|
MS-DRG 43.00: COMPLICATED PEPTIC ULCER WITH MCC
|
Facility
|
IP
|
$54,425.37
|
|
|
Service Code
|
MSDRG 380
|
| Min. Negotiated Rate |
$28,451.90 |
| Max. Negotiated Rate |
$54,425.37 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$28,730.63
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$39,582.09
|
| Rate for Payer: Aetna Government |
$39,582.09
|
| Rate for Payer: Brighton Health Commercial |
$28,451.90
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$40,373.73
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$34,901.79
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$29,666.52
|
| Rate for Payer: Elderplan Medicare Advantage |
$37,602.99
|
| Rate for Payer: EmblemHealth Commercial |
$39,582.09
|
| Rate for Payer: Fidelis Medicare Advantage |
$39,582.09
|
| Rate for Payer: Group Health Inc Commercial |
$39,582.09
|
| Rate for Payer: Group Health Inc Medicare |
$39,582.09
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$39,582.09
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$39,582.09
|
| Rate for Payer: Healthfirst Medicare Advantage |
$36,811.34
|
| Rate for Payer: Humana Medicare |
$54,425.37
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$39,582.09
|
| Rate for Payer: United Healthcare Commercial |
$39,022.27
|
| Rate for Payer: United Healthcare Medicare Advantage |
$39,582.09
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$39,582.09
|
| Rate for Payer: Wellcare Medicare |
$37,602.99
|
|
|
MS-DRG 43.00: COMPLICATED PEPTIC ULCER WITHOUT CC/MCC
|
Facility
|
IP
|
$31,208.73
|
|
|
Service Code
|
MSDRG 382
|
| Min. Negotiated Rate |
$11,163.44 |
| Max. Negotiated Rate |
$31,208.73 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$11,163.44
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$22,697.26
|
| Rate for Payer: Aetna Government |
$22,697.26
|
| Rate for Payer: Brighton Health Commercial |
$11,608.70
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$23,151.21
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$14,240.33
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$12,104.28
|
| Rate for Payer: Elderplan Medicare Advantage |
$21,562.40
|
| Rate for Payer: EmblemHealth Commercial |
$22,697.26
|
| Rate for Payer: Fidelis Medicare Advantage |
$22,697.26
|
| Rate for Payer: Group Health Inc Commercial |
$22,697.26
|
| Rate for Payer: Group Health Inc Medicare |
$22,697.26
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$22,697.26
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$22,697.26
|
| Rate for Payer: Healthfirst Medicare Advantage |
$21,108.45
|
| Rate for Payer: Humana Medicare |
$31,208.73
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$22,697.26
|
| Rate for Payer: United Healthcare Commercial |
$15,921.53
|
| Rate for Payer: United Healthcare Medicare Advantage |
$22,697.26
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$22,697.26
|
| Rate for Payer: Wellcare Medicare |
$21,562.40
|
|
|
MS-DRG 43.00: COMPLICATIONS OF TREATMENT WITH CC
|
Facility
|
IP
|
$35,240.08
|
|
|
Service Code
|
MSDRG 920
|
| Min. Negotiated Rate |
$14,533.35 |
| Max. Negotiated Rate |
$35,240.08 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$15,243.38
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$25,629.15
|
| Rate for Payer: Aetna Government |
$25,629.15
|
| Rate for Payer: Brighton Health Commercial |
$14,533.35
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$26,141.73
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$17,827.98
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$15,153.78
|
| Rate for Payer: Elderplan Medicare Advantage |
$24,347.69
|
| Rate for Payer: EmblemHealth Commercial |
$25,629.15
|
| Rate for Payer: Fidelis Medicare Advantage |
$25,629.15
|
| Rate for Payer: Group Health Inc Commercial |
$25,629.15
|
| Rate for Payer: Group Health Inc Medicare |
$25,629.15
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$25,629.15
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$25,629.15
|
| Rate for Payer: Healthfirst Medicare Advantage |
$23,835.11
|
| Rate for Payer: Humana Medicare |
$35,240.08
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$25,629.15
|
| Rate for Payer: United Healthcare Commercial |
$19,932.74
|
| Rate for Payer: United Healthcare Medicare Advantage |
$25,629.15
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$25,629.15
|
| Rate for Payer: Wellcare Medicare |
$24,347.69
|
|
|
MS-DRG 43.00: COMPLICATIONS OF TREATMENT WITH MCC
|
Facility
|
IP
|
$51,799.10
|
|
|
Service Code
|
MSDRG 919
|
| Min. Negotiated Rate |
$26,546.60 |
| Max. Negotiated Rate |
$51,799.10 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$26,905.20
