|
MS-DRG 43.00: BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC
|
Facility
|
IP
|
$58,724.54
|
|
|
Service Code
|
MSDRG 409
|
| Min. Negotiated Rate |
$28,860.39 |
| Max. Negotiated Rate |
$58,724.54 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$28,860.39
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$42,708.76
|
| Rate for Payer: Aetna Government |
$42,708.76
|
| Rate for Payer: Brighton Health Commercial |
$31,570.85
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$43,562.94
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$38,727.79
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$32,918.62
|
| Rate for Payer: Elderplan Medicare Advantage |
$40,573.32
|
| Rate for Payer: EmblemHealth Commercial |
$42,708.76
|
| Rate for Payer: Fidelis Medicare Advantage |
$42,708.76
|
| Rate for Payer: Group Health Inc Commercial |
$42,708.76
|
| Rate for Payer: Group Health Inc Medicare |
$42,708.76
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$42,708.76
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$42,708.76
|
| Rate for Payer: Healthfirst Medicare Advantage |
$39,719.15
|
| Rate for Payer: Humana Medicare |
$58,724.54
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$42,708.76
|
| Rate for Payer: United Healthcare Commercial |
$43,299.97
|
| Rate for Payer: United Healthcare Medicare Advantage |
$42,708.76
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$42,708.76
|
| Rate for Payer: Wellcare Medicare |
$40,573.32
|
|
|
MS-DRG 43.00: BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC
|
Facility
|
IP
|
$86,472.21
|
|
|
Service Code
|
MSDRG 408
|
| Min. Negotiated Rate |
$51,701.20 |
| Max. Negotiated Rate |
$86,472.21 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$54,883.84
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$62,888.88
|
| Rate for Payer: Aetna Government |
$62,888.88
|
| Rate for Payer: Brighton Health Commercial |
$51,701.20
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$64,146.66
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$63,421.58
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$53,908.34
|
| Rate for Payer: Elderplan Medicare Advantage |
$59,744.44
|
| Rate for Payer: EmblemHealth Commercial |
$62,888.88
|
| Rate for Payer: Fidelis Medicare Advantage |
$62,888.88
|
| Rate for Payer: Group Health Inc Commercial |
$62,888.88
|
| Rate for Payer: Group Health Inc Medicare |
$62,888.88
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$62,888.88
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$62,888.88
|
| Rate for Payer: Healthfirst Medicare Advantage |
$58,486.66
|
| Rate for Payer: Humana Medicare |
$86,472.21
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$62,888.88
|
| Rate for Payer: United Healthcare Commercial |
$70,909.09
|
| Rate for Payer: United Healthcare Medicare Advantage |
$62,888.88
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$62,888.88
|
| Rate for Payer: Wellcare Medicare |
$59,744.44
|
|
|
MS-DRG 43.00: BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC
|
Facility
|
IP
|
$46,940.31
|
|
|
Service Code
|
MSDRG 410
|
| Min. Negotiated Rate |
$23,021.65 |
| Max. Negotiated Rate |
$46,940.31 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$23,078.87
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$34,138.41
|
| Rate for Payer: Aetna Government |
$34,138.41
|
| Rate for Payer: Brighton Health Commercial |
$23,021.65
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$34,821.18
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$28,240.53
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$24,004.45
|
| Rate for Payer: Elderplan Medicare Advantage |
$32,431.49
|
| Rate for Payer: EmblemHealth Commercial |
$34,138.41
|
| Rate for Payer: Fidelis Medicare Advantage |
$34,138.41
|
| Rate for Payer: Group Health Inc Commercial |
$34,138.41
|
| Rate for Payer: Group Health Inc Medicare |
$34,138.41
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$34,138.41
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$34,138.41
|
| Rate for Payer: Healthfirst Medicare Advantage |
$31,748.72
|
| Rate for Payer: Humana Medicare |
$46,940.31
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$34,138.41
|
| Rate for Payer: United Healthcare Commercial |
$31,574.59
|
| Rate for Payer: United Healthcare Medicare Advantage |
$34,138.41
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$34,138.41
|
| Rate for Payer: Wellcare Medicare |
$32,431.49
|
|
|
MS-DRG 43.00: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC
|
Facility
|
IP
|
$64,358.83
|
|
|
Service Code
|
MSDRG 478
|
| Min. Negotiated Rate |
$35,147.66 |
