|
MS-DRG 43.00: ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC
|
Facility
|
IP
|
$27,177.37
|
|
|
Service Code
|
MSDRG 285
|
| Min. Negotiated Rate |
$7,205.88 |
| Max. Negotiated Rate |
$27,177.37 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$7,205.88
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$19,765.36
|
| Rate for Payer: Aetna Government |
$19,765.36
|
| Rate for Payer: Brighton Health Commercial |
$8,684.05
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$20,160.67
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$10,652.68
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$9,054.78
|
| Rate for Payer: Elderplan Medicare Advantage |
$18,777.09
|
| Rate for Payer: EmblemHealth Commercial |
$19,765.36
|
| Rate for Payer: Fidelis Medicare Advantage |
$19,765.36
|
| Rate for Payer: Group Health Inc Commercial |
$19,765.36
|
| Rate for Payer: Group Health Inc Medicare |
$19,765.36
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$19,765.36
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$19,765.36
|
| Rate for Payer: Healthfirst Medicare Advantage |
$18,381.78
|
| Rate for Payer: Humana Medicare |
$27,177.37
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$19,765.36
|
| Rate for Payer: United Healthcare Commercial |
$11,910.32
|
| Rate for Payer: United Healthcare Medicare Advantage |
$19,765.36
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$19,765.36
|
| Rate for Payer: Wellcare Medicare |
$18,777.09
|
|
|
MS-DRG 43.00: ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$59,014.35
|
|
|
Service Code
|
MSDRG 614
|
| Min. Negotiated Rate |
$31,781.10 |
| Max. Negotiated Rate |
$59,014.35 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$33,211.64
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$42,919.53
|
| Rate for Payer: Aetna Government |
$42,919.53
|
| Rate for Payer: Brighton Health Commercial |
$31,781.10
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$43,777.92
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$38,985.70
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$33,137.85
|
| Rate for Payer: Elderplan Medicare Advantage |
$40,773.55
|
| Rate for Payer: EmblemHealth Commercial |
$42,919.53
|
| Rate for Payer: Fidelis Medicare Advantage |
$42,919.53
|
| Rate for Payer: Group Health Inc Commercial |
$42,919.53
|
| Rate for Payer: Group Health Inc Medicare |
$42,919.53
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$42,919.53
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$42,919.53
|
| Rate for Payer: Healthfirst Medicare Advantage |
$39,915.16
|
| Rate for Payer: Humana Medicare |
$59,014.35
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$42,919.53
|
| Rate for Payer: United Healthcare Commercial |
$43,588.33
|
| Rate for Payer: United Healthcare Medicare Advantage |
$42,919.53
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$42,919.53
|
| Rate for Payer: Wellcare Medicare |
$40,773.55
|
|
|
MS-DRG 43.00: ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$43,174.79
|
|
|
Service Code
|
MSDRG 615
|
| Min. Negotiated Rate |
$20,289.85 |
| Max. Negotiated Rate |
$43,174.79 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$21,691.37
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$31,399.85
|
| Rate for Payer: Aetna Government |
$31,399.85
|
| Rate for Payer: Brighton Health Commercial |
$20,289.85
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$32,027.85
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$24,889.45
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$21,156.03
|
| Rate for Payer: Elderplan Medicare Advantage |
$29,829.86
|
| Rate for Payer: EmblemHealth Commercial |
$31,399.85
|
| Rate for Payer: Fidelis Medicare Advantage |
$31,399.85
|
| Rate for Payer: Group Health Inc Commercial |
$31,399.85
|
| Rate for Payer: Group Health Inc Medicare |
$31,399.85
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$31,399.85
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$31,399.85
|
| Rate for Payer: Healthfirst Medicare Advantage |
$29,201.86
|
| Rate for Payer: Humana Medicare |
$43,174.79
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$31,399.85
|
| Rate for Payer: United Healthcare Commercial |
$27,827.88
|
| Rate for Payer: United Healthcare Medicare Advantage |
$31,399.85
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$31,399.85
|
| Rate for Payer: Wellcare Medicare |
$29,829.86
|
|
|
MS-DRG 43.00: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC
|
Facility
|
IP
|
$37,714.43
|
|
|
Service Code
|
MSDRG 560
|
| Min. Negotiated Rate |
$16,328.45 |
| Max. Negotiated Rate |