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$37,672.07
|
| Rate for Payer: Aetna Government |
$37,672.07
|
| Rate for Payer: Brighton Health Commercial |
$26,546.60
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$38,425.51
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$32,564.57
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$27,679.88
|
| Rate for Payer: Elderplan Medicare Advantage |
$35,788.47
|
| Rate for Payer: EmblemHealth Commercial |
$37,672.07
|
| Rate for Payer: Fidelis Medicare Advantage |
$37,672.07
|
| Rate for Payer: Group Health Inc Commercial |
$37,672.07
|
| Rate for Payer: Group Health Inc Medicare |
$37,672.07
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$37,672.07
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$37,672.07
|
| Rate for Payer: Healthfirst Medicare Advantage |
$35,035.03
|
| Rate for Payer: Humana Medicare |
$51,799.10
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$37,672.07
|
| Rate for Payer: United Healthcare Commercial |
$36,409.12
|
| Rate for Payer: United Healthcare Medicare Advantage |
$37,672.07
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$37,672.07
|
| Rate for Payer: Wellcare Medicare |
$35,788.47
|
|
|
MS-DRG 43.00: COMPLICATIONS OF TREATMENT WITHOUT CC/MCC
|
Facility
|
IP
|
$28,966.19
|
|
|
Service Code
|
MSDRG 921
|
| Min. Negotiated Rate |
$9,981.80 |
| Max. Negotiated Rate |
$28,966.19 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$10,289.06
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$21,066.32
|
| Rate for Payer: Aetna Government |
$21,066.32
|
| Rate for Payer: Brighton Health Commercial |
$9,981.80
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$21,487.65
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$12,244.62
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$10,407.93
|
| Rate for Payer: Elderplan Medicare Advantage |
$20,013.00
|
| Rate for Payer: EmblemHealth Commercial |
$21,066.32
|
| Rate for Payer: Fidelis Medicare Advantage |
$21,066.32
|
| Rate for Payer: Group Health Inc Commercial |
$21,066.32
|
| Rate for Payer: Group Health Inc Medicare |
$21,066.32
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$21,066.32
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$21,066.32
|
| Rate for Payer: Healthfirst Medicare Advantage |
$19,591.68
|
| Rate for Payer: Humana Medicare |
$28,966.19
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$21,066.32
|
| Rate for Payer: United Healthcare Commercial |
$13,690.21
|
| Rate for Payer: United Healthcare Medicare Advantage |
$21,066.32
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$21,066.32
|
| Rate for Payer: Wellcare Medicare |
$20,013.00
|
|
|
MS-DRG 43.00: CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES
|
Facility
|
IP
|
$232,545.77
|
|
|
Service Code
|
MSDRG 212
|
| Min. Negotiated Rate |
$157,285.51 |
| Max. Negotiated Rate |
$232,545.77 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$158,813.97
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$169,124.20
|
| Rate for Payer: Aetna Government |
$169,124.20
|
| Rate for Payer: Brighton Health Commercial |
$157,674.45
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$172,506.68
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$193,418.38
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$164,405.63
|
| Rate for Payer: Elderplan Medicare Advantage |
$160,667.99
|
| Rate for Payer: EmblemHealth Commercial |
$169,124.20
|
| Rate for Payer: Fidelis Medicare Advantage |
$169,124.20
|
| Rate for Payer: Group Health Inc Commercial |
$169,124.20
|
| Rate for Payer: Group Health Inc Medicare |
$169,124.20
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$169,124.20
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$169,124.20
|
| Rate for Payer: Healthfirst Medicare Advantage |
$157,285.51
|
| Rate for Payer: Humana Medicare |
$232,545.77
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$169,124.20
|
| Rate for Payer: United Healthcare Commercial |
$216,253.23
|
| Rate for Payer: United Healthcare Medicare Advantage |
$169,124.20
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$169,124.20
|
| Rate for Payer: Wellcare Medicare |
$160,667.99
|
|
|
MS-DRG 43.00: CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION
|
Facility
|
IP
|
$148,849.02
|
|
|
Service Code
|
MSDRG 317
|
| Min. Negotiated Rate |
$96,954.25 |
| Max. Negotiated Rate |
$148,849.02 |
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$108,253.83
|
| Rate for Payer: Aetna Government |
$108,253.83
|
| Rate for Payer: Brighton Health Commercial |
$96,954.25