| Max. Negotiated Rate |
$64,358.83 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$35,147.66
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$46,806.42
|
| Rate for Payer: Aetna Government |
$46,806.42
|
| Rate for Payer: Brighton Health Commercial |
$35,658.40
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$47,742.55
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$43,741.96
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$37,180.67
|
| Rate for Payer: Elderplan Medicare Advantage |
$44,466.10
|
| Rate for Payer: EmblemHealth Commercial |
$46,806.42
|
| Rate for Payer: Fidelis Medicare Advantage |
$46,806.42
|
| Rate for Payer: Group Health Inc Commercial |
$46,806.42
|
| Rate for Payer: Group Health Inc Medicare |
$46,806.42
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$46,806.42
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$46,806.42
|
| Rate for Payer: Healthfirst Medicare Advantage |
$43,529.97
|
| Rate for Payer: Humana Medicare |
$64,358.83
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$46,806.42
|
| Rate for Payer: United Healthcare Commercial |
$48,906.11
|
| Rate for Payer: United Healthcare Medicare Advantage |
$46,806.42
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$46,806.42
|
| Rate for Payer: Wellcare Medicare |
$44,466.10
|
|
|
MS-DRG 43.00: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC
|
Facility
|
IP
|
$84,253.69
|
|
|
Service Code
|
MSDRG 477
|
| Min. Negotiated Rate |
$49,675.91 |
| Max. Negotiated Rate |
$84,253.69 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$49,675.91
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$61,275.41
|
| Rate for Payer: Aetna Government |
$61,275.41
|
| Rate for Payer: Brighton Health Commercial |
$50,091.70
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$62,500.92
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$61,447.21
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$52,230.13
|
| Rate for Payer: Elderplan Medicare Advantage |
$58,211.64
|
| Rate for Payer: EmblemHealth Commercial |
$61,275.41
|
| Rate for Payer: Fidelis Medicare Advantage |
$61,275.41
|
| Rate for Payer: Group Health Inc Commercial |
$61,275.41
|
| Rate for Payer: Group Health Inc Medicare |
$61,275.41
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$61,275.41
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$61,275.41
|
| Rate for Payer: Healthfirst Medicare Advantage |
$56,986.13
|
| Rate for Payer: Humana Medicare |
$84,253.69
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$61,275.41
|
| Rate for Payer: United Healthcare Commercial |
$68,701.63
|
| Rate for Payer: United Healthcare Medicare Advantage |
$61,275.41
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$61,275.41
|
| Rate for Payer: Wellcare Medicare |
$58,211.64
|
|
|
MS-DRG 43.00: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC
|
Facility
|
IP
|
$52,360.73
|
|
|
Service Code
|
MSDRG 479
|
| Min. Negotiated Rate |
$26,954.05 |
| Max. Negotiated Rate |
$52,360.73 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$27,484.68
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$38,080.53
|
| Rate for Payer: Aetna Government |
$38,080.53
|
| Rate for Payer: Brighton Health Commercial |
$26,954.05
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$38,842.14
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$33,064.38
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$28,104.73
|
| Rate for Payer: Elderplan Medicare Advantage |
$36,176.50
|
| Rate for Payer: EmblemHealth Commercial |
$38,080.53
|
| Rate for Payer: Fidelis Medicare Advantage |
$38,080.53
|
| Rate for Payer: Group Health Inc Commercial |
$38,080.53
|
| Rate for Payer: Group Health Inc Medicare |
$38,080.53
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$38,080.53
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$38,080.53
|
| Rate for Payer: Healthfirst Medicare Advantage |
$35,414.89
|
| Rate for Payer: Humana Medicare |
$52,360.73
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$38,080.53
|
| Rate for Payer: United Healthcare Commercial |
$36,967.94
|
| Rate for Payer: United Healthcare Medicare Advantage |
$38,080.53
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$38,080.53
|
| Rate for Payer: Wellcare Medicare |
$36,176.50
|
|
|
MS-DRG 43.00: BONE DISEASES AND ARTHROPATHIES WITH MCC
|
Facility
|
IP
|
$41,116.18
|
|
|
Service Code
|
MSDRG 553
|
| Min. Negotiated Rate |
$18,796.35 |
| Max. Negotiated Rate |
$41,116.18 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$19,927.87
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$29,902.68
|
| Rate for Payer: Aetna Government |
