|
MS-DRG 43.00: CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC
|
Facility
|
IP
|
$52,992.33
|
|
|
Service Code
|
MSDRG 261
|
| Min. Negotiated Rate |
$27,412.25 |
| Max. Negotiated Rate |
$52,992.33 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$27,747.14
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$38,539.88
|
| Rate for Payer: Aetna Government |
$38,539.88
|
| Rate for Payer: Brighton Health Commercial |
$27,412.25
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$39,310.68
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$33,626.46
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$28,582.49
|
| Rate for Payer: Elderplan Medicare Advantage |
$36,612.89
|
| Rate for Payer: EmblemHealth Commercial |
$38,539.88
|
| Rate for Payer: Fidelis Medicare Advantage |
$38,539.88
|
| Rate for Payer: Group Health Inc Commercial |
$38,539.88
|
| Rate for Payer: Group Health Inc Medicare |
$38,539.88
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$38,539.88
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$38,539.88
|
| Rate for Payer: Healthfirst Medicare Advantage |
$35,842.09
|
| Rate for Payer: Humana Medicare |
$52,992.33
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$38,539.88
|
| Rate for Payer: United Healthcare Commercial |
$37,596.37
|
| Rate for Payer: United Healthcare Medicare Advantage |
$38,539.88
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$38,539.88
|
| Rate for Payer: Wellcare Medicare |
$36,612.89
|
|
|
MS-DRG 43.00: CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC
|
Facility
|
IP
|
$80,220.35
|
|
|
Service Code
|
MSDRG 260
|
| Min. Negotiated Rate |
$47,165.60 |
| Max. Negotiated Rate |
$80,220.35 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$48,882.62
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$58,342.07
|
| Rate for Payer: Aetna Government |
$58,342.07
|
| Rate for Payer: Brighton Health Commercial |
$47,165.60
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$59,508.91
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$57,857.78
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$49,179.12
|
| Rate for Payer: Elderplan Medicare Advantage |
$55,424.97
|
| Rate for Payer: EmblemHealth Commercial |
$58,342.07
|
| Rate for Payer: Fidelis Medicare Advantage |
$58,342.07
|
| Rate for Payer: Group Health Inc Commercial |
$58,342.07
|
| Rate for Payer: Group Health Inc Medicare |
$58,342.07
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$58,342.07
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$58,342.07
|
| Rate for Payer: Healthfirst Medicare Advantage |
$54,258.13
|
| Rate for Payer: Humana Medicare |
$80,220.35
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$58,342.07
|
| Rate for Payer: United Healthcare Commercial |
$64,688.43
|
| Rate for Payer: United Healthcare Medicare Advantage |
$58,342.07
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$58,342.07
|
| Rate for Payer: Wellcare Medicare |
$55,424.97
|
|
|
MS-DRG 43.00: CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC
|
Facility
|
IP
|
$47,783.78
|
|
|
Service Code
|
MSDRG 262
|
| Min. Negotiated Rate |
$23,633.55 |
| Max. Negotiated Rate |
$47,783.78 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$24,259.95
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$34,751.84
|
| Rate for Payer: Aetna Government |
$34,751.84
|
| Rate for Payer: Brighton Health Commercial |
$23,633.55
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$35,446.88
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$28,991.15
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$24,642.47
|
| Rate for Payer: Elderplan Medicare Advantage |
$33,014.25
|
| Rate for Payer: EmblemHealth Commercial |
$34,751.84
|
| Rate for Payer: Fidelis Medicare Advantage |
$34,751.84
|
| Rate for Payer: Group Health Inc Commercial |
$34,751.84
|
| Rate for Payer: Group Health Inc Medicare |
$34,751.84
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$34,751.84
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$34,751.84
|
| Rate for Payer: Healthfirst Medicare Advantage |
$32,319.21
|
| Rate for Payer: Humana Medicare |
$47,783.78
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$34,751.84
|
| Rate for Payer: United Healthcare Commercial |
$32,413.82
|
| Rate for Payer: United Healthcare Medicare Advantage |
$34,751.84
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$34,751.84
|
| Rate for Payer: Wellcare Medicare |
$33,014.25
|
|
|
MS-DRG 43.00: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC
|
Facility
|
IP
|
$146,626.55
|
|
|
Service Code
|
MSDRG 217
|
| Min. Negotiated Rate |
$93,856.35 |