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$110,418.91
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$118,933.24
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$101,093.26
|
| Rate for Payer: Elderplan Medicare Advantage |
$102,841.14
|
| Rate for Payer: EmblemHealth Commercial |
$108,253.83
|
| Rate for Payer: Fidelis Medicare Advantage |
$108,253.83
|
| Rate for Payer: Group Health Inc Commercial |
$108,253.83
|
| Rate for Payer: Group Health Inc Medicare |
$108,253.83
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$108,253.83
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$108,253.83
|
| Rate for Payer: Healthfirst Medicare Advantage |
$100,676.06
|
| Rate for Payer: Humana Medicare |
$148,849.02
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$108,253.83
|
| Rate for Payer: United Healthcare Commercial |
$132,974.43
|
| Rate for Payer: United Healthcare Medicare Advantage |
$108,253.83
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$108,253.83
|
| Rate for Payer: Wellcare Medicare |
$102,841.14
|
|
|
MS-DRG 43.00: CONCUSSION WITH CC
|
Facility
|
IP
|
$37,164.76
|
|
|
Service Code
|
MSDRG 089
|
| Min. Negotiated Rate |
$15,929.70 |
| Max. Negotiated Rate |
$37,164.76 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$16,955.28
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$27,028.92
|
| Rate for Payer: Aetna Government |
$27,028.92
|
| Rate for Payer: Brighton Health Commercial |
$15,929.70
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$27,569.50
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$19,540.88
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$16,609.74
|
| Rate for Payer: Elderplan Medicare Advantage |
$25,677.47
|
| Rate for Payer: EmblemHealth Commercial |
$27,028.92
|
| Rate for Payer: Fidelis Medicare Advantage |
$27,028.92
|
| Rate for Payer: Group Health Inc Commercial |
$27,028.92
|
| Rate for Payer: Group Health Inc Medicare |
$27,028.92
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$27,028.92
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$27,028.92
|
| Rate for Payer: Healthfirst Medicare Advantage |
$25,136.90
|
| Rate for Payer: Humana Medicare |
$37,164.76
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$27,028.92
|
| Rate for Payer: United Healthcare Commercial |
$21,847.86
|
| Rate for Payer: United Healthcare Medicare Advantage |
$27,028.92
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$27,028.92
|
| Rate for Payer: Wellcare Medicare |
$25,677.47
|
|
|
MS-DRG 43.00: CONCUSSION WITH MCC
|
Facility
|
IP
|
$42,225.47
|
|
|
Service Code
|
MSDRG 088
|
| Min. Negotiated Rate |
$19,601.10 |
| Max. Negotiated Rate |
$42,225.47 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$22,615.88
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$30,709.43
|
| Rate for Payer: Aetna Government |
$30,709.43
|
| Rate for Payer: Brighton Health Commercial |
$19,601.10
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$31,323.62
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$24,044.56
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$20,437.88
|
| Rate for Payer: Elderplan Medicare Advantage |
$29,173.96
|
| Rate for Payer: EmblemHealth Commercial |
$30,709.43
|
| Rate for Payer: Fidelis Medicare Advantage |
$30,709.43
|
| Rate for Payer: Group Health Inc Commercial |
$30,709.43
|
| Rate for Payer: Group Health Inc Medicare |
$30,709.43
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$30,709.43
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$30,709.43
|
| Rate for Payer: Healthfirst Medicare Advantage |
$28,559.77
|
| Rate for Payer: Humana Medicare |
$42,225.47
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$30,709.43
|
| Rate for Payer: United Healthcare Commercial |
$26,883.25
|
| Rate for Payer: United Healthcare Medicare Advantage |
$30,709.43
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$30,709.43
|
| Rate for Payer: Wellcare Medicare |
$29,173.96
|
|
|
MS-DRG 43.00: CONCUSSION WITHOUT CC/MCC
|
Facility
|
IP
|
$31,660.41
|
|
|
Service Code
|
MSDRG 090
|
| Min. Negotiated Rate |
$11,936.40 |
| Max. Negotiated Rate |
$31,660.41 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$13,783.63
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$23,025.75
|
| Rate for Payer: Aetna Government |
$23,025.75
|
| Rate for Payer: Brighton Health Commercial |
$11,936.40
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$23,486.26
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$14,642.32
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$12,445.97
|
| Rate for Payer: Elderplan Medicare Advantage |