$29,902.68
|
| Rate for Payer: Brighton Health Commercial |
$18,796.35
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$30,500.73
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$23,057.38
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$19,598.77
|
| Rate for Payer: Elderplan Medicare Advantage |
$28,407.55
|
| Rate for Payer: EmblemHealth Commercial |
$29,902.68
|
| Rate for Payer: Fidelis Medicare Advantage |
$29,902.68
|
| Rate for Payer: Group Health Inc Commercial |
$29,902.68
|
| Rate for Payer: Group Health Inc Medicare |
$29,902.68
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$29,902.68
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$29,902.68
|
| Rate for Payer: Healthfirst Medicare Advantage |
$27,809.49
|
| Rate for Payer: Humana Medicare |
$41,116.18
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$29,902.68
|
| Rate for Payer: United Healthcare Commercial |
$25,779.52
|
| Rate for Payer: United Healthcare Medicare Advantage |
$29,902.68
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$29,902.68
|
| Rate for Payer: Wellcare Medicare |
$28,407.55
|
|
|
MS-DRG 43.00: BONE DISEASES AND ARTHROPATHIES WITHOUT MCC
|
Facility
|
IP
|
$31,798.35
|
|
|
Service Code
|
MSDRG 554
|
| Min. Negotiated Rate |
$12,036.45 |
| Max. Negotiated Rate |
$31,798.35 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$12,117.44
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$23,126.07
|
| Rate for Payer: Aetna Government |
$23,126.07
|
| Rate for Payer: Brighton Health Commercial |
$12,036.45
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$23,588.59
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$14,765.05
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$12,550.29
|
| Rate for Payer: Elderplan Medicare Advantage |
$21,969.77
|
| Rate for Payer: EmblemHealth Commercial |
$23,126.07
|
| Rate for Payer: Fidelis Medicare Advantage |
$23,126.07
|
| Rate for Payer: Group Health Inc Commercial |
$23,126.07
|
| Rate for Payer: Group Health Inc Medicare |
$23,126.07
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$23,126.07
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$23,126.07
|
| Rate for Payer: Healthfirst Medicare Advantage |
$21,507.25
|
| Rate for Payer: Humana Medicare |
$31,798.35
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$23,126.07
|
| Rate for Payer: United Healthcare Commercial |
$16,508.20
|
| Rate for Payer: United Healthcare Medicare Advantage |
$23,126.07
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$23,126.07
|
| Rate for Payer: Wellcare Medicare |
$21,969.77
|
|
|
MS-DRG 43.00: BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$57,993.06
|
|
|
Service Code
|
MSDRG 584
|
| Min. Negotiated Rate |
$28,879.56 |
| Max. Negotiated Rate |
$57,993.06 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$28,879.56
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$42,176.77
|
| Rate for Payer: Aetna Government |
$42,176.77
|
| Rate for Payer: Brighton Health Commercial |
$31,040.15
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$43,020.31
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$38,076.78
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$32,365.26
|
| Rate for Payer: Elderplan Medicare Advantage |
$40,067.93
|
| Rate for Payer: EmblemHealth Commercial |
$42,176.77
|
| Rate for Payer: Fidelis Medicare Advantage |
$42,176.77
|
| Rate for Payer: Group Health Inc Commercial |
$42,176.77
|
| Rate for Payer: Group Health Inc Medicare |
$42,176.77
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$42,176.77
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$42,176.77
|
| Rate for Payer: Healthfirst Medicare Advantage |
$39,224.40
|
| Rate for Payer: Humana Medicare |
$57,993.06
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$42,176.77
|
| Rate for Payer: United Healthcare Commercial |
$42,572.10
|
| Rate for Payer: United Healthcare Medicare Advantage |
$42,176.77
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$42,176.77
|
| Rate for Payer: Wellcare Medicare |
$40,067.93
|
|
|
MS-DRG 43.00: BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$53,763.81
|
|
|
Service Code
|
MSDRG 585
|
| Min. Negotiated Rate |
$24,830.58 |
| Max. Negotiated Rate |
$53,763.81 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$24,830.58
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$39,100.95
|
| Rate for Payer: Aetna Government |
$39,100.95
|
| Rate for Payer: Brighton Health Commercial |
$27,971.95
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$39,882.97
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$34,313.04
