$23,633.10
|
| Rate for Payer: Group Health Inc Commercial |
$23,633.10
|
| Rate for Payer: Group Health Inc Medicare |
$23,633.10
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$23,633.10
|
| Rate for Payer: Healthfirst Medicare Advantage |
$10,989.39
|
| Rate for Payer: Humana Medicare |
$32,495.51
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$23,633.10
|
| Rate for Payer: United Healthcare Commercial |
$23,383.13
|
| Rate for Payer: United Healthcare Medicare Advantage |
$23,633.10
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$23,633.10
|
| Rate for Payer: Wellcare Medicare |
$22,451.44
|
|
|
OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC
|
Facility
|
IP
|
$52,167.62
|
|
|
Service Code
|
MSDRG 715
|
| Min. Negotiated Rate |
$17,642.14 |
| Max. Negotiated Rate |
$52,167.62 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$32,549.59
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$37,940.09
|
| Rate for Payer: Aetna Government |
$37,940.09
|
| Rate for Payer: Brighton Health Commercial |
$32,008.75
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$38,698.89
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$38,121.32
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$31,459.35
|
| Rate for Payer: Elderplan Medicare Advantage |
$36,043.09
|
| Rate for Payer: EmblemHealth Commercial |
$18,929.30
|
| Rate for Payer: Fidelis Medicare Advantage |
$37,940.09
|
| Rate for Payer: Group Health Inc Commercial |
$37,940.09
|
| Rate for Payer: Group Health Inc Medicare |
$37,940.09
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$37,940.09
|
| Rate for Payer: Healthfirst Medicare Advantage |
$17,642.14
|
| Rate for Payer: Humana Medicare |
$52,167.62
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$37,940.09
|
| Rate for Payer: United Healthcare Commercial |
$43,900.55
|
| Rate for Payer: United Healthcare Medicare Advantage |
$37,940.09
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$37,940.09
|
| Rate for Payer: Wellcare Medicare |
$36,043.09
|
|
|
OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC
|
Facility
|
IP
|
$37,193.80
|
|
|
Service Code
|
MSDRG 716
|
| Min. Negotiated Rate |
$12,195.40 |
| Max. Negotiated Rate |
$37,193.80 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$20,970.34
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$27,050.04
|
| Rate for Payer: Aetna Government |
$27,050.04
|
| Rate for Payer: Brighton Health Commercial |
$20,621.90
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$27,591.04
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$24,559.97
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$20,267.94
|
| Rate for Payer: Elderplan Medicare Advantage |
$25,697.54
|
| Rate for Payer: EmblemHealth Commercial |
$12,195.40
|
| Rate for Payer: Fidelis Medicare Advantage |
$27,050.04
|
| Rate for Payer: Group Health Inc Commercial |
$27,050.04
|
| Rate for Payer: Group Health Inc Medicare |
$27,050.04
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$27,050.04
|
| Rate for Payer: Healthfirst Medicare Advantage |
$12,578.27
|
| Rate for Payer: Humana Medicare |
$37,193.80
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$27,050.04
|
| Rate for Payer: United Healthcare Commercial |
$28,283.29
|
| Rate for Payer: United Healthcare Medicare Advantage |
$27,050.04
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$27,050.04
|
| Rate for Payer: Wellcare Medicare |
$25,697.54
|
|
|
OTHER MENTAL DISORDER DIAGNOSES
|
Facility
|
IP
|
$25,800.30
|
|
|
Service Code
|
MSDRG 887
|
| Min. Negotiated Rate |
$905.00 |
| Max. Negotiated Rate |
$25,800.30 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$1,859.00
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$25,294.41
|
| Rate for Payer: Aetna Government |
$25,294.41
|
| Rate for Payer: Brighton Health Commercial |
$18,786.20
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$25,800.30
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$22,373.72
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$18,463.75
|
| Rate for Payer: Elderplan Medicare Advantage |
$24,029.69
|
| Rate for Payer: EmblemHealth Commercial |