| Max. Negotiated Rate |
$146,626.55 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$93,856.35
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$106,637.49
|
| Rate for Payer: Aetna Government |
$106,637.49
|
| Rate for Payer: Brighton Health Commercial |
$95,341.85
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$108,770.24
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$116,955.32
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$99,412.03
|
| Rate for Payer: Elderplan Medicare Advantage |
$101,305.62
|
| Rate for Payer: EmblemHealth Commercial |
$106,637.49
|
| Rate for Payer: Fidelis Medicare Advantage |
$106,637.49
|
| Rate for Payer: Group Health Inc Commercial |
$106,637.49
|
| Rate for Payer: Group Health Inc Medicare |
$106,637.49
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$106,637.49
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$106,637.49
|
| Rate for Payer: Healthfirst Medicare Advantage |
$99,172.87
|
| Rate for Payer: Humana Medicare |
$146,626.55
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$106,637.49
|
| Rate for Payer: United Healthcare Commercial |
$130,762.99
|
| Rate for Payer: United Healthcare Medicare Advantage |
$106,637.49
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$106,637.49
|
| Rate for Payer: Wellcare Medicare |
$101,305.62
|
|
|
MS-DRG 43.00: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC
|
Facility
|
IP
|
$210,734.20
|
|
|
Service Code
|
MSDRG 216
|
| Min. Negotiated Rate |
$141,850.60 |
| Max. Negotiated Rate |
$210,734.20 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$143,104.65
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$153,261.24
|
| Rate for Payer: Aetna Government |
$153,261.24
|
| Rate for Payer: Brighton Health Commercial |
$141,850.60
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$156,326.46
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$174,007.35
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$147,906.25
|
| Rate for Payer: Elderplan Medicare Advantage |
$145,598.18
|
| Rate for Payer: EmblemHealth Commercial |
$153,261.24
|
| Rate for Payer: Fidelis Medicare Advantage |
$153,261.24
|
| Rate for Payer: Group Health Inc Commercial |
$153,261.24
|
| Rate for Payer: Group Health Inc Medicare |
$153,261.24
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$153,261.24
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$153,261.24
|
| Rate for Payer: Healthfirst Medicare Advantage |
$142,532.95
|
| Rate for Payer: Humana Medicare |
$210,734.20
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$153,261.24
|
| Rate for Payer: United Healthcare Commercial |
$194,550.54
|
| Rate for Payer: United Healthcare Medicare Advantage |
$153,261.24
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$153,261.24
|
| Rate for Payer: Wellcare Medicare |
$145,598.18
|
|
|
MS-DRG 43.00: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC
|
Facility
|
IP
|
$146,626.55
|
|
|
Service Code
|
MSDRG 218
|
| Min. Negotiated Rate |
$83,997.84 |
| Max. Negotiated Rate |
$146,626.55 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$83,997.84
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$106,637.49
|
| Rate for Payer: Aetna Government |
$106,637.49
|
| Rate for Payer: Brighton Health Commercial |
$95,341.85
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$108,770.24
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$116,955.32
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$99,412.03
|
| Rate for Payer: Elderplan Medicare Advantage |
$101,305.62
|
| Rate for Payer: EmblemHealth Commercial |
$106,637.49
|
| Rate for Payer: Fidelis Medicare Advantage |
$106,637.49
|
| Rate for Payer: Group Health Inc Commercial |
$106,637.49
|
| Rate for Payer: Group Health Inc Medicare |
$106,637.49
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$106,637.49
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$106,637.49
|
| Rate for Payer: Healthfirst Medicare Advantage |
$99,172.87
|
| Rate for Payer: Humana Medicare |
$146,626.55
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$106,637.49
|
| Rate for Payer: United Healthcare Commercial |
$130,762.99
|
| Rate for Payer: United Healthcare Medicare Advantage |
$106,637.49
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$106,637.49
|
| Rate for Payer: Wellcare Medicare |
$101,305.62
|
|
|
MS-DRG 43.00: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC
|
Facility
|
IP
|
$121,792.89
|
|
|
Service Code
|
MSDRG 220
|
| Min. Negotiated Rate |
$77,325.60 |
| Max. Negotiated Rate |
$121,792.89 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$77,331.63
