|
MS-DRG 43.00: DISORDERS OF PERSONALITY AND IMPULSE CONTROL
|
Facility
|
IP
|
$54,507.34
|
|
|
Service Code
|
MSDRG 883
|
| Min. Negotiated Rate |
$1,100.00 |
| Max. Negotiated Rate |
$54,507.34 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$1,859.00
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$39,641.70
|
| Rate for Payer: Aetna Government |
$39,641.70
|
| Rate for Payer: Brighton Health Commercial |
$28,511.35
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$40,434.53
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$34,974.72
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$29,728.51
|
| Rate for Payer: Elderplan Medicare Advantage |
$37,659.61
|
| Rate for Payer: EmblemHealth Commercial |
$1,100.00
|
| Rate for Payer: Fidelis Medicare Advantage |
$39,641.70
|
| Rate for Payer: Group Health Inc Commercial |
$39,641.70
|
| Rate for Payer: Group Health Inc Medicare |
$39,641.70
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$39,641.70
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$39,641.70
|
| Rate for Payer: Healthfirst Medicare Advantage |
$36,866.78
|
| Rate for Payer: Humana Medicare |
$54,507.34
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$39,641.70
|
| Rate for Payer: United Healthcare Commercial |
$39,103.81
|
| Rate for Payer: United Healthcare Medicare Advantage |
$39,641.70
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$39,641.70
|
| Rate for Payer: Wellcare Medicare |
$37,659.61
|
|
|
MS-DRG 43.00: DISORDERS OF THE BILIARY TRACT WITH CC
|
Facility
|
IP
|
$37,080.85
|
|
|
Service Code
|
MSDRG 445
|
| Min. Negotiated Rate |
$15,868.80 |
| Max. Negotiated Rate |
$37,080.85 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$16,024.87
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$26,967.89
|
| Rate for Payer: Aetna Government |
$26,967.89
|
| Rate for Payer: Brighton Health Commercial |
$15,868.80
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$27,507.25
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$19,466.17
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$16,546.24
|
| Rate for Payer: Elderplan Medicare Advantage |
$25,619.50
|
| Rate for Payer: EmblemHealth Commercial |
$26,967.89
|
| Rate for Payer: Fidelis Medicare Advantage |
$26,967.89
|
| Rate for Payer: Group Health Inc Commercial |
$26,967.89
|
| Rate for Payer: Group Health Inc Medicare |
$26,967.89
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$26,967.89
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$26,967.89
|
| Rate for Payer: Healthfirst Medicare Advantage |
$25,080.14
|
| Rate for Payer: Humana Medicare |
$37,080.85
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$26,967.89
|
| Rate for Payer: United Healthcare Commercial |
$21,764.33
|
| Rate for Payer: United Healthcare Medicare Advantage |
$26,967.89
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$26,967.89
|
| Rate for Payer: Wellcare Medicare |
$25,619.50
|
|
|
MS-DRG 43.00: DISORDERS OF THE BILIARY TRACT WITH MCC
|
Facility
|
IP
|
$48,603.20
|
|
|
Service Code
|
MSDRG 444
|
| Min. Negotiated Rate |
$24,081.53 |
| Max. Negotiated Rate |
$48,603.20 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$24,081.53
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$35,347.78
|
| Rate for Payer: Aetna Government |
$35,347.78
|
| Rate for Payer: Brighton Health Commercial |
$24,228.05
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$36,054.74
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$29,720.42
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$25,262.35
|
| Rate for Payer: Elderplan Medicare Advantage |
$33,580.39
|
| Rate for Payer: EmblemHealth Commercial |
$35,347.78
|
| Rate for Payer: Fidelis Medicare Advantage |
$35,347.78
|
| Rate for Payer: Group Health Inc Commercial |
$35,347.78
|
| Rate for Payer: Group Health Inc Medicare |
$35,347.78
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$35,347.78
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$35,347.78
|
| Rate for Payer: Healthfirst Medicare Advantage |
$32,873.44
|
