|
MOXIFLOXACIN HCL 400 MG PO TABS
|
Facility
|
IP
|
$27.23
|
|
|
Service Code
|
NDC 6586260330
|
| Hospital Charge Code |
6586260330
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$13.61 |
| Max. Negotiated Rate |
$13.61 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$13.61
|
|
|
MOXIFLOXACIN HCL IN NACL 400 MG/250ML IV SOLN
|
Facility
|
IP
|
$0.22
|
|
|
Service Code
|
HCPCS J2280
|
| Hospital Charge Code |
6745732325
|
|
Hospital Revenue Code
|
258
|
| Min. Negotiated Rate |
$0.11 |
| Max. Negotiated Rate |
$0.11 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$0.11
|
|
|
MOXIFLOXACIN HCL IN NACL 400 MG/250ML IV SOLN
|
Facility
|
OP
|
$0.22
|
|
|
Service Code
|
HCPCS J2280
|
| Hospital Charge Code |
6745732325
|
|
Hospital Revenue Code
|
258
|
| Min. Negotiated Rate |
$0.08 |
| Max. Negotiated Rate |
$9.22 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$0.12
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$9.22
|
| Rate for Payer: Aetna Government |
$9.22
|
| Rate for Payer: Brighton Health Commercial |
$0.17
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$0.18
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$0.15
|
| Rate for Payer: EmblemHealth Commercial |
$0.11
|
| Rate for Payer: Group Health Inc Commercial |
$0.11
|
| Rate for Payer: Group Health Inc Medicare |
$0.08
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$0.11
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$0.11
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$9.02
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$0.14
|
|
|
MRI GUIDANCE
|
Facility
|
OP
|
$455.96
|
|
|
Service Code
|
EAPG 00475
|
| Min. Negotiated Rate |
$330.94 |
| Max. Negotiated Rate |
$455.96 |
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$330.94
|
| Rate for Payer: Healthfirst Commercial |
$455.96
|
|
|
MS-DRG 35.00: CESAREAN SECTION W CC/MCC
|
Facility
|
IP
|
$9,500.00
|
|
|
Service Code
|
MSDRG 765
|
| Min. Negotiated Rate |
$9,500.00 |
| Max. Negotiated Rate |
$9,500.00 |
| Rate for Payer: Group Health Inc Commercial |
$9,500.00
|
|
|
MS-DRG 35.00: CESAREAN SECTION W/O CC/MCC
|
Facility
|
IP
|
$9,500.00
|
|
|
Service Code
|
MSDRG 766
|
| Min. Negotiated Rate |
$9,500.00 |
| Max. Negotiated Rate |
$9,500.00 |
| Rate for Payer: Group Health Inc Commercial |
$9,500.00
|
|
|
MS-DRG 35.00: VAGINAL DELIVERY W COMPLICATING DIAGNOSES
|
Facility
|
IP
|
$7,000.00
|
|
|
Service Code
|
MSDRG 774
|
| Min. Negotiated Rate |
$7,000.00 |
| Max. Negotiated Rate |
$7,000.00 |
| Rate for Payer: Group Health Inc Commercial |
$7,000.00
|
|
|
MS-DRG 35.00: VAGINAL DELIVERY W/O COMPLICATING DIAGNOSES
|
Facility
|
IP
|
$7,000.00
|
|
|
Service Code
|
MSDRG 775
|
| Min. Negotiated Rate |
$7,000.00 |
| Max. Negotiated Rate |
$7,000.00 |
| Rate for Payer: Group Health Inc Commercial |
$7,000.00
|
|
|
MS-DRG 43.00: ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY
|
Facility
|
IP
|
$35,248.06
|
|
|
Service Code
|
MSDRG 770
|
| Min. Negotiated Rate |
$11,776.83 |
| Max. Negotiated Rate |
$35,248.06 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$11,776.83
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$25,634.95
|
| Rate for Payer: Aetna Government |
$25,634.95
|
| Rate for Payer: Brighton Health Commercial |
$14,539.15
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$26,147.65
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$17,835.10
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$15,159.83
|
| Rate for Payer: Elderplan Medicare Advantage |
$24,353.20
|
| Rate for Payer: EmblemHealth Commercial |
$25,634.95
|
| Rate for Payer: Fidelis Medicare Advantage |
$25,634.95
|
| Rate for Payer: Group Health Inc Commercial |
$25,634.95
|
| Rate for Payer: Group Health Inc Medicare |
$25,634.95
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$25,634.95
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$25,634.95
|
| Rate for Payer: Healthfirst Medicare Advantage |
$23,840.50
|
| Rate for Payer: Humana Medicare |