$21,874.46
|
| Rate for Payer: EmblemHealth Commercial |
$23,025.75
|
| Rate for Payer: Fidelis Medicare Advantage |
$23,025.75
|
| Rate for Payer: Group Health Inc Commercial |
$23,025.75
|
| Rate for Payer: Group Health Inc Medicare |
$23,025.75
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$23,025.75
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$23,025.75
|
| Rate for Payer: Healthfirst Medicare Advantage |
$21,413.95
|
| Rate for Payer: Humana Medicare |
$31,660.41
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$23,025.75
|
| Rate for Payer: United Healthcare Commercial |
$16,370.98
|
| Rate for Payer: United Healthcare Medicare Advantage |
$23,025.75
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$23,025.75
|
| Rate for Payer: Wellcare Medicare |
$21,874.46
|
|
|
MS-DRG 43.00: CONNECTIVE TISSUE DISORDERS WITH CC
|
Facility
|
IP
|
$38,260.05
|
|
|
Service Code
|
MSDRG 546
|
| Min. Negotiated Rate |
$16,724.30 |
| Max. Negotiated Rate |
$38,260.05 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$17,683.68
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$27,825.49
|
| Rate for Payer: Aetna Government |
$27,825.49
|
| Rate for Payer: Brighton Health Commercial |
$16,724.30
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$28,382.00
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$20,515.61
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$17,438.27
|
| Rate for Payer: Elderplan Medicare Advantage |
$26,434.22
|
| Rate for Payer: EmblemHealth Commercial |
$27,825.49
|
| Rate for Payer: Fidelis Medicare Advantage |
$27,825.49
|
| Rate for Payer: Group Health Inc Commercial |
$27,825.49
|
| Rate for Payer: Group Health Inc Medicare |
$27,825.49
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$27,825.49
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$27,825.49
|
| Rate for Payer: Healthfirst Medicare Advantage |
$25,877.71
|
| Rate for Payer: Humana Medicare |
$38,260.05
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$27,825.49
|
| Rate for Payer: United Healthcare Commercial |
$22,937.67
|
| Rate for Payer: United Healthcare Medicare Advantage |
$27,825.49
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$27,825.49
|
| Rate for Payer: Wellcare Medicare |
$26,434.22
|
|
|
MS-DRG 43.00: CONNECTIVE TISSUE DISORDERS WITH MCC
|
Facility
|
IP
|
$64,808.52
|
|
|
Service Code
|
MSDRG 545
|
| Min. Negotiated Rate |
$35,984.65 |
| Max. Negotiated Rate |
$64,808.52 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$36,762.23
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$47,133.47
|
| Rate for Payer: Aetna Government |
$47,133.47
|
| Rate for Payer: Brighton Health Commercial |
$35,984.65
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$48,076.14
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$44,142.17
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$37,520.85
|
| Rate for Payer: Elderplan Medicare Advantage |
$44,776.80
|
| Rate for Payer: EmblemHealth Commercial |
$47,133.47
|
| Rate for Payer: Fidelis Medicare Advantage |
$47,133.47
|
| Rate for Payer: Group Health Inc Commercial |
$47,133.47
|
| Rate for Payer: Group Health Inc Medicare |
$47,133.47
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$47,133.47
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$47,133.47
|
| Rate for Payer: Healthfirst Medicare Advantage |
$43,834.13
|
| Rate for Payer: Humana Medicare |
$64,808.52
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$47,133.47
|
| Rate for Payer: United Healthcare Commercial |
$49,353.57
|
| Rate for Payer: United Healthcare Medicare Advantage |
$47,133.47
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$47,133.47
|
| Rate for Payer: Wellcare Medicare |
$44,776.80
|
|
|
MS-DRG 43.00: CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC
|
Facility
|
IP
|
$31,920.23
|
|
|
Service Code
|
MSDRG 547
|
| Min. Negotiated Rate |
$11,993.58 |
| Max. Negotiated Rate |
$31,920.23 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$11,993.58
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$23,214.71
|
| Rate for Payer: Aetna Government |
$23,214.71
|
| Rate for Payer: Brighton Health Commercial |
$12,124.90
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$23,679.00
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$14,873.55
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$12,642.52
|
| Rate for Payer: Elderplan Medicare Advantage |
$22,053.97
|
| Rate for Payer: EmblemHealth Commercial |
$23,214.71
|
| Rate for Payer: Fidelis Medicare Advantage |
$23,214.71
|
| Rate for Payer: Group Health Inc Commercial |
$23,214.71
|