| Rate for Payer: Humana Medicare |
$48,603.20
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$35,347.78
|
| Rate for Payer: United Healthcare Commercial |
$33,229.19
|
| Rate for Payer: United Healthcare Medicare Advantage |
$35,347.78
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$35,347.78
|
| Rate for Payer: Wellcare Medicare |
$33,580.39
|
|
|
MS-DRG 43.00: DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC
|
Facility
|
IP
|
$31,742.37
|
|
|
Service Code
|
MSDRG 446
|
| Min. Negotiated Rate |
$11,818.12 |
| Max. Negotiated Rate |
$31,742.37 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$11,818.12
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$23,085.36
|
| Rate for Payer: Aetna Government |
$23,085.36
|
| Rate for Payer: Brighton Health Commercial |
$11,995.85
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$23,547.07
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$14,715.24
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$12,507.96
|
| Rate for Payer: Elderplan Medicare Advantage |
$21,931.09
|
| Rate for Payer: EmblemHealth Commercial |
$23,085.36
|
| Rate for Payer: Fidelis Medicare Advantage |
$23,085.36
|
| Rate for Payer: Group Health Inc Commercial |
$23,085.36
|
| Rate for Payer: Group Health Inc Medicare |
$23,085.36
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$23,085.36
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$23,085.36
|
| Rate for Payer: Healthfirst Medicare Advantage |
$21,469.38
|
| Rate for Payer: Humana Medicare |
$31,742.37
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$23,085.36
|
| Rate for Payer: United Healthcare Commercial |
$16,452.52
|
| Rate for Payer: United Healthcare Medicare Advantage |
$23,085.36
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$23,085.36
|
| Rate for Payer: Wellcare Medicare |
$21,931.09
|
|
|
MS-DRG 43.00: DYSEQUILIBRIUM
|
Facility
|
IP
|
$30,229.33
|
|
|
Service Code
|
MSDRG 149
|
| Min. Negotiated Rate |
$10,898.20 |
| Max. Negotiated Rate |
$30,229.33 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$10,980.60
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$21,984.97
|
| Rate for Payer: Aetna Government |
$21,984.97
|
| Rate for Payer: Brighton Health Commercial |
$10,898.20
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$22,424.67
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$13,368.76
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$11,363.45
|
| Rate for Payer: Elderplan Medicare Advantage |
$20,885.72
|
| Rate for Payer: EmblemHealth Commercial |
$21,984.97
|
| Rate for Payer: Fidelis Medicare Advantage |
$21,984.97
|
| Rate for Payer: Group Health Inc Commercial |
$21,984.97
|
| Rate for Payer: Group Health Inc Medicare |
$21,984.97
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$21,984.97
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$21,984.97
|
| Rate for Payer: Healthfirst Medicare Advantage |
$20,446.02
|
| Rate for Payer: Humana Medicare |
$30,229.33
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$21,984.97
|
| Rate for Payer: United Healthcare Commercial |
$14,947.07
|
| Rate for Payer: United Healthcare Medicare Advantage |
$21,984.97
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$21,984.97
|
| Rate for Payer: Wellcare Medicare |
$20,885.72
|
|
|
MS-DRG 43.00: EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC
|
Facility
|
IP
|
$40,620.50
|
|
|
Service Code
|
MSDRG 147
|
| Min. Negotiated Rate |
$18,221.87 |
| Max. Negotiated Rate |
$40,620.50 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$18,221.87
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$29,542.18
|
| Rate for Payer: Aetna Government |
$29,542.18
|
| Rate for Payer: Brighton Health Commercial |
$18,436.75
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$30,133.02
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$22,616.26
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$19,223.82
|
| Rate for Payer: Elderplan Medicare Advantage |
$28,065.07
|
| Rate for Payer: EmblemHealth Commercial |
$29,542.18
|
| Rate for Payer: Fidelis Medicare Advantage |