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$29,166.08
|
| Rate for Payer: Elderplan Medicare Advantage |
$37,145.90
|
| Rate for Payer: EmblemHealth Commercial |
$39,100.95
|
| Rate for Payer: Fidelis Medicare Advantage |
$39,100.95
|
| Rate for Payer: Group Health Inc Commercial |
$39,100.95
|
| Rate for Payer: Group Health Inc Medicare |
$39,100.95
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$39,100.95
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$39,100.95
|
| Rate for Payer: Healthfirst Medicare Advantage |
$36,363.88
|
| Rate for Payer: Humana Medicare |
$53,763.81
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$39,100.95
|
| Rate for Payer: United Healthcare Commercial |
$38,364.01
|
| Rate for Payer: United Healthcare Medicare Advantage |
$39,100.95
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$39,100.95
|
| Rate for Payer: Wellcare Medicare |
$37,145.90
|
|
|
MS-DRG 43.00: BRONCHITIS AND ASTHMA WITH CC/MCC
|
Facility
|
IP
|
$34,618.47
|
|
|
Service Code
|
MSDRG 202
|
| Min. Negotiated Rate |
$14,082.40 |
| Max. Negotiated Rate |
$34,618.47 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$14,118.34
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$25,177.07
|
| Rate for Payer: Aetna Government |
$25,177.07
|
| Rate for Payer: Brighton Health Commercial |
$14,082.40
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$25,680.61
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$17,274.80
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$14,683.58
|
| Rate for Payer: Elderplan Medicare Advantage |
$23,918.22
|
| Rate for Payer: EmblemHealth Commercial |
$25,177.07
|
| Rate for Payer: Fidelis Medicare Advantage |
$25,177.07
|
| Rate for Payer: Group Health Inc Commercial |
$25,177.07
|
| Rate for Payer: Group Health Inc Medicare |
$25,177.07
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$25,177.07
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$25,177.07
|
| Rate for Payer: Healthfirst Medicare Advantage |
$23,414.68
|
| Rate for Payer: Humana Medicare |
$34,618.47
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$25,177.07
|
| Rate for Payer: United Healthcare Commercial |
$19,314.25
|
| Rate for Payer: United Healthcare Medicare Advantage |
$25,177.07
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$25,177.07
|
| Rate for Payer: Wellcare Medicare |
$23,918.22
|
|
|
MS-DRG 43.00: BRONCHITIS AND ASTHMA WITHOUT CC/MCC
|
Facility
|
IP
|
$28,598.43
|
|
|
Service Code
|
MSDRG 203
|
| Min. Negotiated Rate |
$9,715.00 |
| Max. Negotiated Rate |
$28,598.43 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$10,246.30
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$20,798.86
|
| Rate for Payer: Aetna Government |
$20,798.86
|
| Rate for Payer: Brighton Health Commercial |
$9,715.00
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$21,214.84
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$11,917.34
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$10,129.74
|
| Rate for Payer: Elderplan Medicare Advantage |
$19,758.92
|
| Rate for Payer: EmblemHealth Commercial |
$20,798.86
|
| Rate for Payer: Fidelis Medicare Advantage |
$20,798.86
|
| Rate for Payer: Group Health Inc Commercial |
$20,798.86
|
| Rate for Payer: Group Health Inc Medicare |
$20,798.86
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$20,798.86
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$20,798.86
|
| Rate for Payer: Healthfirst Medicare Advantage |
$19,342.94
|
| Rate for Payer: Humana Medicare |
$28,598.43
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$20,798.86
|
| Rate for Payer: United Healthcare Commercial |
$13,324.29
|
| Rate for Payer: United Healthcare Medicare Advantage |
$20,798.86
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$20,798.86
|
| Rate for Payer: Wellcare Medicare |
$19,758.92
|
|
|
MS-DRG 43.00: CARDIAC ARREST, UNEXPLAINED WITH CC
|
Facility
|
IP
|
$27,878.88
|
|
|
Service Code
|
MSDRG 297
|
| Min. Negotiated Rate |
$9,040.75 |
| Max. Negotiated Rate |
$27,878.88 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$10,743.21
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$20,275.55
|
| Rate for Payer: Aetna Government |
$20,275.55
|
| Rate for Payer: Brighton Health Commercial |
$9,040.75
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$20,681.06
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$11,090.24
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$9,426.70
|
| Rate for Payer: Elderplan Medicare Advantage |
$19,261.77
|
| Rate for Payer: EmblemHealth Commercial |
$20,275.55
|
| Rate for Payer: Fidelis Medicare Advantage |
$20,275.55
