|
MS-DRG 43.00: CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC
|
Facility
|
IP
|
$106,081.28
|
|
|
Service Code
|
MSDRG 025
|
| Min. Negotiated Rate |
$65,113.92 |
| Max. Negotiated Rate |
$106,081.28 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$65,113.92
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$77,150.02
|
| Rate for Payer: Aetna Government |
$77,150.02
|
| Rate for Payer: Brighton Health Commercial |
$65,927.15
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$78,693.02
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$80,872.47
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$68,741.60
|
| Rate for Payer: Elderplan Medicare Advantage |
$73,292.52
|
| Rate for Payer: EmblemHealth Commercial |
$77,150.02
|
| Rate for Payer: Fidelis Medicare Advantage |
$77,150.02
|
| Rate for Payer: Group Health Inc Commercial |
$77,150.02
|
| Rate for Payer: Group Health Inc Medicare |
$77,150.02
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$77,150.02
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$77,150.02
|
| Rate for Payer: Healthfirst Medicare Advantage |
$71,749.52
|
| Rate for Payer: Humana Medicare |
$106,081.28
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$77,150.02
|
| Rate for Payer: United Healthcare Commercial |
$90,420.22
|
| Rate for Payer: United Healthcare Medicare Advantage |
$77,150.02
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$77,150.02
|
| Rate for Payer: Wellcare Medicare |
$73,292.52
|
|
|
MS-DRG 43.00: CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$65,631.98
|
|
|
Service Code
|
MSDRG 027
|
| Min. Negotiated Rate |
$35,873.11 |
| Max. Negotiated Rate |
$65,631.98 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$35,873.11
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$47,732.35
|
| Rate for Payer: Aetna Government |
$47,732.35
|
| Rate for Payer: Brighton Health Commercial |
$36,582.05
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$48,687.00
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$44,875.00
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$38,143.75
|
| Rate for Payer: Elderplan Medicare Advantage |
$45,345.73
|
| Rate for Payer: EmblemHealth Commercial |
$47,732.35
|
| Rate for Payer: Fidelis Medicare Advantage |
$47,732.35
|
| Rate for Payer: Group Health Inc Commercial |
$47,732.35
|
| Rate for Payer: Group Health Inc Medicare |
$47,732.35
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$47,732.35
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$47,732.35
|
| Rate for Payer: Healthfirst Medicare Advantage |
$44,391.09
|
| Rate for Payer: Humana Medicare |
$65,631.98
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$47,732.35
|
| Rate for Payer: United Healthcare Commercial |
$50,172.91
|
| Rate for Payer: United Healthcare Medicare Advantage |
$47,732.35
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$47,732.35
|
| Rate for Payer: Wellcare Medicare |
$45,345.73
|
|
|
MS-DRG 43.00: CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$149,740.47
|
|
|
Service Code
|
MSDRG 955
|
| Min. Negotiated Rate |
$89,800.00 |
| Max. Negotiated Rate |
$149,740.47 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$89,800.00
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$108,902.16
|
| Rate for Payer: Aetna Government |
$108,902.16
|
| Rate for Payer: Brighton Health Commercial |
$97,600.95
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$111,080.20
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$119,726.55
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$101,767.57
|
| Rate for Payer: Elderplan Medicare Advantage |
$103,457.05
|
| Rate for Payer: EmblemHealth Commercial |
$108,902.16
|
| Rate for Payer: Fidelis Medicare Advantage |
$108,902.16
|
| Rate for Payer: Group Health Inc Commercial |
$108,902.16
|
| Rate for Payer: Group Health Inc Medicare |
$108,902.16
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$108,902.16
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$108,902.16
|
| Rate for Payer: Healthfirst Medicare Advantage |
$101,279.01
|
| Rate for Payer: Humana Medicare |
$149,740.47
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$108,902.16
|
| Rate for Payer: United Healthcare Commercial |
$133,861.39
|
| Rate for Payer: United Healthcare Medicare Advantage |
$108,902.16
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$108,902.16
|
| Rate for Payer: Wellcare Medicare |
$103,457.05
|
|
|
MS-DRG 43.00: CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR
|
Facility
|
IP
|
$129,737.66
|
|
|
Service Code
|
MSDRG 023
|
| Min. Negotiated Rate |