$37,714.43 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$16,692.81
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$27,428.68
|
| Rate for Payer: Aetna Government |
$27,428.68
|
| Rate for Payer: Brighton Health Commercial |
$16,328.45
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$27,977.25
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$20,030.02
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$17,025.52
|
| Rate for Payer: Elderplan Medicare Advantage |
$26,057.25
|
| Rate for Payer: EmblemHealth Commercial |
$27,428.68
|
| Rate for Payer: Fidelis Medicare Advantage |
$27,428.68
|
| Rate for Payer: Group Health Inc Commercial |
$27,428.68
|
| Rate for Payer: Group Health Inc Medicare |
$27,428.68
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$27,428.68
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$27,428.68
|
| Rate for Payer: Healthfirst Medicare Advantage |
$25,508.67
|
| Rate for Payer: Humana Medicare |
$37,714.43
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$27,428.68
|
| Rate for Payer: United Healthcare Commercial |
$22,394.75
|
| Rate for Payer: United Healthcare Medicare Advantage |
$27,428.68
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$27,428.68
|
| Rate for Payer: Wellcare Medicare |
$26,057.25
|
|
|
MS-DRG 43.00: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC
|
Facility
|
IP
|
$52,480.64
|
|
|
Service Code
|
MSDRG 559
|
| Min. Negotiated Rate |
$27,041.05 |
| Max. Negotiated Rate |
$52,480.64 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$27,285.62
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$38,167.74
|
| Rate for Payer: Aetna Government |
$38,167.74
|
| Rate for Payer: Brighton Health Commercial |
$27,041.05
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$38,931.09
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$33,171.11
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$28,195.44
|
| Rate for Payer: Elderplan Medicare Advantage |
$36,259.35
|
| Rate for Payer: EmblemHealth Commercial |
$38,167.74
|
| Rate for Payer: Fidelis Medicare Advantage |
$38,167.74
|
| Rate for Payer: Group Health Inc Commercial |
$38,167.74
|
| Rate for Payer: Group Health Inc Medicare |
$38,167.74
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$38,167.74
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$38,167.74
|
| Rate for Payer: Healthfirst Medicare Advantage |
$35,496.00
|
| Rate for Payer: Humana Medicare |
$52,480.64
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$38,167.74
|
| Rate for Payer: United Healthcare Commercial |
$37,087.27
|
| Rate for Payer: United Healthcare Medicare Advantage |
$38,167.74
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$38,167.74
|
| Rate for Payer: Wellcare Medicare |
$36,259.35
|
|
|
MS-DRG 43.00: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC
|
Facility
|
IP
|
$31,274.66
|
|
|
Service Code
|
MSDRG 561
|
| Min. Negotiated Rate |
$11,504.05 |
| Max. Negotiated Rate |
$31,274.66 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$11,504.05
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$22,745.21
|
| Rate for Payer: Aetna Government |
$22,745.21
|
| Rate for Payer: Brighton Health Commercial |
$11,656.55
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$23,200.11
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$14,299.03
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$12,154.17
|
| Rate for Payer: Elderplan Medicare Advantage |
$21,607.95
|
| Rate for Payer: EmblemHealth Commercial |
$22,745.21
|
| Rate for Payer: Fidelis Medicare Advantage |
$22,745.21
|
| Rate for Payer: Group Health Inc Commercial |
$22,745.21
|
| Rate for Payer: Group Health Inc Medicare |
$22,745.21
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$22,745.21
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$22,745.21
|
| Rate for Payer: Healthfirst Medicare Advantage |
$21,153.05
|
| Rate for Payer: Humana Medicare |
$31,274.66
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$22,745.21
|
| Rate for Payer: United Healthcare Commercial |
$15,987.16
|
| Rate for Payer: United Healthcare Medicare Advantage |
$22,745.21
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$22,745.21
|
| Rate for Payer: Wellcare Medicare |
$21,607.95
|
|
|
MS-DRG 43.00: AFTERCARE WITH CC/MCC
|
Facility
|
IP
|
$38,985.58
|
|
|
Service Code
|
MSDRG 949
|
| Min. Negotiated Rate |
$15,277.29 |
| Max. Negotiated Rate |
$38,985.58 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$15,277.29
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$28,353.15
|
| Rate for Payer: Aetna Government |
$28,353.15
|