|
| Rate for Payer: Group Health Inc Commercial |
$20,275.55
|
| Rate for Payer: Group Health Inc Medicare |
$20,275.55
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$20,275.55
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$20,275.55
|
| Rate for Payer: Healthfirst Medicare Advantage |
$18,856.26
|
| Rate for Payer: Humana Medicare |
$27,878.88
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$20,275.55
|
| Rate for Payer: United Healthcare Commercial |
$12,399.54
|
| Rate for Payer: United Healthcare Medicare Advantage |
$20,275.55
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$20,275.55
|
| Rate for Payer: Wellcare Medicare |
$19,261.77
|
|
|
MS-DRG 43.00: CARDIAC ARREST, UNEXPLAINED WITH MCC
|
Facility
|
IP
|
$46,424.68
|
|
|
Service Code
|
MSDRG 296
|
| Min. Negotiated Rate |
$22,647.55 |
| Max. Negotiated Rate |
$46,424.68 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$23,639.18
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$33,763.40
|
| Rate for Payer: Aetna Government |
$33,763.40
|
| Rate for Payer: Brighton Health Commercial |
$22,647.55
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$34,438.67
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$27,781.62
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$23,614.38
|
| Rate for Payer: Elderplan Medicare Advantage |
$32,075.23
|
| Rate for Payer: EmblemHealth Commercial |
$33,763.40
|
| Rate for Payer: Fidelis Medicare Advantage |
$33,763.40
|
| Rate for Payer: Group Health Inc Commercial |
$33,763.40
|
| Rate for Payer: Group Health Inc Medicare |
$33,763.40
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$33,763.40
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$33,763.40
|
| Rate for Payer: Healthfirst Medicare Advantage |
$31,399.96
|
| Rate for Payer: Humana Medicare |
$46,424.68
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$33,763.40
|
| Rate for Payer: United Healthcare Commercial |
$31,061.51
|
| Rate for Payer: United Healthcare Medicare Advantage |
$33,763.40
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$33,763.40
|
| Rate for Payer: Wellcare Medicare |
$32,075.23
|
|
|
MS-DRG 43.00: CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC
|
Facility
|
IP
|
$24,303.28
|
|
|
Service Code
|
MSDRG 298
|
| Min. Negotiated Rate |
$6,471.58 |
| Max. Negotiated Rate |
$24,303.28 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$6,471.58
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$17,675.11
|
| Rate for Payer: Aetna Government |
$17,675.11
|
| Rate for Payer: Brighton Health Commercial |
$6,598.95
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$18,028.61
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$8,094.90
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$6,880.66
|
| Rate for Payer: Elderplan Medicare Advantage |
$16,791.35
|
| Rate for Payer: EmblemHealth Commercial |
$17,675.11
|
| Rate for Payer: Fidelis Medicare Advantage |
$17,675.11
|
| Rate for Payer: Group Health Inc Commercial |
$17,675.11
|
| Rate for Payer: Group Health Inc Medicare |
$17,675.11
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$17,675.11
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$17,675.11
|
| Rate for Payer: Healthfirst Medicare Advantage |
$16,437.85
|
| Rate for Payer: Humana Medicare |
$24,303.28
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$17,675.11
|
| Rate for Payer: United Healthcare Commercial |
$9,050.57
|
| Rate for Payer: United Healthcare Medicare Advantage |
$17,675.11
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$17,675.11
|
| Rate for Payer: Wellcare Medicare |
$16,791.35
|
|
|
MS-DRG 43.00: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC
|
Facility
|
IP
|
$29,911.56
|
|
|
Service Code
|
MSDRG 309
|
| Min. Negotiated Rate |
$10,667.65 |
| Max. Negotiated Rate |
$29,911.56 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$10,980.60
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$21,753.86
|
| Rate for Payer: Aetna Government |
$21,753.86
|
| Rate for Payer: Brighton Health Commercial |
$10,667.65
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$22,188.94
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$13,085.95
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$11,123.06
|
| Rate for Payer: Elderplan Medicare Advantage |
$20,666.17
|
| Rate for Payer: EmblemHealth Commercial |
$21,753.86
|
| Rate for Payer: Fidelis Medicare Advantage |
$21,753.86
|
| Rate for Payer: Group Health Inc Commercial |
$21,753.86
|
| Rate for Payer: Group Health Inc Medicare |
$21,753.86
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$21,753.86
