|
MS-DRG 43.00: CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC
|
Facility
|
IP
|
$44,066.23
|
|
|
Service Code
|
MSDRG 839
|
| Min. Negotiated Rate |
$19,214.21 |
| Max. Negotiated Rate |
$44,066.23 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$19,214.21
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$32,048.17
|
| Rate for Payer: Aetna Government |
$32,048.17
|
| Rate for Payer: Brighton Health Commercial |
$20,936.55
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$32,689.13
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$25,682.75
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$21,830.34
|
| Rate for Payer: Elderplan Medicare Advantage |
$30,445.76
|
| Rate for Payer: EmblemHealth Commercial |
$32,048.17
|
| Rate for Payer: Fidelis Medicare Advantage |
$32,048.17
|
| Rate for Payer: Group Health Inc Commercial |
$32,048.17
|
| Rate for Payer: Group Health Inc Medicare |
$32,048.17
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$32,048.17
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$32,048.17
|
| Rate for Payer: Healthfirst Medicare Advantage |
$29,804.80
|
| Rate for Payer: Humana Medicare |
$44,066.23
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$32,048.17
|
| Rate for Payer: United Healthcare Commercial |
$28,714.84
|
| Rate for Payer: United Healthcare Medicare Advantage |
$32,048.17
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$32,048.17
|
| Rate for Payer: Wellcare Medicare |
$30,445.76
|
|
|
MS-DRG 43.00: CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC
|
Facility
|
IP
|
$41,354.03
|
|
|
Service Code
|
MSDRG 847
|
| Min. Negotiated Rate |
$17,879.79 |
| Max. Negotiated Rate |
$41,354.03 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$17,879.79
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$30,075.66
|
| Rate for Payer: Aetna Government |
$30,075.66
|
| Rate for Payer: Brighton Health Commercial |
$18,968.90
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$30,677.17
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$23,269.04
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$19,778.69
|
| Rate for Payer: Elderplan Medicare Advantage |
$28,571.88
|
| Rate for Payer: EmblemHealth Commercial |
$30,075.66
|
| Rate for Payer: Fidelis Medicare Advantage |
$30,075.66
|
| Rate for Payer: Group Health Inc Commercial |
$30,075.66
|
| Rate for Payer: Group Health Inc Medicare |
$30,075.66
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$30,075.66
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$30,075.66
|
| Rate for Payer: Healthfirst Medicare Advantage |
$27,970.36
|
| Rate for Payer: Humana Medicare |
$41,354.03
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$30,075.66
|
| Rate for Payer: United Healthcare Commercial |
$26,016.17
|
| Rate for Payer: United Healthcare Medicare Advantage |
$30,075.66
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$30,075.66
|
| Rate for Payer: Wellcare Medicare |
$28,571.88
|
|
|
MS-DRG 43.00: CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC
|
Facility
|
IP
|
$67,023.08
|
|
|
Service Code
|
MSDRG 846
|
| Min. Negotiated Rate |
$36,036.78 |
| Max. Negotiated Rate |
$67,023.08 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$36,036.78
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$48,744.06
|
| Rate for Payer: Aetna Government |
$48,744.06
|
| Rate for Payer: Brighton Health Commercial |
$37,591.25
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$49,718.94
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$46,112.98
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$39,196.03
|
| Rate for Payer: Elderplan Medicare Advantage |
$46,306.86
|
| Rate for Payer: EmblemHealth Commercial |
$48,744.06
|
| Rate for Payer: Fidelis Medicare Advantage |
$48,744.06
|
| Rate for Payer: Group Health Inc Commercial |
$48,744.06
|
| Rate for Payer: Group Health Inc Medicare |
$48,744.06
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$48,744.06
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$48,744.06
|
| Rate for Payer: Healthfirst Medicare Advantage |
$45,331.98
|
| Rate for Payer: Humana Medicare |
$67,023.08
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$48,744.06
|
| Rate for Payer: United Healthcare Commercial |
$51,557.05
|
| Rate for Payer: United Healthcare Medicare Advantage |
$48,744.06
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$48,744.06
|
| Rate for Payer: Wellcare Medicare |
$46,306.86
|
|
|
MS-DRG 43.00: CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC
|
Facility
|
IP
|
$32,184.09
|
|
|
Service Code
|
MSDRG 848
|
| Min. Negotiated Rate |