$35,248.06
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$25,634.95
|
| Rate for Payer: United Healthcare Commercial |
$19,940.69
|
| Rate for Payer: United Healthcare Medicare Advantage |
$25,634.95
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$25,634.95
|
| Rate for Payer: Wellcare Medicare |
$24,353.20
|
|
|
MS-DRG 43.00: ABORTION WITHOUT D&C
|
Facility
|
IP
|
$32,022.17
|
|
|
Service Code
|
MSDRG 779
|
| Min. Negotiated Rate |
$10,339.95 |
| Max. Negotiated Rate |
$32,022.17 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$14,585.75
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$23,288.85
|
| Rate for Payer: Aetna Government |
$23,288.85
|
| Rate for Payer: Brighton Health Commercial |
$10,339.95
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$23,754.63
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$12,683.96
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$10,781.37
|
| Rate for Payer: Elderplan Medicare Advantage |
$22,124.41
|
| Rate for Payer: EmblemHealth Commercial |
$23,288.85
|
| Rate for Payer: Fidelis Medicare Advantage |
$23,288.85
|
| Rate for Payer: Group Health Inc Commercial |
$23,288.85
|
| Rate for Payer: Group Health Inc Medicare |
$23,288.85
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$23,288.85
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$23,288.85
|
| Rate for Payer: Healthfirst Medicare Advantage |
$21,658.63
|
| Rate for Payer: Humana Medicare |
$32,022.17
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$23,288.85
|
| Rate for Payer: United Healthcare Commercial |
$14,181.42
|
| Rate for Payer: United Healthcare Medicare Advantage |
$23,288.85
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$23,288.85
|
| Rate for Payer: Wellcare Medicare |
$22,124.41
|
|
|
MS-DRG 43.00: ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION
|
Facility
|
IP
|
$25,517.50
|
|
|
Service Code
|
MSDRG 880
|
| Min. Negotiated Rate |
$1,100.00 |
| Max. Negotiated Rate |
$25,517.50 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$1,859.00
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$25,017.16
|
| Rate for Payer: Aetna Government |
$25,017.16
|
| Rate for Payer: Brighton Health Commercial |
$13,922.90
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$25,517.50
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$17,079.14
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$14,517.27
|
| Rate for Payer: Elderplan Medicare Advantage |
$23,766.30
|
| Rate for Payer: EmblemHealth Commercial |
$1,100.00
|
| Rate for Payer: Fidelis Medicare Advantage |
$25,017.16
|
| Rate for Payer: Group Health Inc Commercial |
$25,017.16
|
| Rate for Payer: Group Health Inc Medicare |
$25,017.16
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$25,017.16
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$25,017.16
|
| Rate for Payer: Healthfirst Medicare Advantage |
$23,265.96
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$25,017.16
|
| Rate for Payer: United Healthcare Commercial |
$19,095.50
|
| Rate for Payer: United Healthcare Medicare Advantage |
$25,017.16
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$25,017.16
|
| Rate for Payer: Wellcare Medicare |
$23,766.30
|
|
|
MS-DRG 43.00: ACUTE AND SUBACUTE ENDOCARDITIS WITH CC
|
Facility
|
IP
|
$49,322.75
|
|
|
Service Code
|
MSDRG 289
|
| Min. Negotiated Rate |
$21,788.69 |
| Max. Negotiated Rate |
$49,322.75 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$21,788.69
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$35,871.09
|
| Rate for Payer: Aetna Government |
$35,871.09
|
| Rate for Payer: Brighton Health Commercial |
$24,750.05
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$36,588.51
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$30,360.75
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$25,806.64
|
| Rate for Payer: Elderplan Medicare Advantage |
$34,077.54
|
| Rate for Payer: EmblemHealth Commercial |
$35,871.09
|