| Rate for Payer: Group Health Inc Medicare |
$23,214.71
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$23,214.71
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$23,214.71
|
| Rate for Payer: Healthfirst Medicare Advantage |
$21,589.68
|
| Rate for Payer: Humana Medicare |
$31,920.23
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$23,214.71
|
| Rate for Payer: United Healthcare Commercial |
$16,629.51
|
| Rate for Payer: United Healthcare Medicare Advantage |
$23,214.71
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$23,214.71
|
| Rate for Payer: Wellcare Medicare |
$22,053.97
|
|
|
MS-DRG 43.00: CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC
|
Facility
|
IP
|
$168,010.37
|
|
|
Service Code
|
MSDRG 233
|
| Min. Negotiated Rate |
$110,855.40 |
| Max. Negotiated Rate |
$168,010.37 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$115,005.10
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$122,189.36
|
| Rate for Payer: Aetna Government |
$122,189.36
|
| Rate for Payer: Brighton Health Commercial |
$110,855.40
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$124,633.15
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$135,985.71
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$115,587.86
|
| Rate for Payer: Elderplan Medicare Advantage |
$116,079.89
|
| Rate for Payer: EmblemHealth Commercial |
$122,189.36
|
| Rate for Payer: Fidelis Medicare Advantage |
$122,189.36
|
| Rate for Payer: Group Health Inc Commercial |
$122,189.36
|
| Rate for Payer: Group Health Inc Medicare |
$122,189.36
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$122,189.36
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$122,189.36
|
| Rate for Payer: Healthfirst Medicare Advantage |
$113,636.10
|
| Rate for Payer: Humana Medicare |
$168,010.37
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$122,189.36
|
| Rate for Payer: United Healthcare Commercial |
$152,040.09
|
| Rate for Payer: United Healthcare Medicare Advantage |
$122,189.36
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$122,189.36
|
| Rate for Payer: Wellcare Medicare |
$116,079.89
|
|
|
MS-DRG 43.00: CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC
|
Facility
|
IP
|
$124,389.20
|
|
|
Service Code
|
MSDRG 234
|
| Min. Negotiated Rate |
$76,643.04 |
| Max. Negotiated Rate |
$124,389.20 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$76,643.04
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$90,464.87
|
| Rate for Payer: Aetna Government |
$90,464.87
|
| Rate for Payer: Brighton Health Commercial |
$79,209.15
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$92,274.17
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$97,165.43
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$82,590.62
|
| Rate for Payer: Elderplan Medicare Advantage |
$85,941.63
|
| Rate for Payer: EmblemHealth Commercial |
$90,464.87
|
| Rate for Payer: Fidelis Medicare Advantage |
$90,464.87
|
| Rate for Payer: Group Health Inc Commercial |
$90,464.87
|
| Rate for Payer: Group Health Inc Medicare |
$90,464.87
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$90,464.87
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$90,464.87
|
| Rate for Payer: Healthfirst Medicare Advantage |
$84,132.33
|
| Rate for Payer: Humana Medicare |
$124,389.20
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$90,464.87
|
| Rate for Payer: United Healthcare Commercial |
$108,636.71
|
| Rate for Payer: United Healthcare Medicare Advantage |
$90,464.87
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$90,464.87
|
| Rate for Payer: Wellcare Medicare |
$85,941.63
|
|
|
MS-DRG 43.00: CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC
|
Facility
|
IP
|
$132,501.82
|
|
|
Service Code
|
MSDRG 235
|
| Min. Negotiated Rate |
$85,094.70 |
| Max. Negotiated Rate |
$132,501.82 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$86,709.45
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$96,364.96
|
| Rate for Payer: Aetna Government |
$96,364.96
|
| Rate for Payer: Brighton Health Commercial |
$85,094.70
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$98,292.26
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$104,385.20
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$88,727.42
|
| Rate for Payer: Elderplan Medicare Advantage |
$91,546.71
|
| Rate for Payer: EmblemHealth Commercial |
$96,364.96
|
| Rate for Payer: Fidelis Medicare Advantage |
$96,364.96
|
| Rate for Payer: Group Health Inc Commercial |
$96,364.96
|
| Rate for Payer: Group Health Inc Medicare |
$96,364.96
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$96,364.96