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$88,576.65
|
| Rate for Payer: Aetna Government |
$88,576.65
|
| Rate for Payer: Brighton Health Commercial |
$77,325.60
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$90,348.18
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$94,854.89
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$80,626.66
|
| Rate for Payer: Elderplan Medicare Advantage |
$84,147.82
|
| Rate for Payer: EmblemHealth Commercial |
$88,576.65
|
| Rate for Payer: Fidelis Medicare Advantage |
$88,576.65
|
| Rate for Payer: Group Health Inc Commercial |
$88,576.65
|
| Rate for Payer: Group Health Inc Medicare |
$88,576.65
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$88,576.65
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$88,576.65
|
| Rate for Payer: Healthfirst Medicare Advantage |
$82,376.28
|
| Rate for Payer: Humana Medicare |
$121,792.89
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$88,576.65
|
| Rate for Payer: United Healthcare Commercial |
$106,053.39
|
| Rate for Payer: United Healthcare Medicare Advantage |
$88,576.65
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$88,576.65
|
| Rate for Payer: Wellcare Medicare |
$84,147.82
|
|
|
MS-DRG 43.00: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC
|
Facility
|
IP
|
$168,671.92
|
|
|
Service Code
|
MSDRG 219
|
| Min. Negotiated Rate |
$111,335.35 |
| Max. Negotiated Rate |
$168,671.92 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$113,701.64
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$122,670.49
|
| Rate for Payer: Aetna Government |
$122,670.49
|
| Rate for Payer: Brighton Health Commercial |
$111,335.35
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$125,123.90
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$136,574.46
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$116,088.29
|
| Rate for Payer: Elderplan Medicare Advantage |
$116,536.97
|
| Rate for Payer: EmblemHealth Commercial |
$122,670.49
|
| Rate for Payer: Fidelis Medicare Advantage |
$122,670.49
|
| Rate for Payer: Group Health Inc Commercial |
$122,670.49
|
| Rate for Payer: Group Health Inc Medicare |
$122,670.49
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$122,670.49
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$122,670.49
|
| Rate for Payer: Healthfirst Medicare Advantage |
$114,083.56
|
| Rate for Payer: Humana Medicare |
$168,671.92
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$122,670.49
|
| Rate for Payer: United Healthcare Commercial |
$152,698.35
|
| Rate for Payer: United Healthcare Medicare Advantage |
$122,670.49
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$122,670.49
|
| Rate for Payer: Wellcare Medicare |
$116,536.97
|
|
|
MS-DRG 43.00: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC
|
Facility
|
IP
|
$115,944.77
|
|
|
Service Code
|
MSDRG 221
|
| Min. Negotiated Rate |
$68,543.61 |
| Max. Negotiated Rate |
$115,944.77 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$68,543.61
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$84,323.47
|
| Rate for Payer: Aetna Government |
$84,323.47
|
| Rate for Payer: Brighton Health Commercial |
$73,082.90
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$86,009.94
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$89,650.39
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$76,202.83
|
| Rate for Payer: Elderplan Medicare Advantage |
$80,107.30
|
| Rate for Payer: EmblemHealth Commercial |
$84,323.47
|
| Rate for Payer: Fidelis Medicare Advantage |
$84,323.47
|
| Rate for Payer: Group Health Inc Commercial |
$84,323.47
|
| Rate for Payer: Group Health Inc Medicare |
$84,323.47
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$84,323.47
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$84,323.47
|
| Rate for Payer: Healthfirst Medicare Advantage |
$78,420.83
|
| Rate for Payer: Humana Medicare |
$115,944.77
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$84,323.47
|
| Rate for Payer: United Healthcare Commercial |
$100,234.46
|
| Rate for Payer: United Healthcare Medicare Advantage |
$84,323.47
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$84,323.47
|
| Rate for Payer: Wellcare Medicare |
$80,107.30
|
|
|
MS-DRG 43.00: CAROTID ARTERY STENT PROCEDURES WITH CC
|
Facility
|
IP
|
$62,985.72
|
|
|
Service Code
|
MSDRG 035
|
| Min. Negotiated Rate |
$33,906.13 |
| Max. Negotiated Rate |
$62,985.72 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$33,906.13
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$45,807.80
|
| Rate for Payer: Aetna Government |
$45,807.80
|
| Rate for Payer: Brighton Health Commercial |
$34,662.25
