|
MS-DRG 43.00: AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC
|
Facility
|
IP
|
$43,554.56
|
|
|
Service Code
|
MSDRG 618
|
| Min. Negotiated Rate |
$17,126.32 |
| Max. Negotiated Rate |
$43,554.56 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$17,126.32
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$31,676.04
|
| Rate for Payer: Aetna Government |
$31,676.04
|
| Rate for Payer: Brighton Health Commercial |
$20,565.35
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$32,309.56
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$25,227.40
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$21,443.29
|
| Rate for Payer: Elderplan Medicare Advantage |
$30,092.24
|
| Rate for Payer: EmblemHealth Commercial |
$31,676.04
|
| Rate for Payer: Fidelis Medicare Advantage |
$31,676.04
|
| Rate for Payer: Group Health Inc Commercial |
$31,676.04
|
| Rate for Payer: Group Health Inc Medicare |
$31,676.04
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$31,676.04
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$31,676.04
|
| Rate for Payer: Healthfirst Medicare Advantage |
$29,458.72
|
| Rate for Payer: Humana Medicare |
$43,554.56
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$31,676.04
|
| Rate for Payer: United Healthcare Commercial |
$28,205.73
|
| Rate for Payer: United Healthcare Medicare Advantage |
$31,676.04
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$31,676.04
|
| Rate for Payer: Wellcare Medicare |
$30,092.24
|
|
|
MS-DRG 43.00: ANAL AND STOMAL PROCEDURES WITH CC
|
Facility
|
IP
|
$41,366.01
|
|
|
Service Code
|
MSDRG 348
|
| Min. Negotiated Rate |
$18,977.60 |
| Max. Negotiated Rate |
$41,366.01 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$19,189.14
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$30,084.37
|
| Rate for Payer: Aetna Government |
$30,084.37
|
| Rate for Payer: Brighton Health Commercial |
$18,977.60
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$30,686.06
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$23,279.72
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$19,787.76
|
| Rate for Payer: Elderplan Medicare Advantage |
$28,580.15
|
| Rate for Payer: EmblemHealth Commercial |
$30,084.37
|
| Rate for Payer: Fidelis Medicare Advantage |
$30,084.37
|
| Rate for Payer: Group Health Inc Commercial |
$30,084.37
|
| Rate for Payer: Group Health Inc Medicare |
$30,084.37
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$30,084.37
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$30,084.37
|
| Rate for Payer: Healthfirst Medicare Advantage |
$27,978.46
|
| Rate for Payer: Humana Medicare |
$41,366.01
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$30,084.37
|
| Rate for Payer: United Healthcare Commercial |
$26,028.11
|
| Rate for Payer: United Healthcare Medicare Advantage |
$30,084.37
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$30,084.37
|
| Rate for Payer: Wellcare Medicare |
$28,580.15
|
|
|
MS-DRG 43.00: ANAL AND STOMAL PROCEDURES WITH MCC
|
Facility
|
IP
|
$61,089.00
|
|
|
Service Code
|
MSDRG 347
|
| Min. Negotiated Rate |
$33,286.20 |
| Max. Negotiated Rate |
$61,089.00 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$37,586.48
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$44,428.36
|
| Rate for Payer: Aetna Government |
$44,428.36
|
| Rate for Payer: Brighton Health Commercial |
$33,286.20
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$45,316.93
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$40,832.00
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$34,707.20
|
| Rate for Payer: Elderplan Medicare Advantage |
$42,206.94
|
| Rate for Payer: EmblemHealth Commercial |
$44,428.36
|
| Rate for Payer: Fidelis Medicare Advantage |
$44,428.36
|
| Rate for Payer: Group Health Inc Commercial |
$44,428.36
|
| Rate for Payer: Group Health Inc Medicare |
$44,428.36
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$44,428.36
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$44,428.36
|
| Rate for Payer: Healthfirst Medicare Advantage |
$41,318.37
|
| Rate for Payer: Humana Medicare |
$61,089.00
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$44,428.36
|
| Rate for Payer: United Healthcare Commercial |
$45,652.60
|
| Rate for Payer: United Healthcare Medicare Advantage |
$44,428.36
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$44,428.36
|
| Rate for Payer: Wellcare Medicare |
$42,206.94
|
|
|
MS-DRG 43.00: ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$32,607.79
|
|
|
Service Code
|
MSDRG 349
|
| Min. Negotiated Rate |
$12,623.70 |
| Max. Negotiated Rate |