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$96,364.96
|
| Rate for Payer: Healthfirst Medicare Advantage |
$89,619.41
|
| Rate for Payer: Humana Medicare |
$132,501.82
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$96,364.96
|
| Rate for Payer: United Healthcare Commercial |
$116,708.85
|
| Rate for Payer: United Healthcare Medicare Advantage |
$96,364.96
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$96,364.96
|
| Rate for Payer: Wellcare Medicare |
$91,546.71
|
|
|
MS-DRG 43.00: CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC
|
Facility
|
IP
|
$98,928.01
|
|
|
Service Code
|
MSDRG 236
|
| Min. Negotiated Rate |
$59,587.49 |
| Max. Negotiated Rate |
$98,928.01 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$59,587.49
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$71,947.64
|
| Rate for Payer: Aetna Government |
$71,947.64
|
| Rate for Payer: Brighton Health Commercial |
$60,737.60
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$73,386.59
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$74,506.48
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$63,330.51
|
| Rate for Payer: Elderplan Medicare Advantage |
$68,350.26
|
| Rate for Payer: EmblemHealth Commercial |
$71,947.64
|
| Rate for Payer: Fidelis Medicare Advantage |
$71,947.64
|
| Rate for Payer: Group Health Inc Commercial |
$71,947.64
|
| Rate for Payer: Group Health Inc Medicare |
$71,947.64
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$71,947.64
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$71,947.64
|
| Rate for Payer: Healthfirst Medicare Advantage |
$66,911.31
|
| Rate for Payer: Humana Medicare |
$98,928.01
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$71,947.64
|
| Rate for Payer: United Healthcare Commercial |
$83,302.67
|
| Rate for Payer: United Healthcare Medicare Advantage |
$71,947.64
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$71,947.64
|
| Rate for Payer: Wellcare Medicare |
$68,350.26
|
|
|
MS-DRG 43.00: CORONARY BYPASS WITH PTCA WITH MCC
|
Facility
|
IP
|
$183,694.05
|
|
|
Service Code
|
MSDRG 231
|
| Min. Negotiated Rate |
$119,658.62 |
| Max. Negotiated Rate |
$183,694.05 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$119,658.62
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$133,595.67
|
| Rate for Payer: Aetna Government |
$133,595.67
|
| Rate for Payer: Brighton Health Commercial |
$122,233.55
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$136,267.58
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$149,943.22
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$127,451.74
|
| Rate for Payer: Elderplan Medicare Advantage |
$126,915.89
|
| Rate for Payer: EmblemHealth Commercial |
$133,595.67
|
| Rate for Payer: Fidelis Medicare Advantage |
$133,595.67
|
| Rate for Payer: Group Health Inc Commercial |
$133,595.67
|
| Rate for Payer: Group Health Inc Medicare |
$133,595.67
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$133,595.67
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$133,595.67
|
| Rate for Payer: Healthfirst Medicare Advantage |
$124,243.97
|
| Rate for Payer: Humana Medicare |
$183,694.05
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$133,595.67
|
| Rate for Payer: United Healthcare Commercial |
$167,645.42
|
| Rate for Payer: United Healthcare Medicare Advantage |
$133,595.67
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$133,595.67
|
| Rate for Payer: Wellcare Medicare |
$126,915.89
|
|
|
MS-DRG 43.00: CORONARY BYPASS WITH PTCA WITHOUT MCC
|
Facility
|
IP
|
$136,379.27
|
|
|
Service Code
|
MSDRG 232
|
| Min. Negotiated Rate |
$87,712.11 |
| Max. Negotiated Rate |
$136,379.27 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$87,712.11
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$99,184.92
|
| Rate for Payer: Aetna Government |
$99,184.92
|
| Rate for Payer: Brighton Health Commercial |
$87,907.70
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$101,168.62
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$107,835.89
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$91,660.51
|
| Rate for Payer: Elderplan Medicare Advantage |
$94,225.67
|
| Rate for Payer: EmblemHealth Commercial |
$99,184.92
|
| Rate for Payer: Fidelis Medicare Advantage |
$99,184.92
|
| Rate for Payer: Group Health Inc Commercial |
$99,184.92
|
| Rate for Payer: Group Health Inc Medicare |
$99,184.92
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$99,184.92
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$99,184.92
|
| Rate for Payer: Healthfirst Medicare Advantage |
$92,241.98
|
| Rate for Payer: Humana Medicare |
$136,379.27