| Rate for Payer: Fidelis Medicare Advantage |
$35,871.09
|
| Rate for Payer: Group Health Inc Commercial |
$35,871.09
|
| Rate for Payer: Group Health Inc Medicare |
$35,871.09
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$35,871.09
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$35,871.09
|
| Rate for Payer: Healthfirst Medicare Advantage |
$33,360.11
|
| Rate for Payer: Humana Medicare |
$49,322.75
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$35,871.09
|
| Rate for Payer: United Healthcare Commercial |
$33,945.12
|
| Rate for Payer: United Healthcare Medicare Advantage |
$35,871.09
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$35,871.09
|
| Rate for Payer: Wellcare Medicare |
$34,077.54
|
|
|
MS-DRG 43.00: ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC
|
Facility
|
IP
|
$69,295.56
|
|
|
Service Code
|
MSDRG 288
|
| Min. Negotiated Rate |
$38,233.79 |
| Max. Negotiated Rate |
$69,295.56 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$38,233.79
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$50,396.77
|
| Rate for Payer: Aetna Government |
$50,396.77
|
| Rate for Payer: Brighton Health Commercial |
$39,239.90
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$51,404.71
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$48,135.37
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$40,915.06
|
| Rate for Payer: Elderplan Medicare Advantage |
$47,876.93
|
| Rate for Payer: EmblemHealth Commercial |
$50,396.77
|
| Rate for Payer: Fidelis Medicare Advantage |
$50,396.77
|
| Rate for Payer: Group Health Inc Commercial |
$50,396.77
|
| Rate for Payer: Group Health Inc Medicare |
$50,396.77
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$50,396.77
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$50,396.77
|
| Rate for Payer: Healthfirst Medicare Advantage |
$46,869.00
|
| Rate for Payer: Humana Medicare |
$69,295.56
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$50,396.77
|
| Rate for Payer: United Healthcare Commercial |
$53,818.20
|
| Rate for Payer: United Healthcare Medicare Advantage |
$50,396.77
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$50,396.77
|
| Rate for Payer: Wellcare Medicare |
$47,876.93
|
|
|
MS-DRG 43.00: ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC
|
Facility
|
IP
|
$33,788.99
|
|
|
Service Code
|
MSDRG 290
|
| Min. Negotiated Rate |
$13,480.65 |
| Max. Negotiated Rate |
$33,788.99 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$15,116.57
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$24,573.81
|
| Rate for Payer: Aetna Government |
$24,573.81
|
| Rate for Payer: Brighton Health Commercial |
$13,480.65
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$25,065.29
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$16,536.64
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$14,056.14
|
| Rate for Payer: Elderplan Medicare Advantage |
$23,345.12
|
| Rate for Payer: EmblemHealth Commercial |
$24,573.81
|
| Rate for Payer: Fidelis Medicare Advantage |
$24,573.81
|
| Rate for Payer: Group Health Inc Commercial |
$24,573.81
|
| Rate for Payer: Group Health Inc Medicare |
$24,573.81
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$24,573.81
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$24,573.81
|
| Rate for Payer: Healthfirst Medicare Advantage |
$22,853.64
|
| Rate for Payer: Humana Medicare |
$33,788.99
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$24,573.81
|
| Rate for Payer: United Healthcare Commercial |
$18,488.94
|
| Rate for Payer: United Healthcare Medicare Advantage |
$24,573.81
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$24,573.81
|
| Rate for Payer: Wellcare Medicare |
$23,345.12
|
|
|
MS-DRG 43.00: ACUTE LEUKEMIA WITH CC
|
Facility
|
IP
|
$56,895.75
|
|
|
Service Code
|
MSDRG 835
|
| Min. Negotiated Rate |
$30,244.10 |
| Max. Negotiated Rate |
$56,895.75 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$32,962.45
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$41,378.73