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$46,723.96
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$42,519.99
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$36,141.99
|
| Rate for Payer: Elderplan Medicare Advantage |
$43,517.41
|
| Rate for Payer: EmblemHealth Commercial |
$45,807.80
|
| Rate for Payer: Fidelis Medicare Advantage |
$45,807.80
|
| Rate for Payer: Group Health Inc Commercial |
$45,807.80
|
| Rate for Payer: Group Health Inc Medicare |
$45,807.80
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$45,807.80
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$45,807.80
|
| Rate for Payer: Healthfirst Medicare Advantage |
$42,601.25
|
| Rate for Payer: Humana Medicare |
$62,985.72
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$45,807.80
|
| Rate for Payer: United Healthcare Commercial |
$47,539.87
|
| Rate for Payer: United Healthcare Medicare Advantage |
$45,807.80
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$45,807.80
|
| Rate for Payer: Wellcare Medicare |
$43,517.41
|
|
|
MS-DRG 43.00: CAROTID ARTERY STENT PROCEDURES WITH MCC
|
Facility
|
IP
|
$92,570.18
|
|
|
Service Code
|
MSDRG 034
|
| Min. Negotiated Rate |
$56,125.15 |
| Max. Negotiated Rate |
$92,570.18 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$57,526.14
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$67,323.77
|
| Rate for Payer: Aetna Government |
$67,323.77
|
| Rate for Payer: Brighton Health Commercial |
$56,125.15
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$68,670.25
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$68,848.41
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$58,521.15
|
| Rate for Payer: Elderplan Medicare Advantage |
$63,957.58
|
| Rate for Payer: EmblemHealth Commercial |
$67,323.77
|
| Rate for Payer: Fidelis Medicare Advantage |
$67,323.77
|
| Rate for Payer: Group Health Inc Commercial |
$67,323.77
|
| Rate for Payer: Group Health Inc Medicare |
$67,323.77
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$67,323.77
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$67,323.77
|
| Rate for Payer: Healthfirst Medicare Advantage |
$62,611.11
|
| Rate for Payer: Humana Medicare |
$92,570.18
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$67,323.77
|
| Rate for Payer: United Healthcare Commercial |
$76,976.61
|
| Rate for Payer: United Healthcare Medicare Advantage |
$67,323.77
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$67,323.77
|
| Rate for Payer: Wellcare Medicare |
$63,957.58
|
|
|
MS-DRG 43.00: CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$54,037.62
|
|
|
Service Code
|
MSDRG 036
|
| Min. Negotiated Rate |
$26,661.91 |
| Max. Negotiated Rate |
$54,037.62 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$26,661.91
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$39,300.09
|
| Rate for Payer: Aetna Government |
$39,300.09
|
| Rate for Payer: Brighton Health Commercial |
$28,170.60
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$40,086.09
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$34,556.72
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$29,373.21
|
| Rate for Payer: Elderplan Medicare Advantage |
$37,335.09
|
| Rate for Payer: EmblemHealth Commercial |
$39,300.09
|
| Rate for Payer: Fidelis Medicare Advantage |
$39,300.09
|
| Rate for Payer: Group Health Inc Commercial |
$39,300.09
|
| Rate for Payer: Group Health Inc Medicare |
$39,300.09
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$39,300.09
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$39,300.09
|
| Rate for Payer: Healthfirst Medicare Advantage |
$36,549.08
|
| Rate for Payer: Humana Medicare |
$54,037.62
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$39,300.09
|
| Rate for Payer: United Healthcare Commercial |
$38,636.46
|
| Rate for Payer: United Healthcare Medicare Advantage |
$39,300.09
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$39,300.09
|
| Rate for Payer: Wellcare Medicare |
$37,335.09
|
|
|
MS-DRG 43.00: CELLULITIS WITH MCC
|
Facility
|
IP
|
$43,614.53
|
|
|
Service Code
|
MSDRG 602
|
| Min. Negotiated Rate |
$20,608.85 |
| Max. Negotiated Rate |
$43,614.53 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$21,933.19
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$31,719.66
|
| Rate for Payer: Aetna Government |
$31,719.66
|
| Rate for Payer: Brighton Health Commercial |
$20,608.85
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$32,354.05
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$25,280.76
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$21,488.65
|
| Rate for Payer: Elderplan Medicare Advantage |