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$99,184.92
|
| Rate for Payer: United Healthcare Commercial |
$120,566.93
|
| Rate for Payer: United Healthcare Medicare Advantage |
$99,184.92
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$99,184.92
|
| Rate for Payer: Wellcare Medicare |
$94,225.67
|
|
|
MS-DRG 43.00: CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC
|
Facility
|
IP
|
$101,698.13
|
|
|
Service Code
|
MSDRG 323
|
| Min. Negotiated Rate |
$61,044.30 |
| Max. Negotiated Rate |
$101,698.13 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$61,044.30
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$73,962.28
|
| Rate for Payer: Aetna Government |
$73,962.28
|
| Rate for Payer: Brighton Health Commercial |
$62,747.30
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$75,441.53
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$76,971.77
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$65,426.00
|
| Rate for Payer: Elderplan Medicare Advantage |
$70,264.17
|
| Rate for Payer: EmblemHealth Commercial |
$73,962.28
|
| Rate for Payer: Fidelis Medicare Advantage |
$73,962.28
|
| Rate for Payer: Group Health Inc Commercial |
$73,962.28
|
| Rate for Payer: Group Health Inc Medicare |
$73,962.28
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$73,962.28
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$73,962.28
|
| Rate for Payer: Healthfirst Medicare Advantage |
$68,784.92
|
| Rate for Payer: Humana Medicare |
$101,698.13
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$73,962.28
|
| Rate for Payer: United Healthcare Commercial |
$86,059.00
|
| Rate for Payer: United Healthcare Medicare Advantage |
$73,962.28
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$73,962.28
|
| Rate for Payer: Wellcare Medicare |
$70,264.17
|
|
|
MS-DRG 43.00: CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC
|
Facility
|
IP
|
$78,185.69
|
|
|
Service Code
|
MSDRG 324
|
| Min. Negotiated Rate |
$43,772.01 |
| Max. Negotiated Rate |
$78,185.69 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$43,772.01
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$56,862.32
|
| Rate for Payer: Aetna Government |
$56,862.32
|
| Rate for Payer: Brighton Health Commercial |
$45,689.50
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$57,999.57
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$56,047.06
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$47,640.00
|
| Rate for Payer: Elderplan Medicare Advantage |
$54,019.20
|
| Rate for Payer: EmblemHealth Commercial |
$56,862.32
|
| Rate for Payer: Fidelis Medicare Advantage |
$56,862.32
|
| Rate for Payer: Group Health Inc Commercial |
$56,862.32
|
| Rate for Payer: Group Health Inc Medicare |
$56,862.32
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$56,862.32
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$56,862.32
|
| Rate for Payer: Healthfirst Medicare Advantage |
$52,881.96
|
| Rate for Payer: Humana Medicare |
$78,185.69
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$56,862.32
|
| Rate for Payer: United Healthcare Commercial |
$62,663.94
|
| Rate for Payer: United Healthcare Medicare Advantage |
$56,862.32
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$56,862.32
|
| Rate for Payer: Wellcare Medicare |
$54,019.20
|
|
|
MS-DRG 43.00: CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE
|
Facility
|
IP
|
$79,372.91
|
|
|
Service Code
|
MSDRG 325
|
| Min. Negotiated Rate |
$38,990.20 |
| Max. Negotiated Rate |
$79,372.91 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$38,990.20
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$57,725.75
|
| Rate for Payer: Aetna Government |
$57,725.75
|
| Rate for Payer: Brighton Health Commercial |
$46,550.80
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$58,880.26
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$57,103.61
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$48,538.07
|
| Rate for Payer: Elderplan Medicare Advantage |
$54,839.46
|
| Rate for Payer: EmblemHealth Commercial |
$57,725.75
|
| Rate for Payer: Fidelis Medicare Advantage |
$57,725.75
|
| Rate for Payer: Group Health Inc Commercial |
$57,725.75
|
| Rate for Payer: Group Health Inc Medicare |
$57,725.75
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$57,725.75
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$57,725.75
|
| Rate for Payer: Healthfirst Medicare Advantage |
$53,684.95
|
| Rate for Payer: Humana Medicare |
$79,372.91
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$57,725.75
|
| Rate for Payer: United Healthcare Commercial |
$63,845.22
|