$905.00
|
| Rate for Payer: Fidelis Medicare Advantage |
$25,294.41
|
| Rate for Payer: Group Health Inc Commercial |
$25,294.41
|
| Rate for Payer: Group Health Inc Medicare |
$25,294.41
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$25,294.41
|
| Rate for Payer: Healthfirst Medicare Advantage |
$11,761.90
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$25,294.41
|
| Rate for Payer: United Healthcare Commercial |
$25,765.60
|
| Rate for Payer: United Healthcare Medicare Advantage |
$25,294.41
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$25,294.41
|
| Rate for Payer: Wellcare Medicare |
$24,029.69
|
|
|
OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC
|
Facility
|
IP
|
$38,696.32
|
|
|
Service Code
|
MSDRG 964
|
| Min. Negotiated Rate |
$12,871.10 |
| Max. Negotiated Rate |
$38,696.32 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$22,132.25
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$28,142.78
|
| Rate for Payer: Aetna Government |
$28,142.78
|
| Rate for Payer: Brighton Health Commercial |
$21,764.50
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$28,705.64
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$25,920.77
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$21,390.93
|
| Rate for Payer: Elderplan Medicare Advantage |
$26,735.64
|
| Rate for Payer: EmblemHealth Commercial |
$12,871.10
|
| Rate for Payer: Fidelis Medicare Advantage |
$28,142.78
|
| Rate for Payer: Group Health Inc Commercial |
$28,142.78
|
| Rate for Payer: Group Health Inc Medicare |
$28,142.78
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$28,142.78
|
| Rate for Payer: Healthfirst Medicare Advantage |
$13,086.39
|
| Rate for Payer: Humana Medicare |
$38,696.32
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$28,142.78
|
| Rate for Payer: United Healthcare Commercial |
$29,850.39
|
| Rate for Payer: United Healthcare Medicare Advantage |
$28,142.78
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$28,142.78
|
| Rate for Payer: Wellcare Medicare |
$26,735.64
|
|
|
OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC
|
Facility
|
IP
|
$62,212.47
|
|
|
Service Code
|
MSDRG 963
|
| Min. Negotiated Rate |
$21,039.12 |
| Max. Negotiated Rate |
$62,212.47 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$40,317.25
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$45,245.43
|
| Rate for Payer: Aetna Government |
$45,245.43
|
| Rate for Payer: Brighton Health Commercial |
$39,647.35
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$46,150.34
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$47,218.63
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$38,966.84
|
| Rate for Payer: Elderplan Medicare Advantage |
$42,983.16
|
| Rate for Payer: EmblemHealth Commercial |
$23,446.60
|
| Rate for Payer: Fidelis Medicare Advantage |
$45,245.43
|
| Rate for Payer: Group Health Inc Commercial |
$45,245.43
|
| Rate for Payer: Group Health Inc Medicare |
$45,245.43
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$45,245.43
|
| Rate for Payer: Healthfirst Medicare Advantage |
$21,039.12
|
| Rate for Payer: Humana Medicare |
$62,212.47
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$45,245.43
|
| Rate for Payer: United Healthcare Commercial |
$54,377.02
|
| Rate for Payer: United Healthcare Medicare Advantage |
$45,245.43
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$45,245.43
|
| Rate for Payer: Wellcare Medicare |
$42,983.16
|
|
|
OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC
|
Facility
|
IP
|
$28,302.53
|
|
|
Service Code
|
MSDRG 965
|
| Min. Negotiated Rate |
$8,196.84 |
| Max. Negotiated Rate |
$28,302.53 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$14,094.75
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$20,583.66
|
| Rate for Payer: Aetna Government |
$20,583.66
|
| Rate for Payer: Brighton Health Commercial |
$13,860.55
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$20,995.33
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$16,507.44
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$13,622.65
|
| Rate for Payer: Elderplan Medicare Advantage |
$19,554.48
|