|
| Rate for Payer: Aetna Government |
$41,378.73
|
| Rate for Payer: Brighton Health Commercial |
$30,244.10
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$42,206.30
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$37,100.27
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$31,535.23
|
| Rate for Payer: Elderplan Medicare Advantage |
$39,309.79
|
| Rate for Payer: EmblemHealth Commercial |
$41,378.73
|
| Rate for Payer: Fidelis Medicare Advantage |
$41,378.73
|
| Rate for Payer: Group Health Inc Commercial |
$41,378.73
|
| Rate for Payer: Group Health Inc Medicare |
$41,378.73
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$41,378.73
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$41,378.73
|
| Rate for Payer: Healthfirst Medicare Advantage |
$38,482.22
|
| Rate for Payer: Humana Medicare |
$56,895.75
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$41,378.73
|
| Rate for Payer: United Healthcare Commercial |
$41,480.30
|
| Rate for Payer: United Healthcare Medicare Advantage |
$41,378.73
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$41,378.73
|
| Rate for Payer: Wellcare Medicare |
$39,309.79
|
|
|
MS-DRG 43.00: ACUTE LEUKEMIA WITH MCC
|
Facility
|
IP
|
$124,932.83
|
|
|
Service Code
|
MSDRG 834
|
| Min. Negotiated Rate |
$79,603.55 |
| Max. Negotiated Rate |
$124,932.83 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$82,557.26
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$90,860.24
|
| Rate for Payer: Aetna Government |
$90,860.24
|
| Rate for Payer: Brighton Health Commercial |
$79,603.55
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$92,677.44
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$97,649.24
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$83,001.85
|
| Rate for Payer: Elderplan Medicare Advantage |
$86,317.23
|
| Rate for Payer: EmblemHealth Commercial |
$90,860.24
|
| Rate for Payer: Fidelis Medicare Advantage |
$90,860.24
|
| Rate for Payer: Group Health Inc Commercial |
$90,860.24
|
| Rate for Payer: Group Health Inc Medicare |
$90,860.24
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$90,860.24
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$90,860.24
|
| Rate for Payer: Healthfirst Medicare Advantage |
$84,500.02
|
| Rate for Payer: Humana Medicare |
$124,932.83
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$90,860.24
|
| Rate for Payer: United Healthcare Commercial |
$109,177.64
|
| Rate for Payer: United Healthcare Medicare Advantage |
$90,860.24
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$90,860.24
|
| Rate for Payer: Wellcare Medicare |
$86,317.23
|
|
|
MS-DRG 43.00: ACUTE LEUKEMIA WITH OTHER PROCEDURES
|
Facility
|
IP
|
$188,283.00
|
|
|
Service Code
|
MSDRG 850
|
| Min. Negotiated Rate |
$125,562.75 |
| Max. Negotiated Rate |
$188,283.00 |
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$136,933.09
|
| Rate for Payer: Aetna Government |
$136,933.09
|
| Rate for Payer: Brighton Health Commercial |
$125,562.75
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$139,671.75
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$154,027.13
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$130,923.07
|
| Rate for Payer: Elderplan Medicare Advantage |
$130,086.44
|
| Rate for Payer: EmblemHealth Commercial |
$136,933.09
|
| Rate for Payer: Fidelis Medicare Advantage |
$136,933.09
|
| Rate for Payer: Group Health Inc Commercial |
$136,933.09
|
| Rate for Payer: Group Health Inc Medicare |
$136,933.09
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$136,933.09
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$136,933.09
|
| Rate for Payer: Healthfirst Medicare Advantage |
$127,347.77
|
| Rate for Payer: Humana Medicare |
$188,283.00
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$136,933.09
|
| Rate for Payer: United Healthcare Commercial |
$172,211.48
|
| Rate for Payer: United Healthcare Medicare Advantage |
$136,933.09
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$136,933.09