$32,607.79 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$14,388.17
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$23,714.76
|
| Rate for Payer: Aetna Government |
$23,714.76
|
| Rate for Payer: Brighton Health Commercial |
$12,623.70
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$24,189.06
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$15,485.42
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$13,162.61
|
| Rate for Payer: Elderplan Medicare Advantage |
$22,529.02
|
| Rate for Payer: EmblemHealth Commercial |
$23,714.76
|
| Rate for Payer: Fidelis Medicare Advantage |
$23,714.76
|
| Rate for Payer: Group Health Inc Commercial |
$23,714.76
|
| Rate for Payer: Group Health Inc Medicare |
$23,714.76
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$23,714.76
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$23,714.76
|
| Rate for Payer: Healthfirst Medicare Advantage |
$22,054.73
|
| Rate for Payer: Humana Medicare |
$32,607.79
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$23,714.76
|
| Rate for Payer: United Healthcare Commercial |
$17,313.62
|
| Rate for Payer: United Healthcare Medicare Advantage |
$23,714.76
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$23,714.76
|
| Rate for Payer: Wellcare Medicare |
$22,529.02
|
|
|
MS-DRG 43.00: ANGINA PECTORIS
|
Facility
|
IP
|
$29,236.01
|
|
|
Service Code
|
MSDRG 311
|
| Min. Negotiated Rate |
$10,177.55 |
| Max. Negotiated Rate |
$29,236.01 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$10,293.48
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$21,262.55
|
| Rate for Payer: Aetna Government |
$21,262.55
|
| Rate for Payer: Brighton Health Commercial |
$10,177.55
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$21,687.80
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$12,484.74
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$10,612.03
|
| Rate for Payer: Elderplan Medicare Advantage |
$20,199.42
|
| Rate for Payer: EmblemHealth Commercial |
$21,262.55
|
| Rate for Payer: Fidelis Medicare Advantage |
$21,262.55
|
| Rate for Payer: Group Health Inc Commercial |
$21,262.55
|
| Rate for Payer: Group Health Inc Medicare |
$21,262.55
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$21,262.55
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$21,262.55
|
| Rate for Payer: Healthfirst Medicare Advantage |
$19,774.17
|
| Rate for Payer: Humana Medicare |
$29,236.01
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$21,262.55
|
| Rate for Payer: United Healthcare Commercial |
$13,958.69
|
| Rate for Payer: United Healthcare Medicare Advantage |
$21,262.55
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$21,262.55
|
| Rate for Payer: Wellcare Medicare |
$20,199.42
|
|
|
MS-DRG 43.00: AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC
|
Facility
|
IP
|
$152,674.51
|
|
|
Service Code
|
MSDRG 268
|
| Min. Negotiated Rate |
$99,729.55 |
| Max. Negotiated Rate |
$152,674.51 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$101,072.55
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$111,036.01
|
| Rate for Payer: Aetna Government |
$111,036.01
|
| Rate for Payer: Brighton Health Commercial |
$99,729.55
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$113,256.73
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$122,337.69
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$103,987.04
|
| Rate for Payer: Elderplan Medicare Advantage |
$105,484.21
|
| Rate for Payer: EmblemHealth Commercial |
$111,036.01
|
| Rate for Payer: Fidelis Medicare Advantage |
$111,036.01
|
| Rate for Payer: Group Health Inc Commercial |
$111,036.01
|
| Rate for Payer: Group Health Inc Medicare |
$111,036.01
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$111,036.01
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$111,036.01
|
| Rate for Payer: Healthfirst Medicare Advantage |
$103,263.49
|
| Rate for Payer: Humana Medicare |
$152,674.51
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$111,036.01
|
| Rate for Payer: United Healthcare Commercial |
$136,780.80
|
| Rate for Payer: United Healthcare Medicare Advantage |
$111,036.01
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$111,036.01
|
| Rate for Payer: Wellcare Medicare |
$105,484.21
|
|
|
MS-DRG 43.00: AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC
|
Facility
|
IP
|
$99,615.56
|
|
|
Service Code
|
MSDRG 269
|
| Min. Negotiated Rate |
$61,236.40 |
| Max. Negotiated Rate |
$99,615.56 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$61,318.56
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$72,447.68
|
| Rate for Payer: Aetna Government |
$72,447.68