| Rate for Payer: EmblemHealth Commercial |
$8,196.84
|
| Rate for Payer: Fidelis Medicare Advantage |
$20,583.66
|
| Rate for Payer: Group Health Inc Commercial |
$20,583.66
|
| Rate for Payer: Group Health Inc Medicare |
$20,583.66
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$20,583.66
|
| Rate for Payer: Healthfirst Medicare Advantage |
$9,571.40
|
| Rate for Payer: Humana Medicare |
$28,302.53
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$20,583.66
|
| Rate for Payer: United Healthcare Commercial |
$19,009.98
|
| Rate for Payer: United Healthcare Medicare Advantage |
$20,583.66
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$20,583.66
|
| Rate for Payer: Wellcare Medicare |
$19,554.48
|
|
|
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC
|
Facility
|
IP
|
$29,131.99
|
|
|
Service Code
|
MSDRG 565
|
| Min. Negotiated Rate |
$8,569.86 |
| Max. Negotiated Rate |
$29,131.99 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$14,736.15
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$21,186.90
|
| Rate for Payer: Aetna Government |
$21,186.90
|
| Rate for Payer: Brighton Health Commercial |
$14,491.30
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$21,610.64
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$17,258.64
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$14,242.57
|
| Rate for Payer: Elderplan Medicare Advantage |
$20,127.56
|
| Rate for Payer: EmblemHealth Commercial |
$8,569.86
|
| Rate for Payer: Fidelis Medicare Advantage |
$21,186.90
|
| Rate for Payer: Group Health Inc Commercial |
$21,186.90
|
| Rate for Payer: Group Health Inc Medicare |
$21,186.90
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$21,186.90
|
| Rate for Payer: Healthfirst Medicare Advantage |
$9,851.91
|
| Rate for Payer: Humana Medicare |
$29,131.99
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$21,186.90
|
| Rate for Payer: United Healthcare Commercial |
$19,875.07
|
| Rate for Payer: United Healthcare Medicare Advantage |
$21,186.90
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$21,186.90
|
| Rate for Payer: Wellcare Medicare |
$20,127.56
|
|
|
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC
|
Facility
|
IP
|
$39,857.54
|
|
|
Service Code
|
MSDRG 564
|
| Min. Negotiated Rate |
$13,393.30 |
| Max. Negotiated Rate |
$39,857.54 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$23,030.22
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$28,987.30
|
| Rate for Payer: Aetna Government |
$28,987.30
|
| Rate for Payer: Brighton Health Commercial |
$22,647.55
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$29,567.05
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$26,972.45
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$22,258.82
|
| Rate for Payer: Elderplan Medicare Advantage |
$27,537.94
|
| Rate for Payer: EmblemHealth Commercial |
$13,393.30
|
| Rate for Payer: Fidelis Medicare Advantage |
$28,987.30
|
| Rate for Payer: Group Health Inc Commercial |
$28,987.30
|
| Rate for Payer: Group Health Inc Medicare |
$28,987.30
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$28,987.30
|
| Rate for Payer: Healthfirst Medicare Advantage |
$13,479.09
|
| Rate for Payer: Humana Medicare |
$39,857.54
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$28,987.30
|
| Rate for Payer: United Healthcare Commercial |
$31,061.51
|
| Rate for Payer: United Healthcare Medicare Advantage |
$28,987.30
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$28,987.30
|
| Rate for Payer: Wellcare Medicare |
$27,537.94
|
|
|
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$24,386.04
|
|
|
Service Code
|
MSDRG 566
|
| Min. Negotiated Rate |
$6,435.54 |
| Max. Negotiated Rate |
$24,386.04 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$11,066.12
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$17,735.30
|
| Rate for Payer: Aetna Government |
$17,735.30
|
| Rate for Payer: Brighton Health Commercial |
$10,882.25
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$18,090.01
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$12,960.38
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$10,695.47