|
| Rate for Payer: Wellcare Medicare |
$130,086.44
|
|
|
MS-DRG 43.00: ACUTE LEUKEMIA WITHOUT CC/MCC
|
Facility
|
IP
|
$39,581.19
|
|
|
Service Code
|
MSDRG 836
|
| Min. Negotiated Rate |
$17,654.19 |
| Max. Negotiated Rate |
$39,581.19 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$17,654.19
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$28,786.32
|
| Rate for Payer: Aetna Government |
$28,786.32
|
| Rate for Payer: Brighton Health Commercial |
$17,682.75
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$29,362.05
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$21,691.33
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$18,437.63
|
| Rate for Payer: Elderplan Medicare Advantage |
$27,347.00
|
| Rate for Payer: EmblemHealth Commercial |
$28,786.32
|
| Rate for Payer: Fidelis Medicare Advantage |
$28,786.32
|
| Rate for Payer: Group Health Inc Commercial |
$28,786.32
|
| Rate for Payer: Group Health Inc Medicare |
$28,786.32
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$28,786.32
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$28,786.32
|
| Rate for Payer: Healthfirst Medicare Advantage |
$26,771.28
|
| Rate for Payer: Humana Medicare |
$39,581.19
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$28,786.32
|
| Rate for Payer: United Healthcare Commercial |
$24,252.20
|
| Rate for Payer: United Healthcare Medicare Advantage |
$28,786.32
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$28,786.32
|
| Rate for Payer: Wellcare Medicare |
$27,347.00
|
|
|
MS-DRG 43.00: ACUTE MAJOR EYE INFECTIONS WITH CC/MCC
|
Facility
|
IP
|
$38,457.91
|
|
|
Service Code
|
MSDRG 121
|
| Min. Negotiated Rate |
$16,867.85 |
| Max. Negotiated Rate |
$38,457.91 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$18,891.29
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$27,969.39
|
| Rate for Payer: Aetna Government |
$27,969.39
|
| Rate for Payer: Brighton Health Commercial |
$16,867.85
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$28,528.78
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$20,691.70
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$17,587.94
|
| Rate for Payer: Elderplan Medicare Advantage |
$26,570.92
|
| Rate for Payer: EmblemHealth Commercial |
$27,969.39
|
| Rate for Payer: Fidelis Medicare Advantage |
$27,969.39
|
| Rate for Payer: Group Health Inc Commercial |
$27,969.39
|
| Rate for Payer: Group Health Inc Medicare |
$27,969.39
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$27,969.39
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$27,969.39
|
| Rate for Payer: Healthfirst Medicare Advantage |
$26,011.53
|
| Rate for Payer: Humana Medicare |
$38,457.91
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$27,969.39
|
| Rate for Payer: United Healthcare Commercial |
$23,134.55
|
| Rate for Payer: United Healthcare Medicare Advantage |
$27,969.39
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$27,969.39
|
| Rate for Payer: Wellcare Medicare |
$26,570.92
|
|
|
MS-DRG 43.00: ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC
|
Facility
|
IP
|
$30,912.92
|
|
|
Service Code
|
MSDRG 122
|
| Min. Negotiated Rate |
$10,977.65 |
| Max. Negotiated Rate |
$30,912.92 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$10,977.65
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$22,482.12
|
| Rate for Payer: Aetna Government |
$22,482.12
|
| Rate for Payer: Brighton Health Commercial |
$11,394.10
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$22,931.76
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$13,977.08
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$11,880.52
|
| Rate for Payer: Elderplan Medicare Advantage |
$21,358.01
|
| Rate for Payer: EmblemHealth Commercial |
$22,482.12
|
| Rate for Payer: Fidelis Medicare Advantage |
$22,482.12
|
| Rate for Payer: Group Health Inc Commercial |
$22,482.12
|
| Rate for Payer: Group Health Inc Medicare |
$22,482.12