| Rate for Payer: Brighton Health Commercial |
$17,250.65
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$28,920.21
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$21,161.28
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$17,987.09
|
| Rate for Payer: Elderplan Medicare Advantage |
$26,935.49
|
| Rate for Payer: EmblemHealth Commercial |
$28,353.15
|
| Rate for Payer: Fidelis Medicare Advantage |
$28,353.15
|
| Rate for Payer: Group Health Inc Commercial |
$28,353.15
|
| Rate for Payer: Group Health Inc Medicare |
$28,353.15
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$28,353.15
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$28,353.15
|
| Rate for Payer: Healthfirst Medicare Advantage |
$26,368.43
|
| Rate for Payer: Humana Medicare |
$38,985.58
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$28,353.15
|
| Rate for Payer: United Healthcare Commercial |
$23,659.56
|
| Rate for Payer: United Healthcare Medicare Advantage |
$28,353.15
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$28,353.15
|
| Rate for Payer: Wellcare Medicare |
$26,935.49
|
|
|
MS-DRG 43.00: AFTERCARE WITHOUT CC/MCC
|
Facility
|
IP
|
$27,752.99
|
|
|
Service Code
|
MSDRG 950
|
| Min. Negotiated Rate |
$9,101.65 |
| Max. Negotiated Rate |
$27,752.99 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$9,262.81
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$20,183.99
|
| Rate for Payer: Aetna Government |
$20,183.99
|
| Rate for Payer: Brighton Health Commercial |
$9,101.65
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$20,587.67
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$11,164.94
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$9,490.20
|
| Rate for Payer: Elderplan Medicare Advantage |
$19,174.79
|
| Rate for Payer: EmblemHealth Commercial |
$20,183.99
|
| Rate for Payer: Fidelis Medicare Advantage |
$20,183.99
|
| Rate for Payer: Group Health Inc Commercial |
$20,183.99
|
| Rate for Payer: Group Health Inc Medicare |
$20,183.99
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$20,183.99
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$20,183.99
|
| Rate for Payer: Healthfirst Medicare Advantage |
$18,771.11
|
| Rate for Payer: Humana Medicare |
$27,752.99
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$20,183.99
|
| Rate for Payer: United Healthcare Commercial |
$12,483.07
|
| Rate for Payer: United Healthcare Medicare Advantage |
$20,183.99
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$20,183.99
|
| Rate for Payer: Wellcare Medicare |
$19,174.79
|
|
|
MS-DRG 43.00: AICD GENERATOR PROCEDURES
|
Facility
|
IP
|
$106,395.05
|
|
|
Service Code
|
MSDRG 245
|
| Min. Negotiated Rate |
$66,154.80 |
| Max. Negotiated Rate |
$106,395.05 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$66,815.49
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$77,378.22
|
| Rate for Payer: Aetna Government |
$77,378.22
|
| Rate for Payer: Brighton Health Commercial |
$66,154.80
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$78,925.78
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$81,151.73
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$68,978.97
|
| Rate for Payer: Elderplan Medicare Advantage |
$73,509.31
|
| Rate for Payer: EmblemHealth Commercial |
$77,378.22
|
| Rate for Payer: Fidelis Medicare Advantage |
$77,378.22
|
| Rate for Payer: Group Health Inc Commercial |
$77,378.22
|
| Rate for Payer: Group Health Inc Medicare |
$77,378.22
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$77,378.22
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$77,378.22
|
| Rate for Payer: Healthfirst Medicare Advantage |
$71,961.74
|
| Rate for Payer: Humana Medicare |
$106,395.05
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$77,378.22
|
| Rate for Payer: United Healthcare Commercial |
$90,732.45
|
| Rate for Payer: United Healthcare Medicare Advantage |
$77,378.22
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$77,378.22
|
| Rate for Payer: Wellcare Medicare |
$73,509.31
|
|
|
MS-DRG 43.00: AICD LEAD PROCEDURES
|
Facility
|
IP
|
$87,523.55
|
|
|
Service Code
|
MSDRG 265
|
| Min. Negotiated Rate |
$52,110.30 |
| Max. Negotiated Rate |
$87,523.55 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$52,110.30
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$63,653.49
|
| Rate for Payer: Aetna Government |
$63,653.49
|
| Rate for Payer: Brighton Health Commercial |
$52,463.90
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$64,926.56
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$64,357.18
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$54,703.60
|