$11,198.83 |
| Max. Negotiated Rate |
$32,184.09 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$11,198.83
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$23,406.61
|
| Rate for Payer: Aetna Government |
$23,406.61
|
| Rate for Payer: Brighton Health Commercial |
$12,316.30
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$23,874.74
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$15,108.34
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$12,842.09
|
| Rate for Payer: Elderplan Medicare Advantage |
$22,236.28
|
| Rate for Payer: EmblemHealth Commercial |
$23,406.61
|
| Rate for Payer: Fidelis Medicare Advantage |
$23,406.61
|
| Rate for Payer: Group Health Inc Commercial |
$23,406.61
|
| Rate for Payer: Group Health Inc Medicare |
$23,406.61
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$23,406.61
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$23,406.61
|
| Rate for Payer: Healthfirst Medicare Advantage |
$21,768.15
|
| Rate for Payer: Humana Medicare |
$32,184.09
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$23,406.61
|
| Rate for Payer: United Healthcare Commercial |
$16,892.02
|
| Rate for Payer: United Healthcare Medicare Advantage |
$23,406.61
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$23,406.61
|
| Rate for Payer: Wellcare Medicare |
$22,236.28
|
|
|
MS-DRG 43.00: CHEST PAIN
|
Facility
|
IP
|
$29,597.80
|
|
|
Service Code
|
MSDRG 313
|
| Min. Negotiated Rate |
$10,440.00 |
| Max. Negotiated Rate |
$29,597.80 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$10,669.48
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$21,525.67
|
| Rate for Payer: Aetna Government |
$21,525.67
|
| Rate for Payer: Brighton Health Commercial |
$10,440.00
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$21,956.18
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$12,806.69
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$10,885.69
|
| Rate for Payer: Elderplan Medicare Advantage |
$20,449.39
|
| Rate for Payer: EmblemHealth Commercial |
$21,525.67
|
| Rate for Payer: Fidelis Medicare Advantage |
$21,525.67
|
| Rate for Payer: Group Health Inc Commercial |
$21,525.67
|
| Rate for Payer: Group Health Inc Medicare |
$21,525.67
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$21,525.67
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$21,525.67
|
| Rate for Payer: Healthfirst Medicare Advantage |
$20,018.87
|
| Rate for Payer: Humana Medicare |
$29,597.80
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$21,525.67
|
| Rate for Payer: United Healthcare Commercial |
$14,318.64
|
| Rate for Payer: United Healthcare Medicare Advantage |
$21,525.67
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$21,525.67
|
| Rate for Payer: Wellcare Medicare |
$20,449.39
|
|
|
MS-DRG 43.00: CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES
|
Facility
|
IP
|
$878,293.42
|
|
|
Service Code
|
MSDRG 018
|
| Min. Negotiated Rate |
$543,245.61 |
| Max. Negotiated Rate |
$878,293.42 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$543,245.61
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$638,758.85
|
| Rate for Payer: Aetna Government |
$638,758.85
|
| Rate for Payer: Brighton Health Commercial |
$626,150.60
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$651,534.03
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$768,095.49
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$652,881.19
|
| Rate for Payer: Elderplan Medicare Advantage |
$606,820.91
|
| Rate for Payer: EmblemHealth Commercial |
$638,758.85
|
| Rate for Payer: Fidelis Medicare Advantage |
$638,758.85
|
| Rate for Payer: Group Health Inc Commercial |
$638,758.85
|
| Rate for Payer: Group Health Inc Medicare |
$638,758.85
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$638,758.85
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$638,758.85
|
| Rate for Payer: Healthfirst Medicare Advantage |
$594,045.73
|
| Rate for Payer: Humana Medicare |
$878,293.42
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$638,758.85
|
| Rate for Payer: United Healthcare Commercial |
$858,776.34
|
| Rate for Payer: United Healthcare Medicare Advantage |
$638,758.85
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$638,758.85
|
| Rate for Payer: Wellcare Medicare |
$606,820.91
|
|
|
MS-DRG 43.00: CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC
|
Facility
|
IP
|
$56,514.03
|
|
|
Service Code
|
MSDRG 415
|
| Min. Negotiated Rate |
$29,133.17 |
| Max. Negotiated Rate |
$56,514.03 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$29,133.17
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$41,101.11