|
| Rate for Payer: Elderplan Medicare Advantage |
$16,848.54
|
| Rate for Payer: EmblemHealth Commercial |
$6,435.54
|
| Rate for Payer: Fidelis Medicare Advantage |
$17,735.30
|
| Rate for Payer: Group Health Inc Commercial |
$17,735.30
|
| Rate for Payer: Group Health Inc Medicare |
$17,735.30
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$17,735.30
|
| Rate for Payer: Healthfirst Medicare Advantage |
$8,246.91
|
| Rate for Payer: Humana Medicare |
$24,386.04
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$17,735.30
|
| Rate for Payer: United Healthcare Commercial |
$14,925.19
|
| Rate for Payer: United Healthcare Medicare Advantage |
$17,735.30
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$17,735.30
|
| Rate for Payer: Wellcare Medicare |
$16,848.54
|
|
|
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$48,989.05
|
|
|
Service Code
|
MSDRG 516
|
| Min. Negotiated Rate |
$16,567.21 |
| Max. Negotiated Rate |
$48,989.05 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$30,091.60
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$35,628.40
|
| Rate for Payer: Aetna Government |
$35,628.40
|
| Rate for Payer: Brighton Health Commercial |
$29,591.60
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$36,340.97
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$35,242.58
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$29,083.69
|
| Rate for Payer: Elderplan Medicare Advantage |
$33,846.98
|
| Rate for Payer: EmblemHealth Commercial |
$17,499.90
|
| Rate for Payer: Fidelis Medicare Advantage |
$35,628.40
|
| Rate for Payer: Group Health Inc Commercial |
$35,628.40
|
| Rate for Payer: Group Health Inc Medicare |
$35,628.40
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$35,628.40
|
| Rate for Payer: Healthfirst Medicare Advantage |
$16,567.21
|
| Rate for Payer: Humana Medicare |
$48,989.05
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$35,628.40
|
| Rate for Payer: United Healthcare Commercial |
$40,585.39
|
| Rate for Payer: United Healthcare Medicare Advantage |
$35,628.40
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$35,628.40
|
| Rate for Payer: Wellcare Medicare |
$33,846.98
|
|
|
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$70,358.19
|
|
|
Service Code
|
MSDRG 515
|
| Min. Negotiated Rate |
$23,793.86 |
| Max. Negotiated Rate |
$70,358.19 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$46,616.32
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$51,169.59
|
| Rate for Payer: Aetna Government |
$51,169.59
|
| Rate for Payer: Brighton Health Commercial |
$45,841.75
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$52,192.98
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$54,595.94
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$45,054.92
|
| Rate for Payer: Elderplan Medicare Advantage |
$48,611.11
|
| Rate for Payer: EmblemHealth Commercial |
$27,109.90
|
| Rate for Payer: Fidelis Medicare Advantage |
$51,169.59
|
| Rate for Payer: Group Health Inc Commercial |
$51,169.59
|
| Rate for Payer: Group Health Inc Medicare |
$51,169.59
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$51,169.59
|
| Rate for Payer: Healthfirst Medicare Advantage |
$23,793.86
|
| Rate for Payer: Humana Medicare |
$70,358.19
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$51,169.59
|
| Rate for Payer: United Healthcare Commercial |
$62,872.75
|
| Rate for Payer: United Healthcare Medicare Advantage |
$51,169.59
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$51,169.59
|
| Rate for Payer: Wellcare Medicare |
$48,611.11
|
|
|
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$38,570.47
|
|
|
Service Code
|
MSDRG 517
|
| Min. Negotiated Rate |
$12,814.50 |
| Max. Negotiated Rate |
$38,570.47 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$22,034.93
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$28,051.25
|
| Rate for Payer: Aetna Government |
$28,051.25
|
| Rate for Payer: Brighton Health Commercial |
$21,668.80
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$28,612.28
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$25,806.79
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$21,296.87