$83,089.35 |
| Max. Negotiated Rate |
$129,737.66 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$83,586.46
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$94,354.66
|
| Rate for Payer: Aetna Government |
$94,354.66
|
| Rate for Payer: Brighton Health Commercial |
$83,089.35
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$96,241.75
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$101,925.25
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$86,636.46
|
| Rate for Payer: Elderplan Medicare Advantage |
$89,636.93
|
| Rate for Payer: EmblemHealth Commercial |
$94,354.66
|
| Rate for Payer: Fidelis Medicare Advantage |
$94,354.66
|
| Rate for Payer: Group Health Inc Commercial |
$94,354.66
|
| Rate for Payer: Group Health Inc Medicare |
$94,354.66
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$94,354.66
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$94,354.66
|
| Rate for Payer: Healthfirst Medicare Advantage |
$87,749.83
|
| Rate for Payer: Humana Medicare |
$129,737.66
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$94,354.66
|
| Rate for Payer: United Healthcare Commercial |
$113,958.48
|
| Rate for Payer: United Healthcare Medicare Advantage |
$94,354.66
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$94,354.66
|
| Rate for Payer: Wellcare Medicare |
$89,636.93
|
|
|
MS-DRG 43.00: CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC
|
Facility
|
IP
|
$93,393.63
|
|
|
Service Code
|
MSDRG 024
|
| Min. Negotiated Rate |
$55,865.86 |
| Max. Negotiated Rate |
$93,393.63 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$55,865.86
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$67,922.64
|
| Rate for Payer: Aetna Government |
$67,922.64
|
| Rate for Payer: Brighton Health Commercial |
$56,722.55
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$69,281.09
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$69,581.24
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$59,144.06
|
| Rate for Payer: Elderplan Medicare Advantage |
$64,526.51
|
| Rate for Payer: EmblemHealth Commercial |
$67,922.64
|
| Rate for Payer: Fidelis Medicare Advantage |
$67,922.64
|
| Rate for Payer: Group Health Inc Commercial |
$67,922.64
|
| Rate for Payer: Group Health Inc Medicare |
$67,922.64
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$67,922.64
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$67,922.64
|
| Rate for Payer: Healthfirst Medicare Advantage |
$63,168.06
|
| Rate for Payer: Humana Medicare |
$93,393.63
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$67,922.64
|
| Rate for Payer: United Healthcare Commercial |
$77,795.96
|
| Rate for Payer: United Healthcare Medicare Advantage |
$67,922.64
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$67,922.64
|
| Rate for Payer: Wellcare Medicare |
$64,526.51
|
|
|
MS-DRG 43.00: D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC
|
Facility
|
IP
|
$56,162.23
|
|
|
Service Code
|
MSDRG 744
|
| Min. Negotiated Rate |
$1,000.00 |
| Max. Negotiated Rate |
$56,162.23 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$27,755.99
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$40,845.26
|
| Rate for Payer: Aetna Government |
$40,845.26
|
| Rate for Payer: Brighton Health Commercial |
$29,711.95
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$41,662.17
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$36,447.49
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$30,980.36
|
| Rate for Payer: Elderplan Medicare Advantage |
$38,803.00
|
| Rate for Payer: EmblemHealth Commercial |
$40,845.26
|
| Rate for Payer: Fidelis Medicare Advantage |
$40,845.26
|
| Rate for Payer: Group Health Inc Commercial |
$1,000.00
|
| Rate for Payer: Group Health Inc Medicare |
$40,845.26
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$40,845.26
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$40,845.26
|
| Rate for Payer: Healthfirst Medicare Advantage |
$37,986.09
|
| Rate for Payer: Humana Medicare |
$56,162.23
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$40,845.26
|
| Rate for Payer: United Healthcare Commercial |
$40,750.45
|
| Rate for Payer: United Healthcare Medicare Advantage |
$40,845.26
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$40,845.26
|
| Rate for Payer: Wellcare Medicare |
$38,803.00
|
|
|
MS-DRG 43.00: D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC
|
Facility
|
IP
|
$37,942.29
|
|
|
Service Code
|
MSDRG 745
|
| Min. Negotiated Rate |
$1,000.00 |
| Max. Negotiated Rate |
$37,942.29 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$15,274.35