|
| Rate for Payer: Brighton Health Commercial |
$61,236.40
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$73,896.63
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$75,118.35
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$63,850.60
|
| Rate for Payer: Elderplan Medicare Advantage |
$68,825.30
|
| Rate for Payer: EmblemHealth Commercial |
$72,447.68
|
| Rate for Payer: Fidelis Medicare Advantage |
$72,447.68
|
| Rate for Payer: Group Health Inc Commercial |
$72,447.68
|
| Rate for Payer: Group Health Inc Medicare |
$72,447.68
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$72,447.68
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$72,447.68
|
| Rate for Payer: Healthfirst Medicare Advantage |
$67,376.34
|
| Rate for Payer: Humana Medicare |
$99,615.56
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$72,447.68
|
| Rate for Payer: United Healthcare Commercial |
$83,986.78
|
| Rate for Payer: United Healthcare Medicare Advantage |
$72,447.68
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$72,447.68
|
| Rate for Payer: Wellcare Medicare |
$68,825.30
|
|
|
MS-DRG 43.00: APPENDIX PROCEDURES WITH CC
|
Facility
|
IP
|
$45,459.27
|
|
|
Service Code
|
MSDRG 398
|
| Min. Negotiated Rate |
$21,947.20 |
| Max. Negotiated Rate |
$45,459.27 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$22,313.61
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$33,061.29
|
| Rate for Payer: Aetna Government |
$33,061.29
|
| Rate for Payer: Brighton Health Commercial |
$21,947.20
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$33,722.52
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$26,922.51
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$22,884.13
|
| Rate for Payer: Elderplan Medicare Advantage |
$31,408.23
|
| Rate for Payer: EmblemHealth Commercial |
$33,061.29
|
| Rate for Payer: Fidelis Medicare Advantage |
$33,061.29
|
| Rate for Payer: Group Health Inc Commercial |
$33,061.29
|
| Rate for Payer: Group Health Inc Medicare |
$33,061.29
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$33,061.29
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$33,061.29
|
| Rate for Payer: Healthfirst Medicare Advantage |
$30,747.00
|
| Rate for Payer: Humana Medicare |
$45,459.27
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$33,061.29
|
| Rate for Payer: United Healthcare Commercial |
$30,100.96
|
| Rate for Payer: United Healthcare Medicare Advantage |
$33,061.29
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$33,061.29
|
| Rate for Payer: Wellcare Medicare |
$31,408.23
|
|
|
MS-DRG 43.00: APPENDIX PROCEDURES WITH MCC
|
Facility
|
IP
|
$63,073.67
|
|
|
Service Code
|
MSDRG 397
|
| Min. Negotiated Rate |
$33,126.12 |
| Max. Negotiated Rate |
$63,073.67 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$33,126.12
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$45,871.76
|
| Rate for Payer: Aetna Government |
$45,871.76
|
| Rate for Payer: Brighton Health Commercial |
$34,726.05
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$46,789.20
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$42,598.25
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$36,208.52
|
| Rate for Payer: Elderplan Medicare Advantage |
$43,578.17
|
| Rate for Payer: EmblemHealth Commercial |
$45,871.76
|
| Rate for Payer: Fidelis Medicare Advantage |
$45,871.76
|
| Rate for Payer: Group Health Inc Commercial |
$45,871.76
|
| Rate for Payer: Group Health Inc Medicare |
$45,871.76
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$45,871.76
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$45,871.76
|
| Rate for Payer: Healthfirst Medicare Advantage |
$42,660.74
|
| Rate for Payer: Humana Medicare |
$63,073.67
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$45,871.76
|
| Rate for Payer: United Healthcare Commercial |
$47,627.38
|
| Rate for Payer: United Healthcare Medicare Advantage |
$45,871.76
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$45,871.76
|
| Rate for Payer: Wellcare Medicare |
$43,578.17
|
|
|
MS-DRG 43.00: APPENDIX PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$38,086.19
|
|
|
Service Code
|
MSDRG 399
|
| Min. Negotiated Rate |
$16,412.66 |
| Max. Negotiated Rate |
$38,086.19 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$16,412.66
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$27,699.05
|
| Rate for Payer: Aetna Government |
$27,699.05
|
| Rate for Payer: Brighton Health Commercial |
$16,598.15
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$28,253.03
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$20,360.86