| Rate for Payer: Elderplan Medicare Advantage |
$60,470.82
|
| Rate for Payer: EmblemHealth Commercial |
$63,653.49
|
| Rate for Payer: Fidelis Medicare Advantage |
$63,653.49
|
| Rate for Payer: Group Health Inc Commercial |
$63,653.49
|
| Rate for Payer: Group Health Inc Medicare |
$63,653.49
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$63,653.49
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$63,653.49
|
| Rate for Payer: Healthfirst Medicare Advantage |
$59,197.75
|
| Rate for Payer: Humana Medicare |
$87,523.55
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$63,653.49
|
| Rate for Payer: United Healthcare Commercial |
$71,955.14
|
| Rate for Payer: United Healthcare Medicare Advantage |
$63,653.49
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$63,653.49
|
| Rate for Payer: Wellcare Medicare |
$60,470.82
|
|
|
MS-DRG 43.00: ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA
|
Facility
|
IP
|
$27,537.12
|
|
|
Service Code
|
MSDRG 894
|
| Min. Negotiated Rate |
$1,000.00 |
| Max. Negotiated Rate |
$27,537.12 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$1,529.00
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$20,027.00
|
| Rate for Payer: Aetna Government |
$20,027.00
|
| Rate for Payer: Brighton Health Commercial |
$8,945.05
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$20,427.54
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$10,972.84
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$9,326.92
|
| Rate for Payer: Elderplan Medicare Advantage |
$19,025.65
|
| Rate for Payer: EmblemHealth Commercial |
$1,000.00
|
| Rate for Payer: Fidelis Medicare Advantage |
$20,027.00
|
| Rate for Payer: Group Health Inc Commercial |
$20,027.00
|
| Rate for Payer: Group Health Inc Medicare |
$20,027.00
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$20,027.00
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$20,027.00
|
| Rate for Payer: Healthfirst Medicare Advantage |
$18,625.11
|
| Rate for Payer: Humana Medicare |
$27,537.12
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$20,027.00
|
| Rate for Payer: United Healthcare Commercial |
$12,268.29
|
| Rate for Payer: United Healthcare Medicare Advantage |
$20,027.00
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$20,027.00
|
| Rate for Payer: Wellcare Medicare |
$19,025.65
|
|
|
MS-DRG 43.00: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC
|
Facility
|
IP
|
$50,086.23
|
|
|
Service Code
|
MSDRG 896
|
| Min. Negotiated Rate |
$1,000.00 |
| Max. Negotiated Rate |
$50,086.23 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$1,529.00
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$36,426.35
|
| Rate for Payer: Aetna Government |
$36,426.35
|
| Rate for Payer: Brighton Health Commercial |
$25,303.95
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$37,154.88
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$31,040.22
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$26,384.18
|
| Rate for Payer: Elderplan Medicare Advantage |
$34,605.03
|
| Rate for Payer: EmblemHealth Commercial |
$1,000.00
|
| Rate for Payer: Fidelis Medicare Advantage |
$36,426.35
|
| Rate for Payer: Group Health Inc Commercial |
$36,426.35
|
| Rate for Payer: Group Health Inc Medicare |
$36,426.35
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$36,426.35
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$36,426.35
|
| Rate for Payer: Healthfirst Medicare Advantage |
$33,876.51
|
| Rate for Payer: Humana Medicare |
$50,086.23
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$36,426.35
|
| Rate for Payer: United Healthcare Commercial |
$34,704.80
|
| Rate for Payer: United Healthcare Medicare Advantage |
$36,426.35
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$36,426.35
|
| Rate for Payer: Wellcare Medicare |
$34,605.03
|
|
|
MS-DRG 43.00: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC
|
Facility
|
IP
|
$32,851.64
|
|
|
Service Code
|
MSDRG 897
|
| Min. Negotiated Rate |
$1,000.00 |
| Max. Negotiated Rate |
$32,851.64 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$1,529.00
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$23,892.10
|
| Rate for Payer: Aetna Government |
$23,892.10
|
| Rate for Payer: Brighton Health Commercial |
$12,800.60
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$24,369.94
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$15,702.43
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$13,347.06
|
| Rate for Payer: Elderplan Medicare Advantage |
$22,697.49
|
| Rate for Payer: EmblemHealth Commercial |
$1,000.00
|
| Rate for Payer: Fidelis Medicare Advantage |
$23,892.10
|