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$27,594.39
|
| Rate for Payer: Aetna Government |
$27,594.39
|
| Rate for Payer: Brighton Health Commercial |
$16,493.75
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$28,146.28
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$20,232.79
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$17,197.87
|
| Rate for Payer: Elderplan Medicare Advantage |
$26,214.67
|
| Rate for Payer: EmblemHealth Commercial |
$27,594.39
|
| Rate for Payer: Fidelis Medicare Advantage |
$27,594.39
|
| Rate for Payer: Group Health Inc Commercial |
$1,000.00
|
| Rate for Payer: Group Health Inc Medicare |
$27,594.39
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$27,594.39
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$27,594.39
|
| Rate for Payer: Healthfirst Medicare Advantage |
$25,662.78
|
| Rate for Payer: Humana Medicare |
$37,942.29
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$27,594.39
|
| Rate for Payer: United Healthcare Commercial |
$22,621.46
|
| Rate for Payer: United Healthcare Medicare Advantage |
$27,594.39
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$27,594.39
|
| Rate for Payer: Wellcare Medicare |
$26,214.67
|
|
|
MS-DRG 43.00: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC
|
Facility
|
IP
|
$61,638.64
|
|
|
Service Code
|
MSDRG 056
|
| Min. Negotiated Rate |
$33,684.95 |
| Max. Negotiated Rate |
$61,638.64 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$35,299.53
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$44,828.10
|
| Rate for Payer: Aetna Government |
$44,828.10
|
| Rate for Payer: Brighton Health Commercial |
$33,684.95
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$45,724.66
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$41,321.14
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$35,122.97
|
| Rate for Payer: Elderplan Medicare Advantage |
$42,586.69
|
| Rate for Payer: EmblemHealth Commercial |
$44,828.10
|
| Rate for Payer: Fidelis Medicare Advantage |
$44,828.10
|
| Rate for Payer: Group Health Inc Commercial |
$44,828.10
|
| Rate for Payer: Group Health Inc Medicare |
$44,828.10
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$44,828.10
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$44,828.10
|
| Rate for Payer: Healthfirst Medicare Advantage |
$41,690.13
|
| Rate for Payer: Humana Medicare |
$61,638.64
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$44,828.10
|
| Rate for Payer: United Healthcare Commercial |
$46,199.49
|
| Rate for Payer: United Healthcare Medicare Advantage |
$44,828.10
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$44,828.10
|
| Rate for Payer: Wellcare Medicare |
$42,586.69
|
|
|
MS-DRG 43.00: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC
|
Facility
|
IP
|
$41,102.20
|
|
|
Service Code
|
MSDRG 057
|
| Min. Negotiated Rate |
$18,786.20 |
| Max. Negotiated Rate |
$41,102.20 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$20,100.38
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$29,892.51
|
| Rate for Payer: Aetna Government |
$29,892.51
|
| Rate for Payer: Brighton Health Commercial |
$18,786.20
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$30,490.36
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$23,044.93
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$19,588.19
|
| Rate for Payer: Elderplan Medicare Advantage |
$28,397.88
|
| Rate for Payer: EmblemHealth Commercial |
$29,892.51
|
| Rate for Payer: Fidelis Medicare Advantage |
$29,892.51
|
| Rate for Payer: Group Health Inc Commercial |
$29,892.51
|
| Rate for Payer: Group Health Inc Medicare |
$29,892.51
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$29,892.51
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$29,892.51
|
| Rate for Payer: Healthfirst Medicare Advantage |
$27,800.03
|
| Rate for Payer: Humana Medicare |
$41,102.20
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$29,892.51
|
| Rate for Payer: United Healthcare Commercial |
$25,765.60
|
| Rate for Payer: United Healthcare Medicare Advantage |
$29,892.51
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$29,892.51
|
| Rate for Payer: Wellcare Medicare |
$28,397.88
|
|
|
MS-DRG 43.00: DENTAL AND ORAL DISEASES WITH CC
|
Facility
|
IP
|
$33,391.30
|
|
|
Service Code
|
MSDRG 158
|
| Min. Negotiated Rate |
$13,192.10 |
| Max. Negotiated Rate |
$33,391.30 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$13,838.18
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$24,284.58
|
| Rate for Payer: Aetna Government |
$24,284.58
|
| Rate for Payer: Brighton Health Commercial |
$13,192.10