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$21,753.86
|
| Rate for Payer: Healthfirst Medicare Advantage |
$20,231.09
|
| Rate for Payer: Humana Medicare |
$29,911.56
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$21,753.86
|
| Rate for Payer: United Healthcare Commercial |
$14,630.87
|
| Rate for Payer: United Healthcare Medicare Advantage |
$21,753.86
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$21,753.86
|
| Rate for Payer: Wellcare Medicare |
$20,666.17
|
|
|
MS-DRG 43.00: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC
|
Facility
|
IP
|
$39,271.39
|
|
|
Service Code
|
MSDRG 308
|
| Min. Negotiated Rate |
$17,458.00 |
| Max. Negotiated Rate |
$39,271.39 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$17,726.44
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$28,561.01
|
| Rate for Payer: Aetna Government |
$28,561.01
|
| Rate for Payer: Brighton Health Commercial |
$17,458.00
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$29,132.23
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$21,415.63
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$18,203.29
|
| Rate for Payer: Elderplan Medicare Advantage |
$27,132.96
|
| Rate for Payer: EmblemHealth Commercial |
$28,561.01
|
| Rate for Payer: Fidelis Medicare Advantage |
$28,561.01
|
| Rate for Payer: Group Health Inc Commercial |
$28,561.01
|
| Rate for Payer: Group Health Inc Medicare |
$28,561.01
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$28,561.01
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$28,561.01
|
| Rate for Payer: Healthfirst Medicare Advantage |
$26,561.74
|
| Rate for Payer: Humana Medicare |
$39,271.39
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$28,561.01
|
| Rate for Payer: United Healthcare Commercial |
$23,943.95
|
| Rate for Payer: United Healthcare Medicare Advantage |
$28,561.01
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$28,561.01
|
| Rate for Payer: Wellcare Medicare |
$27,132.96
|
|
|
MS-DRG 43.00: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC
|
Facility
|
IP
|
$26,521.84
|
|
|
Service Code
|
MSDRG 310
|
| Min. Negotiated Rate |
$8,153.99 |
| Max. Negotiated Rate |
$26,521.84 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$8,153.99
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$19,288.61
|
| Rate for Payer: Aetna Government |
$19,288.61
|
| Rate for Payer: Brighton Health Commercial |
$8,208.45
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$19,674.38
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$10,069.26
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$8,558.87
|
| Rate for Payer: Elderplan Medicare Advantage |
$18,324.18
|
| Rate for Payer: EmblemHealth Commercial |
$19,288.61
|
| Rate for Payer: Fidelis Medicare Advantage |
$19,288.61
|
| Rate for Payer: Group Health Inc Commercial |
$19,288.61
|
| Rate for Payer: Group Health Inc Medicare |
$19,288.61
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$19,288.61
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$19,288.61
|
| Rate for Payer: Healthfirst Medicare Advantage |
$17,938.41
|
| Rate for Payer: Humana Medicare |
$26,521.84
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$19,288.61
|
| Rate for Payer: United Healthcare Commercial |
$11,258.03
|
| Rate for Payer: United Healthcare Medicare Advantage |
$19,288.61
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$19,288.61
|
| Rate for Payer: Wellcare Medicare |
$18,324.18
|
|
|
MS-DRG 43.00: CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC
|
Facility
|
IP
|
$46,702.47
|
|
|
Service Code
|
MSDRG 306
|
| Min. Negotiated Rate |
$22,660.12 |
| Max. Negotiated Rate |
$46,702.47 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$22,660.12
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$33,965.43
|
| Rate for Payer: Aetna Government |
$33,965.43
|
| Rate for Payer: Brighton Health Commercial |
$22,849.10
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$34,644.74
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$28,028.86
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$23,824.54
|
| Rate for Payer: Elderplan Medicare Advantage |
$32,267.16
|
| Rate for Payer: EmblemHealth Commercial |
$33,965.43
|
| Rate for Payer: Fidelis Medicare Advantage |
$33,965.43
|
| Rate for Payer: Group Health Inc Commercial |
$33,965.43
|
| Rate for Payer: Group Health Inc Medicare |
$33,965.43
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$33,965.43
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$33,965.43
|
| Rate for Payer: Healthfirst Medicare Advantage |
$31,587.85
|
| Rate for Payer: Humana Medicare |
$46,702.47