| Rate for Payer: Group Health Inc Commercial |
$23,892.10
|
| Rate for Payer: Group Health Inc Medicare |
$23,892.10
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$23,892.10
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$23,892.10
|
| Rate for Payer: Healthfirst Medicare Advantage |
$22,219.65
|
| Rate for Payer: Humana Medicare |
$32,851.64
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$23,892.10
|
| Rate for Payer: United Healthcare Commercial |
$17,556.24
|
| Rate for Payer: United Healthcare Medicare Advantage |
$23,892.10
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$23,892.10
|
| Rate for Payer: Wellcare Medicare |
$22,697.49
|
|
|
MS-DRG 43.00: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY
|
Facility
|
IP
|
$43,500.61
|
|
|
Service Code
|
MSDRG 895
|
| Min. Negotiated Rate |
$1,000.00 |
| Max. Negotiated Rate |
$43,500.61 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$1,529.00
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$31,636.81
|
| Rate for Payer: Aetna Government |
$31,636.81
|
| Rate for Payer: Brighton Health Commercial |
$20,526.20
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$32,269.55
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$25,179.38
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$21,402.47
|
| Rate for Payer: Elderplan Medicare Advantage |
$30,054.97
|
| Rate for Payer: EmblemHealth Commercial |
$1,000.00
|
| Rate for Payer: Fidelis Medicare Advantage |
$31,636.81
|
| Rate for Payer: Group Health Inc Commercial |
$31,636.81
|
| Rate for Payer: Group Health Inc Medicare |
$31,636.81
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$31,636.81
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$31,636.81
|
| Rate for Payer: Healthfirst Medicare Advantage |
$29,422.23
|
| Rate for Payer: Humana Medicare |
$43,500.61
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$31,636.81
|
| Rate for Payer: United Healthcare Commercial |
$28,152.04
|
| Rate for Payer: United Healthcare Medicare Advantage |
$31,636.81
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$31,636.81
|
| Rate for Payer: Wellcare Medicare |
$30,054.97
|
|
|
MS-DRG 43.00: ALLERGIC REACTIONS WITH MCC
|
Facility
|
IP
|
$48,817.11
|
|
|
Service Code
|
MSDRG 915
|
| Min. Negotiated Rate |
$24,383.20 |
| Max. Negotiated Rate |
$48,817.11 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$26,157.63
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$35,503.35
|
| Rate for Payer: Aetna Government |
$35,503.35
|
| Rate for Payer: Brighton Health Commercial |
$24,383.20
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$36,213.42
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$29,910.74
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$25,424.13
|
| Rate for Payer: Elderplan Medicare Advantage |
$33,728.18
|
| Rate for Payer: EmblemHealth Commercial |
$35,503.35
|
| Rate for Payer: Fidelis Medicare Advantage |
$35,503.35
|
| Rate for Payer: Group Health Inc Commercial |
$35,503.35
|
| Rate for Payer: Group Health Inc Medicare |
$35,503.35
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$35,503.35
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$35,503.35
|
| Rate for Payer: Healthfirst Medicare Advantage |
$33,018.12
|
| Rate for Payer: Humana Medicare |
$48,817.11
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$35,503.35
|
| Rate for Payer: United Healthcare Commercial |
$33,441.98
|
| Rate for Payer: United Healthcare Medicare Advantage |
$35,503.35
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$35,503.35
|
| Rate for Payer: Wellcare Medicare |
$33,728.18
|
|
|
MS-DRG 43.00: ALLERGIC REACTIONS WITHOUT MCC
|
Facility
|
IP
|
$28,524.49
|
|
|
Service Code
|
MSDRG 916
|
| Min. Negotiated Rate |
$9,661.35 |
| Max. Negotiated Rate |
$28,524.49 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$9,714.01
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$20,745.08
|
| Rate for Payer: Aetna Government |
$20,745.08
|
| Rate for Payer: Brighton Health Commercial |
$9,661.35
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$21,159.98
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$11,851.52
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$10,073.80
|
| Rate for Payer: Elderplan Medicare Advantage |
$19,707.83
|
| Rate for Payer: EmblemHealth Commercial |
$20,745.08
|
| Rate for Payer: Fidelis Medicare Advantage |
$20,745.08
|
| Rate for Payer: Group Health Inc Commercial |
$20,745.08
|
| Rate for Payer: Group Health Inc Medicare |
$20,745.08
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$20,745.08
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$20,745.08