|
| Rate for Payer: Aetna Government |
$41,101.11
|
| Rate for Payer: Brighton Health Commercial |
$29,967.15
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$41,923.13
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$36,760.54
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$31,246.46
|
| Rate for Payer: Elderplan Medicare Advantage |
$39,046.05
|
| Rate for Payer: EmblemHealth Commercial |
$41,101.11
|
| Rate for Payer: Fidelis Medicare Advantage |
$41,101.11
|
| Rate for Payer: Group Health Inc Commercial |
$41,101.11
|
| Rate for Payer: Group Health Inc Medicare |
$41,101.11
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$41,101.11
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$41,101.11
|
| Rate for Payer: Healthfirst Medicare Advantage |
$38,224.03
|
| Rate for Payer: Humana Medicare |
$56,514.03
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$41,101.11
|
| Rate for Payer: United Healthcare Commercial |
$41,100.46
|
| Rate for Payer: United Healthcare Medicare Advantage |
$41,101.11
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$41,101.11
|
| Rate for Payer: Wellcare Medicare |
$39,046.05
|
|
|
MS-DRG 43.00: CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC
|
Facility
|
IP
|
$86,412.26
|
|
|
Service Code
|
MSDRG 414
|
| Min. Negotiated Rate |
$51,657.70 |
| Max. Negotiated Rate |
$86,412.26 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$51,979.07
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$62,845.28
|
| Rate for Payer: Aetna Government |
$62,845.28
|
| Rate for Payer: Brighton Health Commercial |
$51,657.70
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$64,102.19
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$63,368.22
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$53,862.99
|
| Rate for Payer: Elderplan Medicare Advantage |
$59,703.02
|
| Rate for Payer: EmblemHealth Commercial |
$62,845.28
|
| Rate for Payer: Fidelis Medicare Advantage |
$62,845.28
|
| Rate for Payer: Group Health Inc Commercial |
$62,845.28
|
| Rate for Payer: Group Health Inc Medicare |
$62,845.28
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$62,845.28
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$62,845.28
|
| Rate for Payer: Healthfirst Medicare Advantage |
$58,446.11
|
| Rate for Payer: Humana Medicare |
$86,412.26
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$62,845.28
|
| Rate for Payer: United Healthcare Commercial |
$70,849.43
|
| Rate for Payer: United Healthcare Medicare Advantage |
$62,845.28
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$62,845.28
|
| Rate for Payer: Wellcare Medicare |
$59,703.02
|
|
|
MS-DRG 43.00: CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC
|
Facility
|
IP
|
$42,455.27
|
|
|
Service Code
|
MSDRG 416
|
| Min. Negotiated Rate |
$19,746.50 |
| Max. Negotiated Rate |
$42,455.27 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$19,746.50
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$30,876.56
|
| Rate for Payer: Aetna Government |
$30,876.56
|
| Rate for Payer: Brighton Health Commercial |
$19,767.85
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$31,494.09
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$24,249.11
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$20,611.75
|
| Rate for Payer: Elderplan Medicare Advantage |
$29,332.73
|
| Rate for Payer: EmblemHealth Commercial |
$30,876.56
|
| Rate for Payer: Fidelis Medicare Advantage |
$30,876.56
|
| Rate for Payer: Group Health Inc Commercial |
$30,876.56
|
| Rate for Payer: Group Health Inc Medicare |
$30,876.56
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$30,876.56
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$30,876.56
|
| Rate for Payer: Healthfirst Medicare Advantage |
$28,715.20
|
| Rate for Payer: Humana Medicare |
$42,455.27
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$30,876.56
|
| Rate for Payer: United Healthcare Commercial |
$27,111.95
|
| Rate for Payer: United Healthcare Medicare Advantage |
$30,876.56
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$30,876.56
|
| Rate for Payer: Wellcare Medicare |
$29,332.73
|
|
|
MS-DRG 43.00: CHOLECYSTECTOMY WITH C.D.E. WITH CC
|
Facility
|
IP
|
$57,229.55
|
|
|
Service Code
|
MSDRG 412
|
| Min. Negotiated Rate |
$30,160.90 |
| Max. Negotiated Rate |
$57,229.55 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$30,160.90
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$41,621.49
|
| Rate for Payer: Aetna Government |
$41,621.49
|
| Rate for Payer: Brighton Health Commercial |
$30,486.25
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$42,453.92