$30,133.68
|
| Rate for Payer: EmblemHealth Commercial |
$31,719.66
|
| Rate for Payer: Fidelis Medicare Advantage |
$31,719.66
|
| Rate for Payer: Group Health Inc Commercial |
$31,719.66
|
| Rate for Payer: Group Health Inc Medicare |
$31,719.66
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$31,719.66
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$31,719.66
|
| Rate for Payer: Healthfirst Medicare Advantage |
$29,499.28
|
| Rate for Payer: Humana Medicare |
$43,614.53
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$31,719.66
|
| Rate for Payer: United Healthcare Commercial |
$28,265.39
|
| Rate for Payer: United Healthcare Medicare Advantage |
$31,719.66
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$31,719.66
|
| Rate for Payer: Wellcare Medicare |
$30,133.68
|
|
|
MS-DRG 43.00: CELLULITIS WITHOUT MCC
|
Facility
|
IP
|
$32,613.76
|
|
|
Service Code
|
MSDRG 603
|
| Min. Negotiated Rate |
$12,628.05 |
| Max. Negotiated Rate |
$32,613.76 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$13,044.90
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$23,719.10
|
| Rate for Payer: Aetna Government |
$23,719.10
|
| Rate for Payer: Brighton Health Commercial |
$12,628.05
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$24,193.48
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$15,490.76
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$13,167.15
|
| Rate for Payer: Elderplan Medicare Advantage |
$22,533.15
|
| Rate for Payer: EmblemHealth Commercial |
$23,719.10
|
| Rate for Payer: Fidelis Medicare Advantage |
$23,719.10
|
| Rate for Payer: Group Health Inc Commercial |
$23,719.10
|
| Rate for Payer: Group Health Inc Medicare |
$23,719.10
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$23,719.10
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$23,719.10
|
| Rate for Payer: Healthfirst Medicare Advantage |
$22,058.76
|
| Rate for Payer: Humana Medicare |
$32,613.76
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$23,719.10
|
| Rate for Payer: United Healthcare Commercial |
$17,319.59
|
| Rate for Payer: United Healthcare Medicare Advantage |
$23,719.10
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$23,719.10
|
| Rate for Payer: Wellcare Medicare |
$22,533.15
|
|
|
MS-DRG 43.00: CERVICAL SPINAL FUSION WITH CC
|
Facility
|
IP
|
$74,090.42
|
|
|
Service Code
|
MSDRG 472
|
| Min. Negotiated Rate |
$42,718.45 |
| Max. Negotiated Rate |
$74,090.42 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$43,577.37
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$53,883.94
|
| Rate for Payer: Aetna Government |
$53,883.94
|
| Rate for Payer: Brighton Health Commercial |
$42,718.45
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$54,961.62
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$52,402.49
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$44,542.12
|
| Rate for Payer: Elderplan Medicare Advantage |
$51,189.74
|
| Rate for Payer: EmblemHealth Commercial |
$53,883.94
|
| Rate for Payer: Fidelis Medicare Advantage |
$53,883.94
|
| Rate for Payer: Group Health Inc Commercial |
$53,883.94
|
| Rate for Payer: Group Health Inc Medicare |
$53,883.94
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$53,883.94
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$53,883.94
|
| Rate for Payer: Healthfirst Medicare Advantage |
$50,112.06
|
| Rate for Payer: Humana Medicare |
$74,090.42
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$53,883.94
|
| Rate for Payer: United Healthcare Commercial |
$58,589.09
|
| Rate for Payer: United Healthcare Medicare Advantage |
$53,883.94
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$53,883.94
|
| Rate for Payer: Wellcare Medicare |
$51,189.74
|
|
|
MS-DRG 43.00: CERVICAL SPINAL FUSION WITH MCC
|
Facility
|
IP
|
$111,717.55
|
|
|
Service Code
|
MSDRG 471
|
| Min. Negotiated Rate |
$70,016.15 |
| Max. Negotiated Rate |
$111,717.55 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$72,530.66
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$81,249.13
|
| Rate for Payer: Aetna Government |
$81,249.13
|
| Rate for Payer: Brighton Health Commercial |
$70,016.15
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$82,874.11
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$85,888.42
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$73,005.16
|
| Rate for Payer: Elderplan Medicare Advantage |
$77,186.67
|
| Rate for Payer: EmblemHealth Commercial |
$81,249.13
|
| Rate for Payer: Fidelis Medicare Advantage |
$81,249.13
|
| Rate for Payer: Group Health Inc Commercial |
$81,249.13
|
| Rate for Payer: Group Health Inc Medicare |