|
| Rate for Payer: Elderplan Medicare Advantage |
$26,648.69
|
| Rate for Payer: EmblemHealth Commercial |
$12,814.50
|
| Rate for Payer: Fidelis Medicare Advantage |
$28,051.25
|
| Rate for Payer: Group Health Inc Commercial |
$28,051.25
|
| Rate for Payer: Group Health Inc Medicare |
$28,051.25
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$28,051.25
|
| Rate for Payer: Healthfirst Medicare Advantage |
$13,043.83
|
| Rate for Payer: Humana Medicare |
$38,570.47
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$28,051.25
|
| Rate for Payer: United Healthcare Commercial |
$29,719.13
|
| Rate for Payer: United Healthcare Medicare Advantage |
$28,051.25
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$28,051.25
|
| Rate for Payer: Wellcare Medicare |
$26,648.69
|
|
|
OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC
|
Facility
|
IP
|
$32,140.87
|
|
|
Service Code
|
MSDRG 844
|
| Min. Negotiated Rate |
$9,922.99 |
| Max. Negotiated Rate |
$32,140.87 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$17,062.91
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$23,375.18
|
| Rate for Payer: Aetna Government |
$23,375.18
|
| Rate for Payer: Brighton Health Commercial |
$16,779.40
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$23,842.68
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$19,983.69
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$16,491.40
|
| Rate for Payer: Elderplan Medicare Advantage |
$22,206.42
|
| Rate for Payer: EmblemHealth Commercial |
$9,922.99
|
| Rate for Payer: Fidelis Medicare Advantage |
$23,375.18
|
| Rate for Payer: Group Health Inc Commercial |
$23,375.18
|
| Rate for Payer: Group Health Inc Medicare |
$23,375.18
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$23,375.18
|
| Rate for Payer: Healthfirst Medicare Advantage |
$10,869.46
|
| Rate for Payer: Humana Medicare |
$32,140.87
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$23,375.18
|
| Rate for Payer: United Healthcare Commercial |
$23,013.24
|
| Rate for Payer: United Healthcare Medicare Advantage |
$23,375.18
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$23,375.18
|
| Rate for Payer: Wellcare Medicare |
$22,206.42
|
|
|
OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC
|
Facility
|
IP
|
$45,553.04
|
|
|
Service Code
|
MSDRG 843
|
| Min. Negotiated Rate |
$15,405.21 |
| Max. Negotiated Rate |
$45,553.04 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$27,434.55
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$33,129.48
|
| Rate for Payer: Aetna Government |
$33,129.48
|
| Rate for Payer: Brighton Health Commercial |
$26,978.70
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$33,792.07
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$32,130.70
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$26,515.63
|
| Rate for Payer: Elderplan Medicare Advantage |
$31,473.01
|
| Rate for Payer: EmblemHealth Commercial |
$15,954.60
|
| Rate for Payer: Fidelis Medicare Advantage |
$33,129.48
|
| Rate for Payer: Group Health Inc Commercial |
$33,129.48
|
| Rate for Payer: Group Health Inc Medicare |
$33,129.48
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$33,129.48
|
| Rate for Payer: Healthfirst Medicare Advantage |
$15,405.21
|
| Rate for Payer: Humana Medicare |
$45,553.04
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$33,129.48
|
| Rate for Payer: United Healthcare Commercial |
$37,001.75
|
| Rate for Payer: United Healthcare Medicare Advantage |
$33,129.48
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$33,129.48
|
| Rate for Payer: Wellcare Medicare |
$31,473.01
|
|
|
OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$26,567.39
|
|
|
Service Code
|
MSDRG 845
|
| Min. Negotiated Rate |
$7,416.52 |
| Max. Negotiated Rate |
$26,567.39 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$12,752.95
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$19,321.74
|
| Rate for Payer: Aetna Government |
$19,321.74
|
| Rate for Payer: Brighton Health Commercial |
$12,541.05
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$19,708.17