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$22,482.12
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$22,482.12
|
| Rate for Payer: Healthfirst Medicare Advantage |
$20,908.37
|
| Rate for Payer: Humana Medicare |
$30,912.92
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$22,482.12
|
| Rate for Payer: United Healthcare Commercial |
$15,627.20
|
| Rate for Payer: United Healthcare Medicare Advantage |
$22,482.12
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$22,482.12
|
| Rate for Payer: Wellcare Medicare |
$21,358.01
|
|
|
MS-DRG 43.00: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC
|
Facility
|
IP
|
$33,577.16
|
|
|
Service Code
|
MSDRG 281
|
| Min. Negotiated Rate |
$13,326.95 |
| Max. Negotiated Rate |
$33,577.16 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$13,462.19
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$24,419.75
|
| Rate for Payer: Aetna Government |
$24,419.75
|
| Rate for Payer: Brighton Health Commercial |
$13,326.95
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$24,908.15
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$16,348.10
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$13,895.88
|
| Rate for Payer: Elderplan Medicare Advantage |
$23,198.76
|
| Rate for Payer: EmblemHealth Commercial |
$24,419.75
|
| Rate for Payer: Fidelis Medicare Advantage |
$24,419.75
|
| Rate for Payer: Group Health Inc Commercial |
$24,419.75
|
| Rate for Payer: Group Health Inc Medicare |
$24,419.75
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$24,419.75
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$24,419.75
|
| Rate for Payer: Healthfirst Medicare Advantage |
$22,710.37
|
| Rate for Payer: Humana Medicare |
$33,577.16
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$24,419.75
|
| Rate for Payer: United Healthcare Commercial |
$18,278.14
|
| Rate for Payer: United Healthcare Medicare Advantage |
$24,419.75
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$24,419.75
|
| Rate for Payer: Wellcare Medicare |
$23,198.76
|
|
|
MS-DRG 43.00: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC
|
Facility
|
IP
|
$47,268.11
|
|
|
Service Code
|
MSDRG 280
|
| Min. Negotiated Rate |
$23,259.45 |
| Max. Negotiated Rate |
$47,268.11 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$23,392.94
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$34,376.81
|
| Rate for Payer: Aetna Government |
$34,376.81
|
| Rate for Payer: Brighton Health Commercial |
$23,259.45
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$35,064.35
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$28,532.24
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$24,252.40
|
| Rate for Payer: Elderplan Medicare Advantage |
$32,657.97
|
| Rate for Payer: EmblemHealth Commercial |
$34,376.81
|
| Rate for Payer: Fidelis Medicare Advantage |
$34,376.81
|
| Rate for Payer: Group Health Inc Commercial |
$34,376.81
|
| Rate for Payer: Group Health Inc Medicare |
$34,376.81
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$34,376.81
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$34,376.81
|
| Rate for Payer: Healthfirst Medicare Advantage |
$31,970.43
|
| Rate for Payer: Humana Medicare |
$47,268.11
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$34,376.81
|
| Rate for Payer: United Healthcare Commercial |
$31,900.74
|
| Rate for Payer: United Healthcare Medicare Advantage |
$34,376.81
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$34,376.81
|
| Rate for Payer: Wellcare Medicare |
$32,657.97
|
|
|
MS-DRG 43.00: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC
|
Facility
|
IP
|
$29,659.74
|
|
|
Service Code
|
MSDRG 282
|
| Min. Negotiated Rate |
$10,484.95 |
| Max. Negotiated Rate |
$29,659.74 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$10,588.38
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$21,570.72
|
| Rate for Payer: Aetna Government |
$21,570.72
|
| Rate for Payer: Brighton Health Commercial |
$10,484.95
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$22,002.13