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$33,965.43
|
| Rate for Payer: United Healthcare Commercial |
$31,337.93
|
| Rate for Payer: United Healthcare Medicare Advantage |
$33,965.43
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$33,965.43
|
| Rate for Payer: Wellcare Medicare |
$32,267.16
|
|
|
MS-DRG 43.00: CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC
|
Facility
|
IP
|
$33,459.25
|
|
|
Service Code
|
MSDRG 307
|
| Min. Negotiated Rate |
$13,241.40 |
| Max. Negotiated Rate |
$33,459.25 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$13,898.64
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$24,334.00
|
| Rate for Payer: Aetna Government |
$24,334.00
|
| Rate for Payer: Brighton Health Commercial |
$13,241.40
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$24,820.68
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$16,243.15
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$13,806.68
|
| Rate for Payer: Elderplan Medicare Advantage |
$23,117.30
|
| Rate for Payer: EmblemHealth Commercial |
$24,334.00
|
| Rate for Payer: Fidelis Medicare Advantage |
$24,334.00
|
| Rate for Payer: Group Health Inc Commercial |
$24,334.00
|
| Rate for Payer: Group Health Inc Medicare |
$24,334.00
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$24,334.00
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$24,334.00
|
| Rate for Payer: Healthfirst Medicare Advantage |
$22,630.62
|
| Rate for Payer: Humana Medicare |
$33,459.25
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$24,334.00
|
| Rate for Payer: United Healthcare Commercial |
$18,160.81
|
| Rate for Payer: United Healthcare Medicare Advantage |
$24,334.00
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$24,334.00
|
| Rate for Payer: Wellcare Medicare |
$23,117.30
|
|
|
MS-DRG 43.00: CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC
|
Facility
|
IP
|
$157,721.19
|
|
|
Service Code
|
MSDRG 275
|
| Min. Negotiated Rate |
$103,390.80 |
| Max. Negotiated Rate |
$157,721.19 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$103,742.87
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$114,706.32
|
| Rate for Payer: Aetna Government |
$114,706.32
|
| Rate for Payer: Brighton Health Commercial |
$103,390.80
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$117,000.45
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$126,828.92
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$107,804.59
|
| Rate for Payer: Elderplan Medicare Advantage |
$108,971.00
|
| Rate for Payer: EmblemHealth Commercial |
$114,706.32
|
| Rate for Payer: Fidelis Medicare Advantage |
$114,706.32
|
| Rate for Payer: Group Health Inc Commercial |
$114,706.32
|
| Rate for Payer: Group Health Inc Medicare |
$114,706.32
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$114,706.32
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$114,706.32
|
| Rate for Payer: Healthfirst Medicare Advantage |
$106,676.88
|
| Rate for Payer: Humana Medicare |
$157,721.19
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$114,706.32
|
| Rate for Payer: United Healthcare Commercial |
$141,802.26
|
| Rate for Payer: United Healthcare Medicare Advantage |
$114,706.32
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$114,706.32
|
| Rate for Payer: Wellcare Medicare |
$108,971.00
|
|
|
MS-DRG 43.00: CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR
|
Facility
|
IP
|
$135,260.00
|
|
|
Service Code
|
MSDRG 276
|
| Min. Negotiated Rate |
$87,095.70 |
| Max. Negotiated Rate |
$135,260.00 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$91,569.40
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$98,370.91
|
| Rate for Payer: Aetna Government |
$98,370.91
|
| Rate for Payer: Brighton Health Commercial |
$87,095.70
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$100,338.33
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$106,839.81
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$90,813.85
|
| Rate for Payer: Elderplan Medicare Advantage |
$93,452.36
|
| Rate for Payer: EmblemHealth Commercial |
$98,370.91
|
| Rate for Payer: Fidelis Medicare Advantage |
$98,370.91
|
| Rate for Payer: Group Health Inc Commercial |
$98,370.91
|
| Rate for Payer: Group Health Inc Medicare |
$98,370.91
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$98,370.91
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$98,370.91
|
| Rate for Payer: Healthfirst Medicare Advantage |
$91,484.95
|
| Rate for Payer: Humana Medicare |
$135,260.00
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$98,370.91
|
| Rate for Payer: United Healthcare Commercial |
$119,453.25
|