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$17,306.73
|
| Rate for Payer: Elderplan Medicare Advantage |
$26,314.10
|
| Rate for Payer: EmblemHealth Commercial |
$27,699.05
|
| Rate for Payer: Fidelis Medicare Advantage |
$27,699.05
|
| Rate for Payer: Group Health Inc Commercial |
$27,699.05
|
| Rate for Payer: Group Health Inc Medicare |
$27,699.05
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$27,699.05
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$27,699.05
|
| Rate for Payer: Healthfirst Medicare Advantage |
$25,760.12
|
| Rate for Payer: Humana Medicare |
$38,086.19
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$27,699.05
|
| Rate for Payer: United Healthcare Commercial |
$22,764.65
|
| Rate for Payer: United Healthcare Medicare Advantage |
$27,699.05
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$27,699.05
|
| Rate for Payer: Wellcare Medicare |
$26,314.10
|
|
|
MS-DRG 43.00: ATHEROSCLEROSIS WITH MCC
|
Facility
|
IP
|
$39,123.48
|
|
|
Service Code
|
MSDRG 302
|
| Min. Negotiated Rate |
$16,530.62 |
| Max. Negotiated Rate |
$39,123.48 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$16,530.62
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$28,453.44
|
| Rate for Payer: Aetna Government |
$28,453.44
|
| Rate for Payer: Brighton Health Commercial |
$17,350.70
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$29,022.51
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$21,284.01
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$18,091.41
|
| Rate for Payer: Elderplan Medicare Advantage |
$27,030.77
|
| Rate for Payer: EmblemHealth Commercial |
$28,453.44
|
| Rate for Payer: Fidelis Medicare Advantage |
$28,453.44
|
| Rate for Payer: Group Health Inc Commercial |
$28,453.44
|
| Rate for Payer: Group Health Inc Medicare |
$28,453.44
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$28,453.44
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$28,453.44
|
| Rate for Payer: Healthfirst Medicare Advantage |
$26,461.70
|
| Rate for Payer: Humana Medicare |
$39,123.48
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$28,453.44
|
| Rate for Payer: United Healthcare Commercial |
$23,796.78
|
| Rate for Payer: United Healthcare Medicare Advantage |
$28,453.44
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$28,453.44
|
| Rate for Payer: Wellcare Medicare |
$27,030.77
|
|
|
MS-DRG 43.00: ATHEROSCLEROSIS WITHOUT MCC
|
Facility
|
IP
|
$28,662.40
|
|
|
Service Code
|
MSDRG 303
|
| Min. Negotiated Rate |
$9,703.68 |
| Max. Negotiated Rate |
$28,662.40 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$9,703.68
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$20,845.38
|
| Rate for Payer: Aetna Government |
$20,845.38
|
| Rate for Payer: Brighton Health Commercial |
$9,761.40
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$21,262.29
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$11,974.26
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$10,178.12
|
| Rate for Payer: Elderplan Medicare Advantage |
$19,803.11
|
| Rate for Payer: EmblemHealth Commercial |
$20,845.38
|
| Rate for Payer: Fidelis Medicare Advantage |
$20,845.38
|
| Rate for Payer: Group Health Inc Commercial |
$20,845.38
|
| Rate for Payer: Group Health Inc Medicare |
$20,845.38
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$20,845.38
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$20,845.38
|
| Rate for Payer: Healthfirst Medicare Advantage |
$19,386.20
|
| Rate for Payer: Humana Medicare |
$28,662.40
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$20,845.38
|
| Rate for Payer: United Healthcare Commercial |
$13,387.93
|
| Rate for Payer: United Healthcare Medicare Advantage |
$20,845.38
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$20,845.38
|
| Rate for Payer: Wellcare Medicare |
$19,803.11
|
|
|
MS-DRG 43.00: AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC
|
Facility
|
IP
|
$133,723.04
|
|
|
Service Code
|
MSDRG 016
|
| Min. Negotiated Rate |
$85,980.65 |
| Max. Negotiated Rate |
$133,723.04 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$91,079.87
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$97,253.12
|
| Rate for Payer: Aetna Government |
$97,253.12
|
| Rate for Payer: Brighton Health Commercial |
$85,980.65
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$99,198.18
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$105,471.99
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$89,651.19
|
| Rate for Payer: Elderplan Medicare Advantage |
$92,390.46
|
| Rate for Payer: EmblemHealth Commercial |
$97,253.12
|
| Rate for Payer: Fidelis Medicare Advantage |