$81,249.13
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$81,249.13
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$81,249.13
|
| Rate for Payer: Healthfirst Medicare Advantage |
$75,561.69
|
| Rate for Payer: Humana Medicare |
$111,717.55
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$81,249.13
|
| Rate for Payer: United Healthcare Commercial |
$96,028.36
|
| Rate for Payer: United Healthcare Medicare Advantage |
$81,249.13
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$81,249.13
|
| Rate for Payer: Wellcare Medicare |
$77,186.67
|
|
|
MS-DRG 43.00: CERVICAL SPINAL FUSION WITHOUT CC/MCC
|
Facility
|
IP
|
$64,001.07
|
|
|
Service Code
|
MSDRG 473
|
| Min. Negotiated Rate |
$35,398.85 |
| Max. Negotiated Rate |
$64,001.07 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$36,281.55
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$46,546.23
|
| Rate for Payer: Aetna Government |
$46,546.23
|
| Rate for Payer: Brighton Health Commercial |
$35,398.85
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$47,477.15
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$43,423.57
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$36,910.04
|
| Rate for Payer: Elderplan Medicare Advantage |
$44,218.92
|
| Rate for Payer: EmblemHealth Commercial |
$46,546.23
|
| Rate for Payer: Fidelis Medicare Advantage |
$46,546.23
|
| Rate for Payer: Group Health Inc Commercial |
$46,546.23
|
| Rate for Payer: Group Health Inc Medicare |
$46,546.23
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$46,546.23
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$46,546.23
|
| Rate for Payer: Healthfirst Medicare Advantage |
$43,287.99
|
| Rate for Payer: Humana Medicare |
$64,001.07
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$46,546.23
|
| Rate for Payer: United Healthcare Commercial |
$48,550.13
|
| Rate for Payer: United Healthcare Medicare Advantage |
$46,546.23
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$46,546.23
|
| Rate for Payer: Wellcare Medicare |
$44,218.92
|
|
|
MS-DRG 43.00: CESAREAN SECTION WITHOUT STERILIZATION WITH CC
|
Facility
|
IP
|
$37,528.54
|
|
|
Service Code
|
MSDRG 787
|
| Min. Negotiated Rate |
$15,498.47 |
| Max. Negotiated Rate |
$37,528.54 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$15,498.47
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$27,293.48
|
| Rate for Payer: Aetna Government |
$27,293.48
|
| Rate for Payer: Brighton Health Commercial |
$16,193.60
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$27,839.35
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$19,864.60
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$16,884.91
|
| Rate for Payer: Elderplan Medicare Advantage |
$25,928.81
|
| Rate for Payer: EmblemHealth Commercial |
$27,293.48
|
| Rate for Payer: Fidelis Medicare Advantage |
$27,293.48
|
| Rate for Payer: Group Health Inc Commercial |
$27,293.48
|
| Rate for Payer: Group Health Inc Medicare |
$27,293.48
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$27,293.48
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$27,293.48
|
| Rate for Payer: Healthfirst Medicare Advantage |
$25,382.94
|
| Rate for Payer: Humana Medicare |
$37,528.54
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$27,293.48
|
| Rate for Payer: United Healthcare Commercial |
$22,209.80
|
| Rate for Payer: United Healthcare Medicare Advantage |
$27,293.48
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$27,293.48
|
| Rate for Payer: Wellcare Medicare |
$25,928.81
|
|
|
MS-DRG 43.00: CESAREAN SECTION WITHOUT STERILIZATION WITH MCC
|
Facility
|
IP
|
$48,175.53
|
|
|
Service Code
|
MSDRG 786
|
| Min. Negotiated Rate |
$23,917.75 |
| Max. Negotiated Rate |
$48,175.53 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$25,796.38
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$35,036.75
|
| Rate for Payer: Aetna Government |
$35,036.75
|
| Rate for Payer: Brighton Health Commercial |
$23,917.75
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$35,737.49
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$29,339.77
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$24,938.81
|
| Rate for Payer: Elderplan Medicare Advantage |
$33,284.91
|
| Rate for Payer: EmblemHealth Commercial |
$35,036.75
|
| Rate for Payer: Fidelis Medicare Advantage |
$35,036.75
|
| Rate for Payer: Group Health Inc Commercial |
$35,036.75
|
| Rate for Payer: Group Health Inc Medicare |
$35,036.75
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$35,036.75
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$35,036.75
|
| Rate for Payer: Healthfirst Medicare Advantage |
$32,584.18
|