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$37,397.31
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$31,787.72
|
| Rate for Payer: Elderplan Medicare Advantage |
$39,540.42
|
| Rate for Payer: EmblemHealth Commercial |
$41,621.49
|
| Rate for Payer: Fidelis Medicare Advantage |
$41,621.49
|
| Rate for Payer: Group Health Inc Commercial |
$41,621.49
|
| Rate for Payer: Group Health Inc Medicare |
$41,621.49
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$41,621.49
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$41,621.49
|
| Rate for Payer: Healthfirst Medicare Advantage |
$38,707.99
|
| Rate for Payer: Humana Medicare |
$57,229.55
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$41,621.49
|
| Rate for Payer: United Healthcare Commercial |
$41,812.42
|
| Rate for Payer: United Healthcare Medicare Advantage |
$41,621.49
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$41,621.49
|
| Rate for Payer: Wellcare Medicare |
$39,540.42
|
|
|
MS-DRG 43.00: CHOLECYSTECTOMY WITH C.D.E. WITH MCC
|
Facility
|
IP
|
$81,229.69
|
|
|
Service Code
|
MSDRG 411
|
| Min. Negotiated Rate |
$42,472.97 |
| Max. Negotiated Rate |
$81,229.69 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$42,472.97
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$59,076.14
|
| Rate for Payer: Aetna Government |
$59,076.14
|
| Rate for Payer: Brighton Health Commercial |
$47,897.85
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$60,257.66
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$58,756.03
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$49,942.63
|
| Rate for Payer: Elderplan Medicare Advantage |
$56,122.33
|
| Rate for Payer: EmblemHealth Commercial |
$59,076.14
|
| Rate for Payer: Fidelis Medicare Advantage |
$59,076.14
|
| Rate for Payer: Group Health Inc Commercial |
$59,076.14
|
| Rate for Payer: Group Health Inc Medicare |
$59,076.14
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$59,076.14
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$59,076.14
|
| Rate for Payer: Healthfirst Medicare Advantage |
$54,940.81
|
| Rate for Payer: Humana Medicare |
$81,229.69
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$59,076.14
|
| Rate for Payer: United Healthcare Commercial |
$65,692.73
|
| Rate for Payer: United Healthcare Medicare Advantage |
$59,076.14
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$59,076.14
|
| Rate for Payer: Wellcare Medicare |
$56,122.33
|
|
|
MS-DRG 43.00: CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC
|
Facility
|
IP
|
$48,395.35
|
|
|
Service Code
|
MSDRG 413
|
| Min. Negotiated Rate |
$22,259.05 |
| Max. Negotiated Rate |
$48,395.35 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$22,259.05
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$35,196.62
|
| Rate for Payer: Aetna Government |
$35,196.62
|
| Rate for Payer: Brighton Health Commercial |
$24,077.25
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$35,900.55
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$29,535.43
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$25,105.12
|
| Rate for Payer: Elderplan Medicare Advantage |
$33,436.79
|
| Rate for Payer: EmblemHealth Commercial |
$35,196.62
|
| Rate for Payer: Fidelis Medicare Advantage |
$35,196.62
|
| Rate for Payer: Group Health Inc Commercial |
$35,196.62
|
| Rate for Payer: Group Health Inc Medicare |
$35,196.62
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$35,196.62
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$35,196.62
|
| Rate for Payer: Healthfirst Medicare Advantage |
$32,732.86
|
| Rate for Payer: Humana Medicare |
$48,395.35
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$35,196.62
|
| Rate for Payer: United Healthcare Commercial |
$33,022.36
|
| Rate for Payer: United Healthcare Medicare Advantage |
$35,196.62
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$35,196.62
|
| Rate for Payer: Wellcare Medicare |
$33,436.79
|
|
|
MS-DRG 43.00: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC
|
Facility
|
IP
|
$32,056.16
|
|
|
Service Code
|
MSDRG 191
|
| Min. Negotiated Rate |
$12,223.50 |
| Max. Negotiated Rate |
$32,056.16 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$12,518.51
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$23,313.57
|
| Rate for Payer: Aetna Government |
$23,313.57
|
| Rate for Payer: Brighton Health Commercial |
$12,223.50
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$23,779.84
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$14,994.50
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$12,745.33
|