$97,253.12
|
| Rate for Payer: Group Health Inc Commercial |
$97,253.12
|
| Rate for Payer: Group Health Inc Medicare |
$97,253.12
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$97,253.12
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$97,253.12
|
| Rate for Payer: Healthfirst Medicare Advantage |
$90,445.40
|
| Rate for Payer: Humana Medicare |
$133,723.04
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$97,253.12
|
| Rate for Payer: United Healthcare Commercial |
$117,923.94
|
| Rate for Payer: United Healthcare Medicare Advantage |
$97,253.12
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$97,253.12
|
| Rate for Payer: Wellcare Medicare |
$92,390.46
|
|
|
MS-DRG 43.00: AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC
|
Facility
|
IP
|
$123,781.58
|
|
|
Service Code
|
MSDRG 017
|
| Min. Negotiated Rate |
$70,155.35 |
| Max. Negotiated Rate |
$123,781.58 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$91,079.87
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$90,022.97
|
| Rate for Payer: Aetna Government |
$90,022.97
|
| Rate for Payer: Brighton Health Commercial |
$70,155.35
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$91,823.43
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$86,059.18
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$73,150.31
|
| Rate for Payer: Elderplan Medicare Advantage |
$85,521.82
|
| Rate for Payer: EmblemHealth Commercial |
$90,022.97
|
| Rate for Payer: Fidelis Medicare Advantage |
$90,022.97
|
| Rate for Payer: Group Health Inc Commercial |
$90,022.97
|
| Rate for Payer: Group Health Inc Medicare |
$90,022.97
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$90,022.97
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$90,022.97
|
| Rate for Payer: Healthfirst Medicare Advantage |
$83,721.36
|
| Rate for Payer: Humana Medicare |
$123,781.58
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$90,022.97
|
| Rate for Payer: United Healthcare Commercial |
$96,219.27
|
| Rate for Payer: United Healthcare Medicare Advantage |
$90,022.97
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$90,022.97
|
| Rate for Payer: Wellcare Medicare |
$85,521.82
|
|
|
MS-DRG 43.00: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC
|
Facility
|
IP
|
$55,184.88
|
|
|
Service Code
|
MSDRG 519
|
| Min. Negotiated Rate |
$29,002.90 |
| Max. Negotiated Rate |
$55,184.88 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$29,027.01
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$40,134.46
|
| Rate for Payer: Aetna Government |
$40,134.46
|
| Rate for Payer: Brighton Health Commercial |
$29,002.90
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$40,937.15
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$35,577.70
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$30,241.04
|
| Rate for Payer: Elderplan Medicare Advantage |
$38,127.74
|
| Rate for Payer: EmblemHealth Commercial |
$40,134.46
|
| Rate for Payer: Fidelis Medicare Advantage |
$40,134.46
|
| Rate for Payer: Group Health Inc Commercial |
$40,134.46
|
| Rate for Payer: Group Health Inc Medicare |
$40,134.46
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$40,134.46
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$40,134.46
|
| Rate for Payer: Healthfirst Medicare Advantage |
$37,325.05
|
| Rate for Payer: Humana Medicare |
$55,184.88
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$40,134.46
|
| Rate for Payer: United Healthcare Commercial |
$39,777.98
|
| Rate for Payer: United Healthcare Medicare Advantage |
$40,134.46
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$40,134.46
|
| Rate for Payer: Wellcare Medicare |
$38,127.74
|
|
|
MS-DRG 43.00: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR
|
Facility
|
IP
|
$89,903.95
|
|
|
Service Code
|
MSDRG 518
|
| Min. Negotiated Rate |
$53,845.79 |
| Max. Negotiated Rate |
$89,903.95 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$53,845.79
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$65,384.69
|
| Rate for Payer: Aetna Government |
$65,384.69
|
| Rate for Payer: Brighton Health Commercial |
$54,190.85
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$66,692.38
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$66,475.62
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$56,504.28
|
| Rate for Payer: Elderplan Medicare Advantage |
$62,115.46
|
| Rate for Payer: EmblemHealth Commercial |
$65,384.69
|
| Rate for Payer: Fidelis Medicare Advantage |
$65,384.69
|
| Rate for Payer: Group Health Inc Commercial |
$65,384.69
|
| Rate for Payer: Group Health Inc Medicare |
$65,384.69