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$14,935.96
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$12,325.79
|
| Rate for Payer: Elderplan Medicare Advantage |
$18,355.65
|
| Rate for Payer: EmblemHealth Commercial |
$7,416.52
|
| Rate for Payer: Fidelis Medicare Advantage |
$19,321.74
|
| Rate for Payer: Group Health Inc Commercial |
$19,321.74
|
| Rate for Payer: Group Health Inc Medicare |
$19,321.74
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$19,321.74
|
| Rate for Payer: Healthfirst Medicare Advantage |
$8,984.61
|
| Rate for Payer: Humana Medicare |
$26,567.39
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$19,321.74
|
| Rate for Payer: United Healthcare Commercial |
$17,200.27
|
| Rate for Payer: United Healthcare Medicare Advantage |
$19,321.74
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$19,321.74
|
| Rate for Payer: Wellcare Medicare |
$18,355.65
|
|
|
OTHER ORAL PATHOLOGY PROCEDURES,
|
Facility
|
OP
|
$358.63
|
|
|
Service Code
|
HCPCS D0502
|
| Hospital Charge Code |
42300225
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$17.52 |
| Max. Negotiated Rate |
$2,915.00 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$197.25
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$17.52
|
| Rate for Payer: Aetna Government |
$17.52
|
| Rate for Payer: Affinity Essential Plan 1&2 |
$47.72
|
| Rate for Payer: Affinity Essential Plan 3&4 |
$47.72
|
| Rate for Payer: Affinity Medicaid/CHP/HARP |
$21.21
|
| Rate for Payer: Amida Care Medicaid |
$21.21
|
| Rate for Payer: Brighton Health Commercial |
$268.97
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$2,915.00
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$2,477.75
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$2,121.00
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$21.21
|
| Rate for Payer: Fidelis Essential Plan QHP |
$21.21
|
| Rate for Payer: Fidelis Qualified Health Plan |
$22.27
|
| Rate for Payer: Group Health Inc Commercial |
$179.32
|
| Rate for Payer: Group Health Inc Medicare |
$125.52
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$21.21
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$179.32
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$21.21
|
| Rate for Payer: Healthfirst Essential Plan |
$47.72
|
| Rate for Payer: Healthfirst QHP |
$21.21
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$21.21
|
| Rate for Payer: SOMOS Essential |
$47.72
|
| Rate for Payer: United Healthcare Essential Plan 1&2 |
$47.72
|
| Rate for Payer: United Healthcare Essential Plan 3&4 |
$23.33
|
| Rate for Payer: United Healthcare Medicaid |
$21.21
|
| Rate for Payer: Wellcare CHP/FHP/Medicaid |
$21.21
|
|
|
OTHER O.R. PROCEDURES FOR INJURIES WITH CC
|
Facility
|
IP
|
$48,289.26
|
|
|
Service Code
|
MSDRG 908
|
| Min. Negotiated Rate |
$16,330.55 |
| Max. Negotiated Rate |
$48,289.26 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$29,550.45
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$35,119.46
|
| Rate for Payer: Aetna Government |
$35,119.46
|
| Rate for Payer: Brighton Health Commercial |
$29,059.45
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$35,821.85
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$34,608.80
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$28,560.67
|
| Rate for Payer: Elderplan Medicare Advantage |
$33,363.49
|
| Rate for Payer: EmblemHealth Commercial |
$17,185.20
|
| Rate for Payer: Fidelis Medicare Advantage |
$35,119.46
|
| Rate for Payer: Group Health Inc Commercial |
$35,119.46
|
| Rate for Payer: Group Health Inc Medicare |
$35,119.46
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$35,119.46
|
| Rate for Payer: Healthfirst Medicare Advantage |
$16,330.55
|
| Rate for Payer: Humana Medicare |
$48,289.26
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$35,119.46
|
| Rate for Payer: United Healthcare Commercial |
$39,855.54
|
| Rate for Payer: United Healthcare Medicare Advantage |
$35,119.46
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$35,119.46
|
| Rate for Payer: Wellcare Medicare |
$33,363.49
|
|
|
OTHER O.R. PROCEDURES FOR INJURIES WITH MCC
|
Facility
|
IP
|
$80,997.92
|
|
|