| Rate for Payer: Elderplan Medicare Advantage |
$22,147.89
|
| Rate for Payer: EmblemHealth Commercial |
$23,313.57
|
| Rate for Payer: Fidelis Medicare Advantage |
$23,313.57
|
| Rate for Payer: Group Health Inc Commercial |
$23,313.57
|
| Rate for Payer: Group Health Inc Medicare |
$23,313.57
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$23,313.57
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$23,313.57
|
| Rate for Payer: Healthfirst Medicare Advantage |
$21,681.62
|
| Rate for Payer: Humana Medicare |
$32,056.16
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$23,313.57
|
| Rate for Payer: United Healthcare Commercial |
$16,764.74
|
| Rate for Payer: United Healthcare Medicare Advantage |
$23,313.57
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$23,313.57
|
| Rate for Payer: Wellcare Medicare |
$22,147.89
|
|
|
MS-DRG 43.00: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC
|
Facility
|
IP
|
$37,346.65
|
|
|
Service Code
|
MSDRG 190
|
| Min. Negotiated Rate |
$16,061.65 |
| Max. Negotiated Rate |
$37,346.65 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$16,248.99
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$27,161.20
|
| Rate for Payer: Aetna Government |
$27,161.20
|
| Rate for Payer: Brighton Health Commercial |
$16,061.65
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$27,704.42
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$19,702.74
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$16,747.33
|
| Rate for Payer: Elderplan Medicare Advantage |
$25,803.14
|
| Rate for Payer: EmblemHealth Commercial |
$27,161.20
|
| Rate for Payer: Fidelis Medicare Advantage |
$27,161.20
|
| Rate for Payer: Group Health Inc Commercial |
$27,161.20
|
| Rate for Payer: Group Health Inc Medicare |
$27,161.20
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$27,161.20
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$27,161.20
|
| Rate for Payer: Healthfirst Medicare Advantage |
$25,259.92
|
| Rate for Payer: Humana Medicare |
$37,346.65
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$27,161.20
|
| Rate for Payer: United Healthcare Commercial |
$22,028.83
|
| Rate for Payer: United Healthcare Medicare Advantage |
$27,161.20
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$27,161.20
|
| Rate for Payer: Wellcare Medicare |
$25,803.14
|
|
|
MS-DRG 43.00: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC
|
Facility
|
IP
|
$28,038.79
|
|
|
Service Code
|
MSDRG 192
|
| Min. Negotiated Rate |
$9,309.00 |
| Max. Negotiated Rate |
$28,038.79 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$9,463.34
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$20,391.85
|
| Rate for Payer: Aetna Government |
$20,391.85
|
| Rate for Payer: Brighton Health Commercial |
$9,309.00
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$20,799.69
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$11,419.30
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$9,706.40
|
| Rate for Payer: Elderplan Medicare Advantage |
$19,372.26
|
| Rate for Payer: EmblemHealth Commercial |
$20,391.85
|
| Rate for Payer: Fidelis Medicare Advantage |
$20,391.85
|
| Rate for Payer: Group Health Inc Commercial |
$20,391.85
|
| Rate for Payer: Group Health Inc Medicare |
$20,391.85
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$20,391.85
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$20,391.85
|
| Rate for Payer: Healthfirst Medicare Advantage |
$18,964.42
|
| Rate for Payer: Humana Medicare |
$28,038.79
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$20,391.85
|
| Rate for Payer: United Healthcare Commercial |
$12,767.45
|
| Rate for Payer: United Healthcare Medicare Advantage |
$20,391.85
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$20,391.85
|
| Rate for Payer: Wellcare Medicare |
$19,372.26
|
|
|
MS-DRG 43.00: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC
|
Facility
|
IP
|
$59,434.07
|
|
|
Service Code
|
MSDRG 286
|
| Min. Negotiated Rate |
$31,784.32 |
| Max. Negotiated Rate |
$59,434.07 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$31,784.32
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$43,224.78
|
| Rate for Payer: Aetna Government |
$43,224.78
|
| Rate for Payer: Brighton Health Commercial |
$32,085.60
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$44,089.28
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$39,359.23
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$33,455.35
|
| Rate for Payer: Elderplan Medicare Advantage |
$41,063.54
|
| Rate for Payer: EmblemHealth Commercial |
$43,224.78
|
| Rate for Payer: Fidelis Medicare Advantage |
$43,224.78