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$65,384.69
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$65,384.69
|
| Rate for Payer: Healthfirst Medicare Advantage |
$60,807.76
|
| Rate for Payer: Humana Medicare |
$89,903.95
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$65,384.69
|
| Rate for Payer: United Healthcare Commercial |
$74,323.69
|
| Rate for Payer: United Healthcare Medicare Advantage |
$65,384.69
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$65,384.69
|
| Rate for Payer: Wellcare Medicare |
$62,115.46
|
|
|
MS-DRG 43.00: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC
|
Facility
|
IP
|
$45,065.56
|
|
|
Service Code
|
MSDRG 520
|
| Min. Negotiated Rate |
$21,107.47 |
| Max. Negotiated Rate |
$45,065.56 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$21,107.47
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$32,774.95
|
| Rate for Payer: Aetna Government |
$32,774.95
|
| Rate for Payer: Brighton Health Commercial |
$21,661.55
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$33,430.45
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$26,572.10
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$22,586.29
|
| Rate for Payer: Elderplan Medicare Advantage |
$31,136.20
|
| Rate for Payer: EmblemHealth Commercial |
$32,774.95
|
| Rate for Payer: Fidelis Medicare Advantage |
$32,774.95
|
| Rate for Payer: Group Health Inc Commercial |
$32,774.95
|
| Rate for Payer: Group Health Inc Medicare |
$32,774.95
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$32,774.95
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$32,774.95
|
| Rate for Payer: Healthfirst Medicare Advantage |
$30,480.70
|
| Rate for Payer: Humana Medicare |
$45,065.56
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$32,774.95
|
| Rate for Payer: United Healthcare Commercial |
$29,709.19
|
| Rate for Payer: United Healthcare Medicare Advantage |
$32,774.95
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$32,774.95
|
| Rate for Payer: Wellcare Medicare |
$31,136.20
|
|
|
MS-DRG 43.00: BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC
|
Facility
|
IP
|
$66,757.24
|
|
|
Service Code
|
MSDRG 095
|
| Min. Negotiated Rate |
$35,155.03 |
| Max. Negotiated Rate |
$66,757.24 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$35,155.03
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$48,550.72
|
| Rate for Payer: Aetna Government |
$48,550.72
|
| Rate for Payer: Brighton Health Commercial |
$37,398.40
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$49,521.73
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$45,876.41
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$38,994.95
|
| Rate for Payer: Elderplan Medicare Advantage |
$46,123.18
|
| Rate for Payer: EmblemHealth Commercial |
$48,550.72
|
| Rate for Payer: Fidelis Medicare Advantage |
$48,550.72
|
| Rate for Payer: Group Health Inc Commercial |
$48,550.72
|
| Rate for Payer: Group Health Inc Medicare |
$48,550.72
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$48,550.72
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$48,550.72
|
| Rate for Payer: Healthfirst Medicare Advantage |
$45,152.17
|
| Rate for Payer: Humana Medicare |
$66,757.24
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$48,550.72
|
| Rate for Payer: United Healthcare Commercial |
$51,292.55
|
| Rate for Payer: United Healthcare Medicare Advantage |
$48,550.72
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$48,550.72
|
| Rate for Payer: Wellcare Medicare |
$46,123.18
|
|
|
MS-DRG 43.00: BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC
|
Facility
|
IP
|
$85,548.83
|
|
|
Service Code
|
MSDRG 094
|
| Min. Negotiated Rate |
$51,031.30 |
| Max. Negotiated Rate |
$85,548.83 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$53,416.71
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$62,217.33
|
| Rate for Payer: Aetna Government |
$62,217.33
|
| Rate for Payer: Brighton Health Commercial |
$51,031.30
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$63,461.68
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$62,599.81
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$53,209.84
|
| Rate for Payer: Elderplan Medicare Advantage |
$59,106.46
|
| Rate for Payer: EmblemHealth Commercial |
$62,217.33
|
| Rate for Payer: Fidelis Medicare Advantage |
$62,217.33
|
| Rate for Payer: Group Health Inc Commercial |
$62,217.33
|
| Rate for Payer: Group Health Inc Medicare |
$62,217.33
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$62,217.33
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$62,217.33
|
| Rate for Payer: Healthfirst Medicare Advantage |