Service Code
|
MSDRG 907
|
| Min. Negotiated Rate |
$27,392.02 |
| Max. Negotiated Rate |
$80,997.92 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$54,844.03
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$58,907.58
|
| Rate for Payer: Aetna Government |
$58,907.58
|
| Rate for Payer: Brighton Health Commercial |
$53,932.75
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$60,085.73
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$64,232.05
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$53,007.04
|
| Rate for Payer: Elderplan Medicare Advantage |
$55,962.20
|
| Rate for Payer: EmblemHealth Commercial |
$31,894.70
|
| Rate for Payer: Fidelis Medicare Advantage |
$58,907.58
|
| Rate for Payer: Group Health Inc Commercial |
$58,907.58
|
| Rate for Payer: Group Health Inc Medicare |
$58,907.58
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$58,907.58
|
| Rate for Payer: Healthfirst Medicare Advantage |
$27,392.02
|
| Rate for Payer: Humana Medicare |
$80,997.92
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$58,907.58
|
| Rate for Payer: United Healthcare Commercial |
$73,969.70
|
| Rate for Payer: United Healthcare Medicare Advantage |
$58,907.58
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$58,907.58
|
| Rate for Payer: Wellcare Medicare |
$55,962.20
|
|
|
OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC
|
Facility
|
IP
|
$35,937.23
|
|
|
Service Code
|
MSDRG 909
|
| Min. Negotiated Rate |
$11,630.30 |
| Max. Negotiated Rate |
$35,937.23 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$19,998.64
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$26,136.17
|
| Rate for Payer: Aetna Government |
$26,136.17
|
| Rate for Payer: Brighton Health Commercial |
$19,666.35
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$26,658.89
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$23,421.94
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$19,328.79
|
| Rate for Payer: Elderplan Medicare Advantage |
$24,829.36
|
| Rate for Payer: EmblemHealth Commercial |
$11,630.30
|
| Rate for Payer: Fidelis Medicare Advantage |
$26,136.17
|
| Rate for Payer: Group Health Inc Commercial |
$26,136.17
|
| Rate for Payer: Group Health Inc Medicare |
$26,136.17
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$26,136.17
|
| Rate for Payer: Healthfirst Medicare Advantage |
$12,153.32
|
| Rate for Payer: Humana Medicare |
$35,937.23
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$26,136.17
|
| Rate for Payer: United Healthcare Commercial |
$26,972.74
|
| Rate for Payer: United Healthcare Medicare Advantage |
$26,136.17
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$26,136.17
|
| Rate for Payer: Wellcare Medicare |
$24,829.36
|
|
|
OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC
|
Facility
|
IP
|
$87,200.63
|
|
|
Service Code
|
MSDRG 958
|
| Min. Negotiated Rate |
$29,489.67 |
| Max. Negotiated Rate |
$87,200.63 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$59,640.58
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$63,418.64
|
| Rate for Payer: Aetna Government |
$63,418.64
|
| Rate for Payer: Brighton Health Commercial |
$58,649.60
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$64,687.01
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$69,849.65
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$57,642.93
|
| Rate for Payer: Elderplan Medicare Advantage |
$60,247.71
|
| Rate for Payer: EmblemHealth Commercial |
$34,684.20
|
| Rate for Payer: Fidelis Medicare Advantage |
$63,418.64
|
| Rate for Payer: Group Health Inc Commercial |
$63,418.64
|
| Rate for Payer: Group Health Inc Medicare |
$63,418.64
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$63,418.64
|
| Rate for Payer: Healthfirst Medicare Advantage |
$29,489.67
|
| Rate for Payer: Humana Medicare |
$87,200.63
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$63,418.64
|
| Rate for Payer: United Healthcare Commercial |
$80,438.94
|
| Rate for Payer: United Healthcare Medicare Advantage |
$63,418.64
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$63,418.64
|
| Rate for Payer: Wellcare Medicare |
$60,247.71
|
|