|
| Rate for Payer: Healthfirst Medicare Advantage |
$19,292.92
|
| Rate for Payer: Humana Medicare |
$28,524.49
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$20,745.08
|
| Rate for Payer: United Healthcare Commercial |
$13,250.71
|
| Rate for Payer: United Healthcare Medicare Advantage |
$20,745.08
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$20,745.08
|
| Rate for Payer: Wellcare Medicare |
$19,707.83
|
|
|
MS-DRG 43.00: ALLOGENEIC BONE MARROW TRANSPLANT
|
Facility
|
IP
|
$255,406.69
|
|
|
Service Code
|
MSDRG 014
|
| Min. Negotiated Rate |
$168,990.97 |
| Max. Negotiated Rate |
$255,406.69 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$168,990.97
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$185,750.32
|
| Rate for Payer: Aetna Government |
$185,750.32
|
| Rate for Payer: Brighton Health Commercial |
$174,259.55
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$189,465.33
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$213,763.23
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$181,698.75
|
| Rate for Payer: Elderplan Medicare Advantage |
$176,462.80
|
| Rate for Payer: EmblemHealth Commercial |
$185,750.32
|
| Rate for Payer: Fidelis Medicare Advantage |
$185,750.32
|
| Rate for Payer: Group Health Inc Commercial |
$185,750.32
|
| Rate for Payer: Group Health Inc Medicare |
$185,750.32
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$185,750.32
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$185,750.32
|
| Rate for Payer: Healthfirst Medicare Advantage |
$172,747.80
|
| Rate for Payer: Humana Medicare |
$255,406.69
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$185,750.32
|
| Rate for Payer: United Healthcare Commercial |
$238,999.98
|
| Rate for Payer: United Healthcare Medicare Advantage |
$185,750.32
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$185,750.32
|
| Rate for Payer: Wellcare Medicare |
$176,462.80
|
|
|
MS-DRG 43.00: AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC
|
Facility
|
IP
|
$72,179.68
|
|
|
Service Code
|
MSDRG 240
|
| Min. Negotiated Rate |
$41,332.25 |
| Max. Negotiated Rate |
$72,179.68 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$41,421.65
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$52,494.31
|
| Rate for Payer: Aetna Government |
$52,494.31
|
| Rate for Payer: Brighton Health Commercial |
$41,332.25
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$53,544.20
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$50,702.04
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$43,096.74
|
| Rate for Payer: Elderplan Medicare Advantage |
$49,869.59
|
| Rate for Payer: EmblemHealth Commercial |
$52,494.31
|
| Rate for Payer: Fidelis Medicare Advantage |
$52,494.31
|
| Rate for Payer: Group Health Inc Commercial |
$52,494.31
|
| Rate for Payer: Group Health Inc Medicare |
$52,494.31
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$52,494.31
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$52,494.31
|
| Rate for Payer: Healthfirst Medicare Advantage |
$48,819.71
|
| Rate for Payer: Humana Medicare |
$72,179.68
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$52,494.31
|
| Rate for Payer: United Healthcare Commercial |
$56,687.89
|
| Rate for Payer: United Healthcare Medicare Advantage |
$52,494.31
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$52,494.31
|
| Rate for Payer: Wellcare Medicare |
$49,869.59
|
|
|
MS-DRG 43.00: AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC
|
Facility
|
IP
|
$113,576.33
|
|
|
Service Code
|
MSDRG 239
|
| Min. Negotiated Rate |
$70,876.27 |
| Max. Negotiated Rate |
$113,576.33 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$70,876.27
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$82,600.97
|
| Rate for Payer: Aetna Government |
$82,600.97
|
| Rate for Payer: Brighton Health Commercial |
$71,364.65
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$84,252.99
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$87,542.62
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$74,411.23
|
| Rate for Payer: Elderplan Medicare Advantage |
$78,470.92
|
| Rate for Payer: EmblemHealth Commercial |
$82,600.97
|
| Rate for Payer: Fidelis Medicare Advantage |
$82,600.97
|
| Rate for Payer: Group Health Inc Commercial |
$82,600.97
|
| Rate for Payer: Group Health Inc Medicare |
$82,600.97
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$82,600.97
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$82,600.97
|
| Rate for Payer: Healthfirst Medicare Advantage |
$76,818.90
|
| Rate for Payer: Humana Medicare |
$113,576.33