$57,862.12
|
| Rate for Payer: Humana Medicare |
$85,548.83
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$62,217.33
|
| Rate for Payer: United Healthcare Commercial |
$69,990.31
|
| Rate for Payer: United Healthcare Medicare Advantage |
$62,217.33
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$62,217.33
|
| Rate for Payer: Wellcare Medicare |
$59,106.46
|
|
|
MS-DRG 43.00: BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC
|
Facility
|
IP
|
$66,757.24
|
|
|
Service Code
|
MSDRG 096
|
| Min. Negotiated Rate |
$32,139.68 |
| Max. Negotiated Rate |
$66,757.24 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$32,139.68
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$48,550.72
|
| Rate for Payer: Aetna Government |
$48,550.72
|
| Rate for Payer: Brighton Health Commercial |
$37,398.40
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$49,521.73
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$45,876.41
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$38,994.95
|
| Rate for Payer: Elderplan Medicare Advantage |
$46,123.18
|
| Rate for Payer: EmblemHealth Commercial |
$48,550.72
|
| Rate for Payer: Fidelis Medicare Advantage |
$48,550.72
|
| Rate for Payer: Group Health Inc Commercial |
$48,550.72
|
| Rate for Payer: Group Health Inc Medicare |
$48,550.72
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$48,550.72
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$48,550.72
|
| Rate for Payer: Healthfirst Medicare Advantage |
$45,152.17
|
| Rate for Payer: Humana Medicare |
$66,757.24
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$48,550.72
|
| Rate for Payer: United Healthcare Commercial |
$51,292.55
|
| Rate for Payer: United Healthcare Medicare Advantage |
$48,550.72
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$48,550.72
|
| Rate for Payer: Wellcare Medicare |
$46,123.18
|
|
|
MS-DRG 43.00: BEHAVIORAL AND DEVELOPMENTAL DISORDERS
|
Facility
|
IP
|
$42,050.65
|
|
|
Service Code
|
MSDRG 886
|
| Min. Negotiated Rate |
$1,100.00 |
| Max. Negotiated Rate |
$42,050.65 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$1,859.00
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$41,226.13
|
| Rate for Payer: Aetna Government |
$41,226.13
|
| Rate for Payer: Brighton Health Commercial |
$30,091.85
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$42,050.65
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$36,913.51
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$31,376.48
|
| Rate for Payer: Elderplan Medicare Advantage |
$39,164.82
|
| Rate for Payer: EmblemHealth Commercial |
$1,100.00
|
| Rate for Payer: Fidelis Medicare Advantage |
$41,226.13
|
| Rate for Payer: Group Health Inc Commercial |
$41,226.13
|
| Rate for Payer: Group Health Inc Medicare |
$41,226.13
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$41,226.13
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$41,226.13
|
| Rate for Payer: Healthfirst Medicare Advantage |
$38,340.30
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$41,226.13
|
| Rate for Payer: United Healthcare Commercial |
$41,271.49
|
| Rate for Payer: United Healthcare Medicare Advantage |
$41,226.13
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$41,226.13
|
| Rate for Payer: Wellcare Medicare |
$39,164.82
|
|
|
MS-DRG 43.00: BENIGN PROSTATIC HYPERTROPHY WITH MCC
|
Facility
|
IP
|
$38,595.85
|
|
|
Service Code
|
MSDRG 725
|
| Min. Negotiated Rate |
$16,967.90 |
| Max. Negotiated Rate |
$38,595.85 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$18,297.07
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$28,069.71
|
| Rate for Payer: Aetna Government |
$28,069.71
|
| Rate for Payer: Brighton Health Commercial |
$16,967.90
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$28,631.10
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$20,814.43
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$17,692.27
|
| Rate for Payer: Elderplan Medicare Advantage |
$26,666.22
|
| Rate for Payer: EmblemHealth Commercial |
$28,069.71
|
| Rate for Payer: Fidelis Medicare Advantage |
$28,069.71
|
| Rate for Payer: Group Health Inc Commercial |
$28,069.71
|
| Rate for Payer: Group Health Inc Medicare |
$28,069.71
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$28,069.71
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$28,069.71
|
| Rate for Payer: Healthfirst Medicare Advantage |
$26,104.83
|
| Rate for Payer: Humana Medicare |
$38,595.85
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$28,069.71
|
| Rate for Payer: United Healthcare Commercial |
$23,271.77
|
| Rate for Payer: United Healthcare Medicare Advantage |