| Rate for Payer: United Healthcare Medicare Advantage |
$57,725.75
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$57,725.75
|
| Rate for Payer: Wellcare Medicare |
$54,839.46
|
|
|
MS-DRG 43.00: CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC
|
Facility
|
IP
|
$47,272.11
|
|
|
Service Code
|
MSDRG 073
|
| Min. Negotiated Rate |
$22,309.19 |
| Max. Negotiated Rate |
$47,272.11 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$22,309.19
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$34,379.72
|
| Rate for Payer: Aetna Government |
$34,379.72
|
| Rate for Payer: Brighton Health Commercial |
$23,262.35
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$35,067.31
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$28,535.80
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$24,255.43
|
| Rate for Payer: Elderplan Medicare Advantage |
$32,660.73
|
| Rate for Payer: EmblemHealth Commercial |
$34,379.72
|
| Rate for Payer: Fidelis Medicare Advantage |
$34,379.72
|
| Rate for Payer: Group Health Inc Commercial |
$34,379.72
|
| Rate for Payer: Group Health Inc Medicare |
$34,379.72
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$34,379.72
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$34,379.72
|
| Rate for Payer: Healthfirst Medicare Advantage |
$31,973.14
|
| Rate for Payer: Humana Medicare |
$47,272.11
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$34,379.72
|
| Rate for Payer: United Healthcare Commercial |
$31,904.71
|
| Rate for Payer: United Healthcare Medicare Advantage |
$34,379.72
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$34,379.72
|
| Rate for Payer: Wellcare Medicare |
$32,660.73
|
|
|
MS-DRG 43.00: CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC
|
Facility
|
IP
|
$35,809.69
|
|
|
Service Code
|
MSDRG 074
|
| Min. Negotiated Rate |
$14,946.60 |
| Max. Negotiated Rate |
$35,809.69 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$15,131.32
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$26,043.41
|
| Rate for Payer: Aetna Government |
$26,043.41
|
| Rate for Payer: Brighton Health Commercial |
$14,946.60
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$26,564.28
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$18,334.91
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$15,584.68
|
| Rate for Payer: Elderplan Medicare Advantage |
$24,741.24
|
| Rate for Payer: EmblemHealth Commercial |
$26,043.41
|
| Rate for Payer: Fidelis Medicare Advantage |
$26,043.41
|
| Rate for Payer: Group Health Inc Commercial |
$26,043.41
|
| Rate for Payer: Group Health Inc Medicare |
$26,043.41
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$26,043.41
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$26,043.41
|
| Rate for Payer: Healthfirst Medicare Advantage |
$24,220.37
|
| Rate for Payer: Humana Medicare |
$35,809.69
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$26,043.41
|
| Rate for Payer: United Healthcare Commercial |
$20,499.52
|
| Rate for Payer: United Healthcare Medicare Advantage |
$26,043.41
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$26,043.41
|
| Rate for Payer: Wellcare Medicare |
$24,741.24
|
|
|
MS-DRG 43.00: CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC
|
Facility
|
IP
|
$77,350.27
|
|
|
Service Code
|
MSDRG 026
|
| Min. Negotiated Rate |
$43,543.46 |
| Max. Negotiated Rate |
$77,350.27 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$43,543.46
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$56,254.74
|
| Rate for Payer: Aetna Government |
$56,254.74
|
| Rate for Payer: Brighton Health Commercial |
$45,083.40
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$57,379.83
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$55,303.56
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$47,008.03
|
| Rate for Payer: Elderplan Medicare Advantage |
$53,442.00
|
| Rate for Payer: EmblemHealth Commercial |
$56,254.74
|
| Rate for Payer: Fidelis Medicare Advantage |
$56,254.74
|
| Rate for Payer: Group Health Inc Commercial |
$56,254.74
|
| Rate for Payer: Group Health Inc Medicare |
$56,254.74
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$56,254.74
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$56,254.74
|
| Rate for Payer: Healthfirst Medicare Advantage |
$52,316.91
|
| Rate for Payer: Humana Medicare |
$77,350.27
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$56,254.74
|
| Rate for Payer: United Healthcare Commercial |
$61,832.66
|
| Rate for Payer: United Healthcare Medicare Advantage |
$56,254.74
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$56,254.74
|
| Rate for Payer: Wellcare Medicare |
$53,442.00
|
|