| Rate for Payer: Humana Medicare |
$48,175.53
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$35,036.75
|
| Rate for Payer: United Healthcare Commercial |
$32,803.61
|
| Rate for Payer: United Healthcare Medicare Advantage |
$35,036.75
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$35,036.75
|
| Rate for Payer: Wellcare Medicare |
$33,284.91
|
|
|
MS-DRG 43.00: CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC
|
Facility
|
IP
|
$34,370.63
|
|
|
Service Code
|
MSDRG 788
|
| Min. Negotiated Rate |
$12,606.98 |
| Max. Negotiated Rate |
$34,370.63 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$12,606.98
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$24,996.82
|
| Rate for Payer: Aetna Government |
$24,996.82
|
| Rate for Payer: Brighton Health Commercial |
$13,902.60
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$25,496.76
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$17,054.24
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$14,496.11
|
| Rate for Payer: Elderplan Medicare Advantage |
$23,746.98
|
| Rate for Payer: EmblemHealth Commercial |
$24,996.82
|
| Rate for Payer: Fidelis Medicare Advantage |
$24,996.82
|
| Rate for Payer: Group Health Inc Commercial |
$24,996.82
|
| Rate for Payer: Group Health Inc Medicare |
$24,996.82
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$24,996.82
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$24,996.82
|
| Rate for Payer: Healthfirst Medicare Advantage |
$23,247.04
|
| Rate for Payer: Humana Medicare |
$34,370.63
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$24,996.82
|
| Rate for Payer: United Healthcare Commercial |
$19,067.66
|
| Rate for Payer: United Healthcare Medicare Advantage |
$24,996.82
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$24,996.82
|
| Rate for Payer: Wellcare Medicare |
$23,746.98
|
|
|
MS-DRG 43.00: CESAREAN SECTION WITH STERILIZATION WITH CC
|
Facility
|
IP
|
$36,395.27
|
|
|
Service Code
|
MSDRG 784
|
| Min. Negotiated Rate |
$15,100.35 |
| Max. Negotiated Rate |
$36,395.27 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$15,100.35
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$26,469.29
|
| Rate for Payer: Aetna Government |
$26,469.29
|
| Rate for Payer: Brighton Health Commercial |
$15,371.45
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$26,998.68
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$18,856.07
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$16,027.66
|
| Rate for Payer: Elderplan Medicare Advantage |
$25,145.83
|
| Rate for Payer: EmblemHealth Commercial |
$26,469.29
|
| Rate for Payer: Fidelis Medicare Advantage |
$26,469.29
|
| Rate for Payer: Group Health Inc Commercial |
$26,469.29
|
| Rate for Payer: Group Health Inc Medicare |
$26,469.29
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$26,469.29
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$26,469.29
|
| Rate for Payer: Healthfirst Medicare Advantage |
$24,616.44
|
| Rate for Payer: Humana Medicare |
$36,395.27
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$26,469.29
|
| Rate for Payer: United Healthcare Commercial |
$21,082.21
|
| Rate for Payer: United Healthcare Medicare Advantage |
$26,469.29
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$26,469.29
|
| Rate for Payer: Wellcare Medicare |
$25,145.83
|
|
|
MS-DRG 43.00: CESAREAN SECTION WITH STERILIZATION WITH MCC
|
Facility
|
IP
|
$64,276.89
|
|
|
Service Code
|
MSDRG 783
|
| Min. Negotiated Rate |
$26,125.19 |
| Max. Negotiated Rate |
$64,276.89 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$26,125.19
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$46,746.83
|
| Rate for Payer: Aetna Government |
$46,746.83
|
| Rate for Payer: Brighton Health Commercial |
$35,598.95
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$47,681.77
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$43,669.04
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$37,118.68
|
| Rate for Payer: Elderplan Medicare Advantage |
$44,409.49
|
| Rate for Payer: EmblemHealth Commercial |
$46,746.83
|
| Rate for Payer: Fidelis Medicare Advantage |
$46,746.83
|
| Rate for Payer: Group Health Inc Commercial |
$46,746.83
|
| Rate for Payer: Group Health Inc Medicare |
$46,746.83
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$46,746.83
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$46,746.83
|
| Rate for Payer: Healthfirst Medicare Advantage |
$43,474.55
|
| Rate for Payer: Humana Medicare |
$64,276.89
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$46,746.83
|
| Rate for Payer: United Healthcare Commercial |
$48,824.57
|