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$12,861.83
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$10,932.56
|
| Rate for Payer: Elderplan Medicare Advantage |
$20,492.18
|
| Rate for Payer: EmblemHealth Commercial |
$21,570.72
|
| Rate for Payer: Fidelis Medicare Advantage |
$21,570.72
|
| Rate for Payer: Group Health Inc Commercial |
$21,570.72
|
| Rate for Payer: Group Health Inc Medicare |
$21,570.72
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$21,570.72
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$21,570.72
|
| Rate for Payer: Healthfirst Medicare Advantage |
$20,060.77
|
| Rate for Payer: Humana Medicare |
$29,659.74
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$21,570.72
|
| Rate for Payer: United Healthcare Commercial |
$14,380.29
|
| Rate for Payer: United Healthcare Medicare Advantage |
$21,570.72
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$21,570.72
|
| Rate for Payer: Wellcare Medicare |
$20,492.18
|
|
|
MS-DRG 43.00: ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC
|
Facility
|
IP
|
$29,042.15
|
|
|
Service Code
|
MSDRG 284
|
| Min. Negotiated Rate |
$10,036.90 |
| Max. Negotiated Rate |
$29,042.15 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$10,906.88
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$21,121.56
|
| Rate for Payer: Aetna Government |
$21,121.56
|
| Rate for Payer: Brighton Health Commercial |
$10,036.90
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$21,543.99
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$12,312.21
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$10,465.38
|
| Rate for Payer: Elderplan Medicare Advantage |
$20,065.48
|
| Rate for Payer: EmblemHealth Commercial |
$21,121.56
|
| Rate for Payer: Fidelis Medicare Advantage |
$21,121.56
|
| Rate for Payer: Group Health Inc Commercial |
$21,121.56
|
| Rate for Payer: Group Health Inc Medicare |
$21,121.56
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$21,121.56
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$21,121.56
|
| Rate for Payer: Healthfirst Medicare Advantage |
$19,643.05
|
| Rate for Payer: Humana Medicare |
$29,042.15
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$21,121.56
|
| Rate for Payer: United Healthcare Commercial |
$13,765.78
|
| Rate for Payer: United Healthcare Medicare Advantage |
$21,121.56
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$21,121.56
|
| Rate for Payer: Wellcare Medicare |
$20,065.48
|
|
|
MS-DRG 43.00: ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC
|
Facility
|
IP
|
$54,797.13
|
|
|
Service Code
|
MSDRG 283
|
| Min. Negotiated Rate |
$28,721.60 |
| Max. Negotiated Rate |
$54,797.13 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$29,068.29
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$39,852.46
|
| Rate for Payer: Aetna Government |
$39,852.46
|
| Rate for Payer: Brighton Health Commercial |
$28,721.60
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$40,649.51
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$35,232.63
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$29,947.74
|
| Rate for Payer: Elderplan Medicare Advantage |
$37,859.84
|
| Rate for Payer: EmblemHealth Commercial |
$39,852.46
|
| Rate for Payer: Fidelis Medicare Advantage |
$39,852.46
|
| Rate for Payer: Group Health Inc Commercial |
$39,852.46
|
| Rate for Payer: Group Health Inc Medicare |
$39,852.46
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$39,852.46
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$39,852.46
|
| Rate for Payer: Healthfirst Medicare Advantage |
$37,062.79
|
| Rate for Payer: Humana Medicare |
$54,797.13
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$39,852.46
|
| Rate for Payer: United Healthcare Commercial |
$39,392.17
|
| Rate for Payer: United Healthcare Medicare Advantage |
$39,852.46
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$39,852.46
|
| Rate for Payer: Wellcare Medicare |
$37,859.84
|
|