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$24,770.27
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$16,182.68
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$13,755.28
|
| Rate for Payer: Elderplan Medicare Advantage |
$23,070.35
|
| Rate for Payer: EmblemHealth Commercial |
$24,284.58
|
| Rate for Payer: Fidelis Medicare Advantage |
$24,284.58
|
| Rate for Payer: Group Health Inc Commercial |
$24,284.58
|
| Rate for Payer: Group Health Inc Medicare |
$24,284.58
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$24,284.58
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$24,284.58
|
| Rate for Payer: Healthfirst Medicare Advantage |
$22,584.66
|
| Rate for Payer: Humana Medicare |
$33,391.30
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$24,284.58
|
| Rate for Payer: United Healthcare Commercial |
$18,093.19
|
| Rate for Payer: United Healthcare Medicare Advantage |
$24,284.58
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$24,284.58
|
| Rate for Payer: Wellcare Medicare |
$23,070.35
|
|
|
MS-DRG 43.00: DENTAL AND ORAL DISEASES WITH MCC
|
Facility
|
IP
|
$49,520.61
|
|
|
Service Code
|
MSDRG 157
|
| Min. Negotiated Rate |
$24,893.60 |
| Max. Negotiated Rate |
$49,520.61 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$25,169.72
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$36,014.99
|
| Rate for Payer: Aetna Government |
$36,014.99
|
| Rate for Payer: Brighton Health Commercial |
$24,893.60
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$36,735.29
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$30,536.84
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$25,956.32
|
| Rate for Payer: Elderplan Medicare Advantage |
$34,214.24
|
| Rate for Payer: EmblemHealth Commercial |
$36,014.99
|
| Rate for Payer: Fidelis Medicare Advantage |
$36,014.99
|
| Rate for Payer: Group Health Inc Commercial |
$36,014.99
|
| Rate for Payer: Group Health Inc Medicare |
$36,014.99
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$36,014.99
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$36,014.99
|
| Rate for Payer: Healthfirst Medicare Advantage |
$33,493.94
|
| Rate for Payer: Humana Medicare |
$49,520.61
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$36,014.99
|
| Rate for Payer: United Healthcare Commercial |
$34,142.00
|
| Rate for Payer: United Healthcare Medicare Advantage |
$36,014.99
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$36,014.99
|
| Rate for Payer: Wellcare Medicare |
$34,214.24
|
|
|
MS-DRG 43.00: DENTAL AND ORAL DISEASES WITHOUT CC/MCC
|
Facility
|
IP
|
$29,367.91
|
|
|
Service Code
|
MSDRG 159
|
| Min. Negotiated Rate |
$9,955.82 |
| Max. Negotiated Rate |
$29,367.91 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$9,955.82
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$21,358.48
|
| Rate for Payer: Aetna Government |
$21,358.48
|
| Rate for Payer: Brighton Health Commercial |
$10,273.25
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$21,785.65
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$12,602.14
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$10,711.82
|
| Rate for Payer: Elderplan Medicare Advantage |
$20,290.56
|
| Rate for Payer: EmblemHealth Commercial |
$21,358.48
|
| Rate for Payer: Fidelis Medicare Advantage |
$21,358.48
|
| Rate for Payer: Group Health Inc Commercial |
$21,358.48
|
| Rate for Payer: Group Health Inc Medicare |
$21,358.48
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$21,358.48
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$21,358.48
|
| Rate for Payer: Healthfirst Medicare Advantage |
$19,863.39
|
| Rate for Payer: Humana Medicare |
$29,367.91
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$21,358.48
|
| Rate for Payer: United Healthcare Commercial |
$14,089.94
|
| Rate for Payer: United Healthcare Medicare Advantage |
$21,358.48
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$21,358.48
|
| Rate for Payer: Wellcare Medicare |
$20,290.56
|
|
|
MS-DRG 43.00: DEPRESSIVE NEUROSES
|
Facility
|
IP
|
$25,231.36
|
|
|
Service Code
|
MSDRG 881
|
| Min. Negotiated Rate |
$1,100.00 |
| Max. Negotiated Rate |
$25,231.36 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$1,859.00
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$24,736.63
|
| Rate for Payer: Aetna Government |
$24,736.63
|
| Rate for Payer: Brighton Health Commercial |
$13,643.05
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$25,231.36
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$16,735.85
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$14,225.48
|
| Rate for Payer: Elderplan Medicare Advantage |