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$82,600.97
|
| Rate for Payer: United Healthcare Commercial |
$97,877.85
|
| Rate for Payer: United Healthcare Medicare Advantage |
$82,600.97
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$82,600.97
|
| Rate for Payer: Wellcare Medicare |
$78,470.92
|
|
|
MS-DRG 43.00: AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC
|
Facility
|
IP
|
$42,877.01
|
|
|
Service Code
|
MSDRG 241
|
| Min. Negotiated Rate |
$20,073.80 |
| Max. Negotiated Rate |
$42,877.01 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$20,492.60
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$31,183.28
|
| Rate for Payer: Aetna Government |
$31,183.28
|
| Rate for Payer: Brighton Health Commercial |
$20,073.80
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$31,806.95
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$24,624.42
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$20,930.76
|
| Rate for Payer: Elderplan Medicare Advantage |
$29,624.12
|
| Rate for Payer: EmblemHealth Commercial |
$31,183.28
|
| Rate for Payer: Fidelis Medicare Advantage |
$31,183.28
|
| Rate for Payer: Group Health Inc Commercial |
$31,183.28
|
| Rate for Payer: Group Health Inc Medicare |
$31,183.28
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$31,183.28
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$31,183.28
|
| Rate for Payer: Healthfirst Medicare Advantage |
$29,000.45
|
| Rate for Payer: Humana Medicare |
$42,877.01
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$31,183.28
|
| Rate for Payer: United Healthcare Commercial |
$27,531.56
|
| Rate for Payer: United Healthcare Medicare Advantage |
$31,183.28
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$31,183.28
|
| Rate for Payer: Wellcare Medicare |
$29,624.12
|
|
|
MS-DRG 43.00: AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC
|
Facility
|
IP
|
$60,691.26
|
|
|
Service Code
|
MSDRG 475
|
| Min. Negotiated Rate |
$31,623.60 |
| Max. Negotiated Rate |
$60,691.26 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$31,623.60
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$44,139.10
|
| Rate for Payer: Aetna Government |
$44,139.10
|
| Rate for Payer: Brighton Health Commercial |
$32,997.65
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$45,021.88
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$40,478.04
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$34,406.33
|
| Rate for Payer: Elderplan Medicare Advantage |
$41,932.14
|
| Rate for Payer: EmblemHealth Commercial |
$44,139.10
|
| Rate for Payer: Fidelis Medicare Advantage |
$44,139.10
|
| Rate for Payer: Group Health Inc Commercial |
$44,139.10
|
| Rate for Payer: Group Health Inc Medicare |
$44,139.10
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$44,139.10
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$44,139.10
|
| Rate for Payer: Healthfirst Medicare Advantage |
$41,049.36
|
| Rate for Payer: Humana Medicare |
$60,691.26
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$44,139.10
|
| Rate for Payer: United Healthcare Commercial |
$45,256.85
|
| Rate for Payer: United Healthcare Medicare Advantage |
$44,139.10
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$44,139.10
|
| Rate for Payer: Wellcare Medicare |
$41,932.14
|
|
|
MS-DRG 43.00: AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC
|
Facility
|
IP
|
$101,008.63
|
|
|
Service Code
|
MSDRG 474
|
| Min. Negotiated Rate |
$62,247.05 |
| Max. Negotiated Rate |
$101,008.63 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$63,444.79
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$73,460.82
|
| Rate for Payer: Aetna Government |
$73,460.82
|
| Rate for Payer: Brighton Health Commercial |
$62,247.05
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$74,930.04
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$76,358.11
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$64,904.40
|
| Rate for Payer: Elderplan Medicare Advantage |
$69,787.78
|
| Rate for Payer: EmblemHealth Commercial |
$73,460.82
|
| Rate for Payer: Fidelis Medicare Advantage |
$73,460.82
|
| Rate for Payer: Group Health Inc Commercial |
$73,460.82
|
| Rate for Payer: Group Health Inc Medicare |
$73,460.82
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$73,460.82
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$73,460.82
|
| Rate for Payer: Healthfirst Medicare Advantage |
$68,318.56
|
| Rate for Payer: Humana Medicare |
$101,008.63
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$73,460.82
|
| Rate for Payer: United Healthcare Commercial |
$85,372.90
|
| Rate for Payer: United Healthcare Medicare Advantage |