| Rate for Payer: United Healthcare Medicare Advantage |
$98,370.91
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$98,370.91
|
| Rate for Payer: Wellcare Medicare |
$93,452.36
|
|
|
MS-DRG 43.00: CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC
|
Facility
|
IP
|
$107,516.31
|
|
|
Service Code
|
MSDRG 277
|
| Min. Negotiated Rate |
$66,968.25 |
| Max. Negotiated Rate |
$107,516.31 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$70,516.49
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$78,193.68
|
| Rate for Payer: Aetna Government |
$78,193.68
|
| Rate for Payer: Brighton Health Commercial |
$66,968.25
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$79,757.55
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$82,149.58
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$69,827.15
|
| Rate for Payer: Elderplan Medicare Advantage |
$74,284.00
|
| Rate for Payer: EmblemHealth Commercial |
$78,193.68
|
| Rate for Payer: Fidelis Medicare Advantage |
$78,193.68
|
| Rate for Payer: Group Health Inc Commercial |
$78,193.68
|
| Rate for Payer: Group Health Inc Medicare |
$78,193.68
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$78,193.68
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$78,193.68
|
| Rate for Payer: Healthfirst Medicare Advantage |
$72,720.12
|
| Rate for Payer: Humana Medicare |
$107,516.31
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$78,193.68
|
| Rate for Payer: United Healthcare Commercial |
$91,848.11
|
| Rate for Payer: United Healthcare Medicare Advantage |
$78,193.68
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$78,193.68
|
| Rate for Payer: Wellcare Medicare |
$74,284.00
|
|
|
MS-DRG 43.00: CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC
|
Facility
|
IP
|
$78,007.81
|
|
|
Service Code
|
MSDRG 258
|
| Min. Negotiated Rate |
$39,938.31 |
| Max. Negotiated Rate |
$78,007.81 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$39,938.31
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$56,732.95
|
| Rate for Payer: Aetna Government |
$56,732.95
|
| Rate for Payer: Brighton Health Commercial |
$45,560.45
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$57,867.61
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$55,888.75
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$47,505.44
|
| Rate for Payer: Elderplan Medicare Advantage |
$53,896.30
|
| Rate for Payer: EmblemHealth Commercial |
$56,732.95
|
| Rate for Payer: Fidelis Medicare Advantage |
$56,732.95
|
| Rate for Payer: Group Health Inc Commercial |
$56,732.95
|
| Rate for Payer: Group Health Inc Medicare |
$56,732.95
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$56,732.95
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$56,732.95
|
| Rate for Payer: Healthfirst Medicare Advantage |
$52,761.64
|
| Rate for Payer: Humana Medicare |
$78,007.81
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$56,732.95
|
| Rate for Payer: United Healthcare Commercial |
$62,486.94
|
| Rate for Payer: United Healthcare Medicare Advantage |
$56,732.95
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$56,732.95
|
| Rate for Payer: Wellcare Medicare |
$53,896.30
|
|
|
MS-DRG 43.00: CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC
|
Facility
|
IP
|
$55,622.60
|
|
|
Service Code
|
MSDRG 259
|
| Min. Negotiated Rate |
$27,523.02 |
| Max. Negotiated Rate |
$55,622.60 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$27,523.02
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$40,452.80
|
| Rate for Payer: Aetna Government |
$40,452.80
|
| Rate for Payer: Brighton Health Commercial |
$29,320.45
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$41,261.86
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$35,967.23
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$30,572.15
|
| Rate for Payer: Elderplan Medicare Advantage |
$38,430.16
|
| Rate for Payer: EmblemHealth Commercial |
$40,452.80
|
| Rate for Payer: Fidelis Medicare Advantage |
$40,452.80
|
| Rate for Payer: Group Health Inc Commercial |
$40,452.80
|
| Rate for Payer: Group Health Inc Medicare |
$40,452.80
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$40,452.80
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$40,452.80
|
| Rate for Payer: Healthfirst Medicare Advantage |
$37,621.10
|
| Rate for Payer: Humana Medicare |
$55,622.60
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$40,452.80
|
| Rate for Payer: United Healthcare Commercial |
$40,213.50
|
| Rate for Payer: United Healthcare Medicare Advantage |
$40,452.80
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$40,452.80
|
| Rate for Payer: Wellcare Medicare |
$38,430.16
|
|