$23,499.80
|
| Rate for Payer: EmblemHealth Commercial |
$1,100.00
|
| Rate for Payer: Fidelis Medicare Advantage |
$24,736.63
|
| Rate for Payer: Group Health Inc Commercial |
$24,736.63
|
| Rate for Payer: Group Health Inc Medicare |
$24,736.63
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$24,736.63
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$24,736.63
|
| Rate for Payer: Healthfirst Medicare Advantage |
$23,005.07
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$24,736.63
|
| Rate for Payer: United Healthcare Commercial |
$18,711.68
|
| Rate for Payer: United Healthcare Medicare Advantage |
$24,736.63
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$24,736.63
|
| Rate for Payer: Wellcare Medicare |
$23,499.80
|
|
|
MS-DRG 43.00: DIABETES WITH CC
|
Facility
|
IP
|
$33,119.45
|
|
|
Service Code
|
MSDRG 638
|
| Min. Negotiated Rate |
$12,994.90 |
| Max. Negotiated Rate |
$33,119.45 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$13,261.65
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$24,086.87
|
| Rate for Payer: Aetna Government |
$24,086.87
|
| Rate for Payer: Brighton Health Commercial |
$12,994.90
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$24,568.61
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$15,940.77
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$13,549.66
|
| Rate for Payer: Elderplan Medicare Advantage |
$22,882.53
|
| Rate for Payer: EmblemHealth Commercial |
$24,086.87
|
| Rate for Payer: Fidelis Medicare Advantage |
$24,086.87
|
| Rate for Payer: Group Health Inc Commercial |
$24,086.87
|
| Rate for Payer: Group Health Inc Medicare |
$24,086.87
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$24,086.87
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$24,086.87
|
| Rate for Payer: Healthfirst Medicare Advantage |
$22,400.79
|
| Rate for Payer: Humana Medicare |
$33,119.45
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$24,086.87
|
| Rate for Payer: United Healthcare Commercial |
$17,822.73
|
| Rate for Payer: United Healthcare Medicare Advantage |
$24,086.87
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$24,086.87
|
| Rate for Payer: Wellcare Medicare |
$22,882.53
|
|
|
MS-DRG 43.00: DIABETES WITH MCC
|
Facility
|
IP
|
$43,922.30
|
|
|
Service Code
|
MSDRG 637
|
| Min. Negotiated Rate |
$20,832.15 |
| Max. Negotiated Rate |
$43,922.30 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$21,369.93
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$31,943.49
|
| Rate for Payer: Aetna Government |
$31,943.49
|
| Rate for Payer: Brighton Health Commercial |
$20,832.15
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$32,582.36
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$25,554.68
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$21,721.48
|
| Rate for Payer: Elderplan Medicare Advantage |
$30,346.32
|
| Rate for Payer: EmblemHealth Commercial |
$31,943.49
|
| Rate for Payer: Fidelis Medicare Advantage |
$31,943.49
|
| Rate for Payer: Group Health Inc Commercial |
$31,943.49
|
| Rate for Payer: Group Health Inc Medicare |
$31,943.49
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$31,943.49
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$31,943.49
|
| Rate for Payer: Healthfirst Medicare Advantage |
$29,707.45
|
| Rate for Payer: Humana Medicare |
$43,922.30
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$31,943.49
|
| Rate for Payer: United Healthcare Commercial |
$28,571.65
|
| Rate for Payer: United Healthcare Medicare Advantage |
$31,943.49
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$31,943.49
|
| Rate for Payer: Wellcare Medicare |
$30,346.32
|
|
|
MS-DRG 43.00: DIABETES WITHOUT CC/MCC
|
Facility
|
IP
|
$27,623.09
|
|
|
Service Code
|
MSDRG 639
|
| Min. Negotiated Rate |
$9,007.40 |
| Max. Negotiated Rate |
$27,623.09 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$9,178.76
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$20,089.52
|
| Rate for Payer: Aetna Government |
$20,089.52
|
| Rate for Payer: Brighton Health Commercial |
$9,007.40
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$20,491.31
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$11,049.33
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$9,391.93
|
| Rate for Payer: Elderplan Medicare Advantage |
$19,085.04
|
| Rate for Payer: EmblemHealth Commercial |
$20,089.52
|
| Rate for Payer: Fidelis Medicare Advantage |
$20,089.52
|
| Rate for Payer: Group Health Inc Commercial |
$20,089.52
|
| Rate for Payer: Group Health Inc Medicare |
$20,089.52
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$20,089.52