|
| Rate for Payer: Group Health Inc Commercial |
$43,224.78
|
| Rate for Payer: Group Health Inc Medicare |
$43,224.78
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$43,224.78
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$43,224.78
|
| Rate for Payer: Healthfirst Medicare Advantage |
$40,199.05
|
| Rate for Payer: Humana Medicare |
$59,434.07
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$43,224.78
|
| Rate for Payer: United Healthcare Commercial |
$44,005.95
|
| Rate for Payer: United Healthcare Medicare Advantage |
$43,224.78
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$43,224.78
|
| Rate for Payer: Wellcare Medicare |
$41,063.54
|
|
|
MS-DRG 43.00: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC
|
Facility
|
IP
|
$36,595.18
|
|
|
Service Code
|
MSDRG 287
|
| Min. Negotiated Rate |
$15,516.45 |
| Max. Negotiated Rate |
$36,595.18 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$15,948.19
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$26,614.68
|
| Rate for Payer: Aetna Government |
$26,614.68
|
| Rate for Payer: Brighton Health Commercial |
$15,516.45
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$27,146.97
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$19,033.94
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$16,178.85
|
| Rate for Payer: Elderplan Medicare Advantage |
$25,283.95
|
| Rate for Payer: EmblemHealth Commercial |
$26,614.68
|
| Rate for Payer: Fidelis Medicare Advantage |
$26,614.68
|
| Rate for Payer: Group Health Inc Commercial |
$26,614.68
|
| Rate for Payer: Group Health Inc Medicare |
$26,614.68
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$26,614.68
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$26,614.68
|
| Rate for Payer: Healthfirst Medicare Advantage |
$24,751.65
|
| Rate for Payer: Humana Medicare |
$36,595.18
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$26,614.68
|
| Rate for Payer: United Healthcare Commercial |
$21,281.08
|
| Rate for Payer: United Healthcare Medicare Advantage |
$26,614.68
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$26,614.68
|
| Rate for Payer: Wellcare Medicare |
$25,283.95
|
|
|
MS-DRG 43.00: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC
|
Facility
|
IP
|
$36,317.32
|
|
|
Service Code
|
MSDRG 433
|
| Min. Negotiated Rate |
$15,202.10 |
| Max. Negotiated Rate |
$36,317.32 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$15,202.10
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$26,412.60
|
| Rate for Payer: Aetna Government |
$26,412.60
|
| Rate for Payer: Brighton Health Commercial |
$15,314.90
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$26,940.85
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$18,786.70
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$15,968.70
|
| Rate for Payer: Elderplan Medicare Advantage |
$25,091.97
|
| Rate for Payer: EmblemHealth Commercial |
$26,412.60
|
| Rate for Payer: Fidelis Medicare Advantage |
$26,412.60
|
| Rate for Payer: Group Health Inc Commercial |
$26,412.60
|
| Rate for Payer: Group Health Inc Medicare |
$26,412.60
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$26,412.60
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$26,412.60
|
| Rate for Payer: Healthfirst Medicare Advantage |
$24,563.72
|
| Rate for Payer: Humana Medicare |
$36,317.32
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$26,412.60
|
| Rate for Payer: United Healthcare Commercial |
$21,004.65
|
| Rate for Payer: United Healthcare Medicare Advantage |
$26,412.60
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$26,412.60
|
| Rate for Payer: Wellcare Medicare |
$25,091.97
|
|
|
MS-DRG 43.00: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC
|
Facility
|
IP
|
$54,545.30
|
|
|
Service Code
|
MSDRG 432
|
| Min. Negotiated Rate |
$1,100.00 |
| Max. Negotiated Rate |
$54,545.30 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$28,251.42
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$39,669.31
|
| Rate for Payer: Aetna Government |
$39,669.31
|
| Rate for Payer: Brighton Health Commercial |
$28,538.90
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$40,462.70
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$35,008.51
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$29,757.24
|
| Rate for Payer: Elderplan Medicare Advantage |
$37,685.84
|
| Rate for Payer: EmblemHealth Commercial |
$39,669.31
|
| Rate for Payer: Fidelis Medicare Advantage |
$39,669.31
|
| Rate for Payer: Group Health Inc Commercial |
$1,100.00
|
| Rate for Payer: Group Health Inc Medicare |
$39,669.31
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$39,669.31