$73,460.82
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$73,460.82
|
| Rate for Payer: Wellcare Medicare |
$69,787.78
|
|
|
MS-DRG 43.00: AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC
|
Facility
|
IP
|
$38,795.72
|
|
|
Service Code
|
MSDRG 476
|
| Min. Negotiated Rate |
$17,112.90 |
| Max. Negotiated Rate |
$38,795.72 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$17,353.39
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$28,215.07
|
| Rate for Payer: Aetna Government |
$28,215.07
|
| Rate for Payer: Brighton Health Commercial |
$17,112.90
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$28,779.37
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$20,992.30
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$17,843.46
|
| Rate for Payer: Elderplan Medicare Advantage |
$26,804.32
|
| Rate for Payer: EmblemHealth Commercial |
$28,215.07
|
| Rate for Payer: Fidelis Medicare Advantage |
$28,215.07
|
| Rate for Payer: Group Health Inc Commercial |
$28,215.07
|
| Rate for Payer: Group Health Inc Medicare |
$28,215.07
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$28,215.07
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$28,215.07
|
| Rate for Payer: Healthfirst Medicare Advantage |
$26,240.02
|
| Rate for Payer: Humana Medicare |
$38,795.72
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$28,215.07
|
| Rate for Payer: United Healthcare Commercial |
$23,470.64
|
| Rate for Payer: United Healthcare Medicare Advantage |
$28,215.07
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$28,215.07
|
| Rate for Payer: Wellcare Medicare |
$26,804.32
|
|
|
MS-DRG 43.00: AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC
|
Facility
|
IP
|
$52,588.59
|
|
|
Service Code
|
MSDRG 617
|
| Min. Negotiated Rate |
$27,119.35 |
| Max. Negotiated Rate |
$52,588.59 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$29,261.45
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$38,246.25
|
| Rate for Payer: Aetna Government |
$38,246.25
|
| Rate for Payer: Brighton Health Commercial |
$27,119.35
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$39,011.18
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$33,267.16
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$28,277.08
|
| Rate for Payer: Elderplan Medicare Advantage |
$36,333.94
|
| Rate for Payer: EmblemHealth Commercial |
$38,246.25
|
| Rate for Payer: Fidelis Medicare Advantage |
$38,246.25
|
| Rate for Payer: Group Health Inc Commercial |
$38,246.25
|
| Rate for Payer: Group Health Inc Medicare |
$38,246.25
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$38,246.25
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$38,246.25
|
| Rate for Payer: Healthfirst Medicare Advantage |
$35,569.01
|
| Rate for Payer: Humana Medicare |
$52,588.59
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$38,246.25
|
| Rate for Payer: United Healthcare Commercial |
$37,194.66
|
| Rate for Payer: United Healthcare Medicare Advantage |
$38,246.25
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$38,246.25
|
| Rate for Payer: Wellcare Medicare |
$36,333.94
|
|
|
MS-DRG 43.00: AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC
|
Facility
|
IP
|
$84,909.25
|
|
|
Service Code
|
MSDRG 616
|
| Min. Negotiated Rate |
$50,567.30 |
| Max. Negotiated Rate |
$84,909.25 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$58,356.29
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$61,752.18
|
| Rate for Payer: Aetna Government |
$61,752.18
|
| Rate for Payer: Brighton Health Commercial |
$50,567.30
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$62,987.22
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$62,030.63
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$52,726.04
|
| Rate for Payer: Elderplan Medicare Advantage |
$58,664.57
|
| Rate for Payer: EmblemHealth Commercial |
$61,752.18
|
| Rate for Payer: Fidelis Medicare Advantage |
$61,752.18
|
| Rate for Payer: Group Health Inc Commercial |
$61,752.18
|
| Rate for Payer: Group Health Inc Medicare |
$61,752.18
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$61,752.18
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$61,752.18
|
| Rate for Payer: Healthfirst Medicare Advantage |
$57,429.53
|
| Rate for Payer: Humana Medicare |
$84,909.25
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$61,752.18
|
| Rate for Payer: United Healthcare Commercial |
$69,353.92
|
| Rate for Payer: United Healthcare Medicare Advantage |
$61,752.18
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$61,752.18
|
| Rate for Payer: Wellcare Medicare |
$58,664.57
|
|