| Rate for Payer: United Healthcare Medicare Advantage |
$46,746.83
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$46,746.83
|
| Rate for Payer: Wellcare Medicare |
$44,409.49
|
|
|
MS-DRG 43.00: CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC
|
Facility
|
IP
|
$34,350.64
|
|
|
Service Code
|
MSDRG 785
|
| Min. Negotiated Rate |
$12,773.59 |
| Max. Negotiated Rate |
$34,350.64 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$12,773.59
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$24,982.28
|
| Rate for Payer: Aetna Government |
$24,982.28
|
| Rate for Payer: Brighton Health Commercial |
$13,888.10
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$25,481.93
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$17,036.46
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$14,480.99
|
| Rate for Payer: Elderplan Medicare Advantage |
$23,733.17
|
| Rate for Payer: EmblemHealth Commercial |
$24,982.28
|
| Rate for Payer: Fidelis Medicare Advantage |
$24,982.28
|
| Rate for Payer: Group Health Inc Commercial |
$24,982.28
|
| Rate for Payer: Group Health Inc Medicare |
$24,982.28
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$24,982.28
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$24,982.28
|
| Rate for Payer: Healthfirst Medicare Advantage |
$23,233.52
|
| Rate for Payer: Humana Medicare |
$34,350.64
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$24,982.28
|
| Rate for Payer: United Healthcare Commercial |
$19,047.77
|
| Rate for Payer: United Healthcare Medicare Advantage |
$24,982.28
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$24,982.28
|
| Rate for Payer: Wellcare Medicare |
$23,733.17
|
|
|
MS-DRG 43.00: CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC
|
Facility
|
IP
|
$111,229.88
|
|
|
Service Code
|
MSDRG 837
|
| Min. Negotiated Rate |
$69,662.35 |
| Max. Negotiated Rate |
$111,229.88 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$70,136.07
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$80,894.46
|
| Rate for Payer: Aetna Government |
$80,894.46
|
| Rate for Payer: Brighton Health Commercial |
$69,662.35
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$82,512.35
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$85,454.42
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$72,636.26
|
| Rate for Payer: Elderplan Medicare Advantage |
$76,849.74
|
| Rate for Payer: EmblemHealth Commercial |
$80,894.46
|
| Rate for Payer: Fidelis Medicare Advantage |
$80,894.46
|
| Rate for Payer: Group Health Inc Commercial |
$80,894.46
|
| Rate for Payer: Group Health Inc Medicare |
$80,894.46
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$80,894.46
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$80,894.46
|
| Rate for Payer: Healthfirst Medicare Advantage |
$75,231.85
|
| Rate for Payer: Humana Medicare |
$111,229.88
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$80,894.46
|
| Rate for Payer: United Healthcare Commercial |
$95,543.11
|
| Rate for Payer: United Healthcare Medicare Advantage |
$80,894.46
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$80,894.46
|
| Rate for Payer: Wellcare Medicare |
$76,849.74
|
|
|
MS-DRG 43.00: CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT
|
Facility
|
IP
|
$56,927.74
|
|
|
Service Code
|
MSDRG 838
|
| Min. Negotiated Rate |
$28,788.14 |
| Max. Negotiated Rate |
$56,927.74 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$28,788.14
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$41,401.99
|
| Rate for Payer: Aetna Government |
$41,401.99
|
| Rate for Payer: Brighton Health Commercial |
$30,267.30
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$42,230.03
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$37,128.73
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$31,559.42
|
| Rate for Payer: Elderplan Medicare Advantage |
$39,331.89
|
| Rate for Payer: EmblemHealth Commercial |
$41,401.99
|
| Rate for Payer: Fidelis Medicare Advantage |
$41,401.99
|
| Rate for Payer: Group Health Inc Commercial |
$41,401.99
|
| Rate for Payer: Group Health Inc Medicare |
$41,401.99
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$41,401.99
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$41,401.99
|
| Rate for Payer: Healthfirst Medicare Advantage |
$38,503.85
|
| Rate for Payer: Humana Medicare |
$56,927.74
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$41,401.99
|
| Rate for Payer: United Healthcare Commercial |
$41,512.12
|
| Rate for Payer: United Healthcare Medicare Advantage |
$41,401.99
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$41,401.99
|
| Rate for Payer: Wellcare Medicare |
$39,331.89
|
|