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$20,089.52
|
| Rate for Payer: Healthfirst Medicare Advantage |
$18,683.25
|
| Rate for Payer: Humana Medicare |
$27,623.09
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$20,089.52
|
| Rate for Payer: United Healthcare Commercial |
$12,353.80
|
| Rate for Payer: United Healthcare Medicare Advantage |
$20,089.52
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$20,089.52
|
| Rate for Payer: Wellcare Medicare |
$19,085.04
|
|
|
MS-DRG 43.00: DIGESTIVE MALIGNANCY WITH CC
|
Facility
|
IP
|
$39,383.29
|
|
|
Service Code
|
MSDRG 375
|
| Min. Negotiated Rate |
$17,539.20 |
| Max. Negotiated Rate |
$39,383.29 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$17,668.93
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$28,642.39
|
| Rate for Payer: Aetna Government |
$28,642.39
|
| Rate for Payer: Brighton Health Commercial |
$17,539.20
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$29,215.24
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$21,515.24
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$18,287.95
|
| Rate for Payer: Elderplan Medicare Advantage |
$27,210.27
|
| Rate for Payer: EmblemHealth Commercial |
$28,642.39
|
| Rate for Payer: Fidelis Medicare Advantage |
$28,642.39
|
| Rate for Payer: Group Health Inc Commercial |
$28,642.39
|
| Rate for Payer: Group Health Inc Medicare |
$28,642.39
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$28,642.39
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$28,642.39
|
| Rate for Payer: Healthfirst Medicare Advantage |
$26,637.42
|
| Rate for Payer: Humana Medicare |
$39,383.29
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$28,642.39
|
| Rate for Payer: United Healthcare Commercial |
$24,055.32
|
| Rate for Payer: United Healthcare Medicare Advantage |
$28,642.39
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$28,642.39
|
| Rate for Payer: Wellcare Medicare |
$27,210.27
|
|
|
MS-DRG 43.00: DIGESTIVE MALIGNANCY WITH MCC
|
Facility
|
IP
|
$57,953.06
|
|
|
Service Code
|
MSDRG 374
|
| Min. Negotiated Rate |
$30,949.76 |
| Max. Negotiated Rate |
$57,953.06 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$30,949.76
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$42,147.68
|
| Rate for Payer: Aetna Government |
$42,147.68
|
| Rate for Payer: Brighton Health Commercial |
$31,011.15
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$42,990.63
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$38,041.21
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$32,335.03
|
| Rate for Payer: Elderplan Medicare Advantage |
$40,040.30
|
| Rate for Payer: EmblemHealth Commercial |
$42,147.68
|
| Rate for Payer: Fidelis Medicare Advantage |
$42,147.68
|
| Rate for Payer: Group Health Inc Commercial |
$42,147.68
|
| Rate for Payer: Group Health Inc Medicare |
$42,147.68
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$42,147.68
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$42,147.68
|
| Rate for Payer: Healthfirst Medicare Advantage |
$39,197.34
|
| Rate for Payer: Humana Medicare |
$57,953.06
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$42,147.68
|
| Rate for Payer: United Healthcare Commercial |
$42,532.33
|
| Rate for Payer: United Healthcare Medicare Advantage |
$42,147.68
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$42,147.68
|
| Rate for Payer: Wellcare Medicare |
$40,040.30
|
|
|
MS-DRG 43.00: DIGESTIVE MALIGNANCY WITHOUT CC/MCC
|
Facility
|
IP
|
$33,681.08
|
|
|
Service Code
|
MSDRG 376
|
| Min. Negotiated Rate |
$13,143.69 |
| Max. Negotiated Rate |
$33,681.08 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$13,143.69
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$24,495.33
|
| Rate for Payer: Aetna Government |
$24,495.33
|
| Rate for Payer: Brighton Health Commercial |
$13,402.35
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$24,985.24
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$16,440.59
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$13,974.50
|
| Rate for Payer: Elderplan Medicare Advantage |
$23,270.56
|
| Rate for Payer: EmblemHealth Commercial |
$24,495.33
|
| Rate for Payer: Fidelis Medicare Advantage |
$24,495.33
|
| Rate for Payer: Group Health Inc Commercial |
$24,495.33
|
| Rate for Payer: Group Health Inc Medicare |
$24,495.33
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$24,495.33
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$24,495.33
|
| Rate for Payer: Healthfirst Medicare Advantage |
$22,780.66
|
| Rate for Payer: Humana Medicare |
$33,681.08