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$39,669.31
|
| Rate for Payer: Healthfirst Medicare Advantage |
$36,892.46
|
| Rate for Payer: Humana Medicare |
$54,545.30
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$39,669.31
|
| Rate for Payer: United Healthcare Commercial |
$39,141.59
|
| Rate for Payer: United Healthcare Medicare Advantage |
$39,669.31
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$39,669.31
|
| Rate for Payer: Wellcare Medicare |
$37,685.84
|
|
|
MS-DRG 43.00: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC
|
Facility
|
IP
|
$29,447.87
|
|
|
Service Code
|
MSDRG 434
|
| Min. Negotiated Rate |
$9,871.78 |
| Max. Negotiated Rate |
$29,447.87 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$9,871.78
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$21,416.63
|
| Rate for Payer: Aetna Government |
$21,416.63
|
| Rate for Payer: Brighton Health Commercial |
$10,331.25
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$21,844.96
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$12,673.29
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$10,772.29
|
| Rate for Payer: Elderplan Medicare Advantage |
$20,345.80
|
| Rate for Payer: EmblemHealth Commercial |
$21,416.63
|
| Rate for Payer: Fidelis Medicare Advantage |
$21,416.63
|
| Rate for Payer: Group Health Inc Commercial |
$21,416.63
|
| Rate for Payer: Group Health Inc Medicare |
$21,416.63
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$21,416.63
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$21,416.63
|
| Rate for Payer: Healthfirst Medicare Advantage |
$19,917.47
|
| Rate for Payer: Humana Medicare |
$29,447.87
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$21,416.63
|
| Rate for Payer: United Healthcare Commercial |
$14,169.49
|
| Rate for Payer: United Healthcare Medicare Advantage |
$21,416.63
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$21,416.63
|
| Rate for Payer: Wellcare Medicare |
$20,345.80
|
|
|
MS-DRG 43.00: COAGULATION DISORDERS
|
Facility
|
IP
|
$45,693.16
|
|
|
Service Code
|
MSDRG 813
|
| Min. Negotiated Rate |
$22,116.85 |
| Max. Negotiated Rate |
$45,693.16 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$23,002.20
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$33,231.39
|
| Rate for Payer: Aetna Government |
$33,231.39
|
| Rate for Payer: Brighton Health Commercial |
$22,116.85
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$33,896.02
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$27,130.62
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$23,061.03
|
| Rate for Payer: Elderplan Medicare Advantage |
$31,569.82
|
| Rate for Payer: EmblemHealth Commercial |
$33,231.39
|
| Rate for Payer: Fidelis Medicare Advantage |
$33,231.39
|
| Rate for Payer: Group Health Inc Commercial |
$33,231.39
|
| Rate for Payer: Group Health Inc Medicare |
$33,231.39
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$33,231.39
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$33,231.39
|
| Rate for Payer: Healthfirst Medicare Advantage |
$30,905.19
|
| Rate for Payer: Humana Medicare |
$45,693.16
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$33,231.39
|
| Rate for Payer: United Healthcare Commercial |
$30,333.64
|
| Rate for Payer: United Healthcare Medicare Advantage |
$33,231.39
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$33,231.39
|
| Rate for Payer: Wellcare Medicare |
$31,569.82
|
|
|
MS-DRG 43.00: COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC
|
Facility
|
IP
|
$195,280.39
|
|
|
Service Code
|
MSDRG 429
|
| Min. Negotiated Rate |
$1,100.00 |
| Max. Negotiated Rate |
$195,280.39 |
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$142,022.10
|
| Rate for Payer: Aetna Government |
$142,022.10
|
| Rate for Payer: Brighton Health Commercial |
$130,639.20
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$144,862.54
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$160,254.39
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$136,216.23
|
| Rate for Payer: Elderplan Medicare Advantage |
$134,920.99
|
| Rate for Payer: EmblemHealth Commercial |
$142,022.10
|
| Rate for Payer: Fidelis Medicare Advantage |
$142,022.10
|
| Rate for Payer: Group Health Inc Commercial |
$1,100.00
|
| Rate for Payer: Group Health Inc Medicare |
$142,022.10
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$142,022.10
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$142,022.10
|
| Rate for Payer: Healthfirst Medicare Advantage |
$132,080.55
|
| Rate for Payer: Humana Medicare |
$195,280.39