$28,069.71
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$28,069.71
|
| Rate for Payer: Wellcare Medicare |
$26,666.22
|
|
|
MS-DRG 43.00: BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC
|
Facility
|
IP
|
$29,637.77
|
|
|
Service Code
|
MSDRG 726
|
| Min. Negotiated Rate |
$10,469.00 |
| Max. Negotiated Rate |
$29,637.77 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$10,777.12
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$21,554.74
|
| Rate for Payer: Aetna Government |
$21,554.74
|
| Rate for Payer: Brighton Health Commercial |
$10,469.00
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$21,985.83
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$12,842.26
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$10,915.93
|
| Rate for Payer: Elderplan Medicare Advantage |
$20,477.00
|
| Rate for Payer: EmblemHealth Commercial |
$21,554.74
|
| Rate for Payer: Fidelis Medicare Advantage |
$21,554.74
|
| Rate for Payer: Group Health Inc Commercial |
$21,554.74
|
| Rate for Payer: Group Health Inc Medicare |
$21,554.74
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$21,554.74
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$21,554.74
|
| Rate for Payer: Healthfirst Medicare Advantage |
$20,045.91
|
| Rate for Payer: Humana Medicare |
$29,637.77
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$21,554.74
|
| Rate for Payer: United Healthcare Commercial |
$14,358.41
|
| Rate for Payer: United Healthcare Medicare Advantage |
$21,554.74
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$21,554.74
|
| Rate for Payer: Wellcare Medicare |
$20,477.00
|
|
|
MS-DRG 43.00: BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC
|
Facility
|
IP
|
$125,594.38
|
|
|
Service Code
|
MSDRG 461
|
| Min. Negotiated Rate |
$77,728.70 |
| Max. Negotiated Rate |
$125,594.38 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$100,538.78
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$91,341.37
|
| Rate for Payer: Aetna Government |
$91,341.37
|
| Rate for Payer: Brighton Health Commercial |
$77,728.70
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$93,168.20
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$95,349.37
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$81,046.97
|
| Rate for Payer: Elderplan Medicare Advantage |
$86,774.30
|
| Rate for Payer: EmblemHealth Commercial |
$91,341.37
|
| Rate for Payer: Fidelis Medicare Advantage |
$91,341.37
|
| Rate for Payer: Group Health Inc Commercial |
$91,341.37
|
| Rate for Payer: Group Health Inc Medicare |
$91,341.37
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$91,341.37
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$91,341.37
|
| Rate for Payer: Healthfirst Medicare Advantage |
$84,947.47
|
| Rate for Payer: Humana Medicare |
$125,594.38
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$91,341.37
|
| Rate for Payer: United Healthcare Commercial |
$106,606.25
|
| Rate for Payer: United Healthcare Medicare Advantage |
$91,341.37
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$91,341.37
|
| Rate for Payer: Wellcare Medicare |
$86,774.30
|
|
|
MS-DRG 43.00: BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC
|
Facility
|
IP
|
$68,372.18
|
|
|
Service Code
|
MSDRG 462
|
| Min. Negotiated Rate |
$38,570.00 |
| Max. Negotiated Rate |
$68,372.18 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$41,968.69
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$49,725.22
|
| Rate for Payer: Aetna Government |
$49,725.22
|
| Rate for Payer: Brighton Health Commercial |
$38,570.00
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$50,719.72
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$47,313.61
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$40,216.57
|
| Rate for Payer: Elderplan Medicare Advantage |
$47,238.96
|
| Rate for Payer: EmblemHealth Commercial |
$49,725.22
|
| Rate for Payer: Fidelis Medicare Advantage |
$49,725.22
|
| Rate for Payer: Group Health Inc Commercial |
$49,725.22
|
| Rate for Payer: Group Health Inc Medicare |
$49,725.22
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$49,725.22
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$49,725.22
|
| Rate for Payer: Healthfirst Medicare Advantage |
$46,244.45
|
| Rate for Payer: Humana Medicare |
$68,372.18
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$49,725.22
|
| Rate for Payer: United Healthcare Commercial |
$52,899.42
|
| Rate for Payer: United Healthcare Medicare Advantage |
$49,725.22
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$49,725.22
|
| Rate for Payer: Wellcare Medicare |
$47,238.96
|
|