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$24,495.33
|
| Rate for Payer: United Healthcare Commercial |
$18,381.55
|
| Rate for Payer: United Healthcare Medicare Advantage |
$24,495.33
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$24,495.33
|
| Rate for Payer: Wellcare Medicare |
$23,270.56
|
|
|
MS-DRG 43.00: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC
|
Facility
|
IP
|
$34,500.54
|
|
|
Service Code
|
MSDRG 442
|
| Min. Negotiated Rate |
$13,996.85 |
| Max. Negotiated Rate |
$34,500.54 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$14,029.87
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$25,091.30
|
| Rate for Payer: Aetna Government |
$25,091.30
|
| Rate for Payer: Brighton Health Commercial |
$13,996.85
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$25,593.13
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$17,169.86
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$14,594.38
|
| Rate for Payer: Elderplan Medicare Advantage |
$23,836.74
|
| Rate for Payer: EmblemHealth Commercial |
$25,091.30
|
| Rate for Payer: Fidelis Medicare Advantage |
$25,091.30
|
| Rate for Payer: Group Health Inc Commercial |
$25,091.30
|
| Rate for Payer: Group Health Inc Medicare |
$25,091.30
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$25,091.30
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$25,091.30
|
| Rate for Payer: Healthfirst Medicare Advantage |
$23,334.91
|
| Rate for Payer: Humana Medicare |
$34,500.54
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$25,091.30
|
| Rate for Payer: United Healthcare Commercial |
$19,196.92
|
| Rate for Payer: United Healthcare Medicare Advantage |
$25,091.30
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$25,091.30
|
| Rate for Payer: Wellcare Medicare |
$23,836.74
|
|
|
MS-DRG 43.00: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC
|
Facility
|
IP
|
$51,077.61
|
|
|
Service Code
|
MSDRG 441
|
| Min. Negotiated Rate |
$26,023.15 |
| Max. Negotiated Rate |
$51,077.61 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$26,956.81
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$37,147.35
|
| Rate for Payer: Aetna Government |
$37,147.35
|
| Rate for Payer: Brighton Health Commercial |
$26,023.15
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$37,890.30
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$31,922.45
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$27,134.09
|
| Rate for Payer: Elderplan Medicare Advantage |
$35,289.98
|
| Rate for Payer: EmblemHealth Commercial |
$37,147.35
|
| Rate for Payer: Fidelis Medicare Advantage |
$37,147.35
|
| Rate for Payer: Group Health Inc Commercial |
$37,147.35
|
| Rate for Payer: Group Health Inc Medicare |
$37,147.35
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$37,147.35
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$37,147.35
|
| Rate for Payer: Healthfirst Medicare Advantage |
$34,547.04
|
| Rate for Payer: Humana Medicare |
$51,077.61
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$37,147.35
|
| Rate for Payer: United Healthcare Commercial |
$35,691.20
|
| Rate for Payer: United Healthcare Medicare Advantage |
$37,147.35
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$37,147.35
|
| Rate for Payer: Wellcare Medicare |
$35,289.98
|
|
|
MS-DRG 43.00: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC
|
Facility
|
IP
|
$29,192.06
|
|
|
Service Code
|
MSDRG 443
|
| Min. Negotiated Rate |
$10,145.65 |
| Max. Negotiated Rate |
$29,192.06 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$10,538.25
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$21,230.59
|
| Rate for Payer: Aetna Government |
$21,230.59
|
| Rate for Payer: Brighton Health Commercial |
$10,145.65
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$21,655.20
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$12,445.61
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$10,578.77
|
| Rate for Payer: Elderplan Medicare Advantage |
$20,169.06
|
| Rate for Payer: EmblemHealth Commercial |
$21,230.59
|
| Rate for Payer: Fidelis Medicare Advantage |
$21,230.59
|
| Rate for Payer: Group Health Inc Commercial |
$21,230.59
|
| Rate for Payer: Group Health Inc Medicare |
$21,230.59
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$21,230.59
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$21,230.59
|
| Rate for Payer: Healthfirst Medicare Advantage |
$19,744.45
|
| Rate for Payer: Humana Medicare |
$29,192.06
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$21,230.59
|
| Rate for Payer: United Healthcare Commercial |
$13,914.93
|
| Rate for Payer: United Healthcare Medicare Advantage |