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$142,022.10
|
| Rate for Payer: United Healthcare Commercial |
$179,173.92
|
| Rate for Payer: United Healthcare Medicare Advantage |
$142,022.10
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$142,022.10
|
| Rate for Payer: Wellcare Medicare |
$134,920.99
|
|
|
MS-DRG 43.00: COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC
|
Facility
|
IP
|
$130,473.19
|
|
|
Service Code
|
MSDRG 430
|
| Min. Negotiated Rate |
$1,100.00 |
| Max. Negotiated Rate |
$130,473.19 |
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$94,889.59
|
| Rate for Payer: Aetna Government |
$94,889.59
|
| Rate for Payer: Brighton Health Commercial |
$83,622.95
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$96,787.38
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$102,579.81
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$87,192.84
|
| Rate for Payer: Elderplan Medicare Advantage |
$90,145.11
|
| Rate for Payer: EmblemHealth Commercial |
$94,889.59
|
| Rate for Payer: Fidelis Medicare Advantage |
$94,889.59
|
| Rate for Payer: Group Health Inc Commercial |
$1,100.00
|
| Rate for Payer: Group Health Inc Medicare |
$94,889.59
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$94,889.59
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$94,889.59
|
| Rate for Payer: Healthfirst Medicare Advantage |
$88,247.32
|
| Rate for Payer: Humana Medicare |
$130,473.19
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$94,889.59
|
| Rate for Payer: United Healthcare Commercial |
$114,690.32
|
| Rate for Payer: United Healthcare Medicare Advantage |
$94,889.59
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$94,889.59
|
| Rate for Payer: Wellcare Medicare |
$90,145.11
|
|
|
MS-DRG 43.00: COMPLEX AORTIC ARCH PROCEDURES
|
Facility
|
IP
|
$241,433.91
|
|
|
Service Code
|
MSDRG 209
|
| Min. Negotiated Rate |
$163,297.12 |
| Max. Negotiated Rate |
$241,433.91 |
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$175,588.30
|
| Rate for Payer: Aetna Government |
$175,588.30
|
| Rate for Payer: Brighton Health Commercial |
$164,122.60
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$179,100.07
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$201,328.29
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$171,129.05
|
| Rate for Payer: Elderplan Medicare Advantage |
$166,808.89
|
| Rate for Payer: EmblemHealth Commercial |
$175,588.30
|
| Rate for Payer: Fidelis Medicare Advantage |
$175,588.30
|
| Rate for Payer: Group Health Inc Commercial |
$175,588.30
|
| Rate for Payer: Group Health Inc Medicare |
$175,588.30
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$175,588.30
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$175,588.30
|
| Rate for Payer: Healthfirst Medicare Advantage |
$163,297.12
|
| Rate for Payer: Humana Medicare |
$241,433.91
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$175,588.30
|
| Rate for Payer: United Healthcare Commercial |
$225,096.98
|
| Rate for Payer: United Healthcare Medicare Advantage |
$175,588.30
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$175,588.30
|
| Rate for Payer: Wellcare Medicare |
$166,808.89
|
|
|
MS-DRG 43.00: COMPLICATED PEPTIC ULCER WITH CC
|
Facility
|
IP
|
$36,862.98
|
|
|
Service Code
|
MSDRG 381
|
| Min. Negotiated Rate |
$15,710.75 |
| Max. Negotiated Rate |
$36,862.98 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$15,821.39
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$26,809.44
|
| Rate for Payer: Aetna Government |
$26,809.44
|
| Rate for Payer: Brighton Health Commercial |
$15,710.75
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$27,345.63
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$19,272.29
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$16,381.45
|
| Rate for Payer: Elderplan Medicare Advantage |
$25,468.97
|
| Rate for Payer: EmblemHealth Commercial |
$26,809.44
|
| Rate for Payer: Fidelis Medicare Advantage |
$26,809.44
|
| Rate for Payer: Group Health Inc Commercial |
$26,809.44
|
| Rate for Payer: Group Health Inc Medicare |
$26,809.44
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$26,809.44
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$26,809.44
|
| Rate for Payer: Healthfirst Medicare Advantage |
$24,932.78
|
| Rate for Payer: Humana Medicare |
$36,862.98
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$26,809.44
|
| Rate for Payer: United Healthcare Commercial |
$21,547.56
|
| Rate for Payer: United Healthcare Medicare Advantage |
$26,809.44
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$26,809.44
|
| Rate for Payer: Wellcare Medicare |
$25,468.97
|
|