$21,230.59
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$21,230.59
|
| Rate for Payer: Wellcare Medicare |
$20,169.06
|
|
|
MS-DRG 43.00: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC
|
Facility
|
IP
|
$32,020.16
|
|
|
Service Code
|
MSDRG 439
|
| Min. Negotiated Rate |
$12,197.40 |
| Max. Negotiated Rate |
$32,020.16 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$12,609.92
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$23,287.39
|
| Rate for Payer: Aetna Government |
$23,287.39
|
| Rate for Payer: Brighton Health Commercial |
$12,197.40
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$23,753.14
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$14,962.48
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$12,718.11
|
| Rate for Payer: Elderplan Medicare Advantage |
$22,123.02
|
| Rate for Payer: EmblemHealth Commercial |
$23,287.39
|
| Rate for Payer: Fidelis Medicare Advantage |
$23,287.39
|
| Rate for Payer: Group Health Inc Commercial |
$23,287.39
|
| Rate for Payer: Group Health Inc Medicare |
$23,287.39
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$23,287.39
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$23,287.39
|
| Rate for Payer: Healthfirst Medicare Advantage |
$21,657.27
|
| Rate for Payer: Humana Medicare |
$32,020.16
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$23,287.39
|
| Rate for Payer: United Healthcare Commercial |
$16,728.94
|
| Rate for Payer: United Healthcare Medicare Advantage |
$23,287.39
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$23,287.39
|
| Rate for Payer: Wellcare Medicare |
$22,123.02
|
|
|
MS-DRG 43.00: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC
|
Facility
|
IP
|
$47,789.76
|
|
|
Service Code
|
MSDRG 438
|
| Min. Negotiated Rate |
$23,637.90 |
| Max. Negotiated Rate |
$47,789.76 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$24,606.46
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$34,756.19
|
| Rate for Payer: Aetna Government |
$34,756.19
|
| Rate for Payer: Brighton Health Commercial |
$23,637.90
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$35,451.31
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$28,996.48
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$24,647.01
|
| Rate for Payer: Elderplan Medicare Advantage |
$33,018.38
|
| Rate for Payer: EmblemHealth Commercial |
$34,756.19
|
| Rate for Payer: Fidelis Medicare Advantage |
$34,756.19
|
| Rate for Payer: Group Health Inc Commercial |
$34,756.19
|
| Rate for Payer: Group Health Inc Medicare |
$34,756.19
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$34,756.19
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$34,756.19
|
| Rate for Payer: Healthfirst Medicare Advantage |
$32,323.26
|
| Rate for Payer: Humana Medicare |
$47,789.76
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$34,756.19
|
| Rate for Payer: United Healthcare Commercial |
$32,419.79
|
| Rate for Payer: United Healthcare Medicare Advantage |
$34,756.19
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$34,756.19
|
| Rate for Payer: Wellcare Medicare |
$33,018.38
|
|
|
MS-DRG 43.00: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC
|
Facility
|
IP
|
$27,627.08
|
|
|
Service Code
|
MSDRG 440
|
| Min. Negotiated Rate |
$9,010.30 |
| Max. Negotiated Rate |
$27,627.08 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$9,077.02
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$20,092.42
|
| Rate for Payer: Aetna Government |
$20,092.42
|
| Rate for Payer: Brighton Health Commercial |
$9,010.30
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$20,494.27
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$11,052.89
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$9,394.95
|
| Rate for Payer: Elderplan Medicare Advantage |
$19,087.80
|
| Rate for Payer: EmblemHealth Commercial |
$20,092.42
|
| Rate for Payer: Fidelis Medicare Advantage |
$20,092.42
|
| Rate for Payer: Group Health Inc Commercial |
$20,092.42
|
| Rate for Payer: Group Health Inc Medicare |
$20,092.42
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$20,092.42
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$20,092.42
|
| Rate for Payer: Healthfirst Medicare Advantage |
$18,685.95
|
| Rate for Payer: Humana Medicare |
$27,627.08
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$20,092.42
|
| Rate for Payer: United Healthcare Commercial |
$12,357.78
|
| Rate for Payer: United Healthcare Medicare Advantage |
$20,092.42
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$20,092.42
|
| Rate for Payer: Wellcare Medicare |
$19,087.80
|
|