$29,542.18
|
| Rate for Payer: Group Health Inc Commercial |
$29,542.18
|
| Rate for Payer: Group Health Inc Medicare |
$29,542.18
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$29,542.18
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$29,542.18
|
| Rate for Payer: Healthfirst Medicare Advantage |
$27,474.23
|
| Rate for Payer: Humana Medicare |
$40,620.50
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$29,542.18
|
| Rate for Payer: United Healthcare Commercial |
$25,286.32
|
| Rate for Payer: United Healthcare Medicare Advantage |
$29,542.18
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$29,542.18
|
| Rate for Payer: Wellcare Medicare |
$28,065.07
|
|
|
MS-DRG 43.00: EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC
|
Facility
|
IP
|
$57,527.33
|
|
|
Service Code
|
MSDRG 146
|
| Min. Negotiated Rate |
$30,702.30 |
| Max. Negotiated Rate |
$57,527.33 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$31,126.70
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$41,838.06
|
| Rate for Payer: Aetna Government |
$41,838.06
|
| Rate for Payer: Brighton Health Commercial |
$30,702.30
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$42,674.82
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$37,662.34
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$32,012.99
|
| Rate for Payer: Elderplan Medicare Advantage |
$39,746.16
|
| Rate for Payer: EmblemHealth Commercial |
$41,838.06
|
| Rate for Payer: Fidelis Medicare Advantage |
$41,838.06
|
| Rate for Payer: Group Health Inc Commercial |
$41,838.06
|
| Rate for Payer: Group Health Inc Medicare |
$41,838.06
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$41,838.06
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$41,838.06
|
| Rate for Payer: Healthfirst Medicare Advantage |
$38,909.40
|
| Rate for Payer: Humana Medicare |
$57,527.33
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$41,838.06
|
| Rate for Payer: United Healthcare Commercial |
$42,108.73
|
| Rate for Payer: United Healthcare Medicare Advantage |
$41,838.06
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$41,838.06
|
| Rate for Payer: Wellcare Medicare |
$39,746.16
|
|
|
MS-DRG 43.00: EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC
|
Facility
|
IP
|
$31,138.76
|
|
|
Service Code
|
MSDRG 148
|
| Min. Negotiated Rate |
$11,557.95 |
| Max. Negotiated Rate |
$31,138.76 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$13,118.63
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$22,646.37
|
| Rate for Payer: Aetna Government |
$22,646.37
|
| Rate for Payer: Brighton Health Commercial |
$11,557.95
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$23,099.30
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$14,178.07
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$12,051.36
|
| Rate for Payer: Elderplan Medicare Advantage |
$21,514.05
|
| Rate for Payer: EmblemHealth Commercial |
$22,646.37
|
| Rate for Payer: Fidelis Medicare Advantage |
$22,646.37
|
| Rate for Payer: Group Health Inc Commercial |
$22,646.37
|
| Rate for Payer: Group Health Inc Medicare |
$22,646.37
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$22,646.37
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$22,646.37
|
| Rate for Payer: Healthfirst Medicare Advantage |
$21,061.12
|
| Rate for Payer: Humana Medicare |
$31,138.76
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$22,646.37
|
| Rate for Payer: United Healthcare Commercial |
$15,851.93
|
| Rate for Payer: United Healthcare Medicare Advantage |
$22,646.37
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$22,646.37
|
| Rate for Payer: Wellcare Medicare |
$21,514.05
|
|
|
MS-DRG 43.00: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES
|
Facility
|
IP
|
$439,431.18
|
|
|
Service Code
|
MSDRG 003
|
| Min. Negotiated Rate |
$297,215.27 |
| Max. Negotiated Rate |
$439,431.18 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$314,367.82
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$319,586.31
|
| Rate for Payer: Aetna Government |
$319,586.31
|
| Rate for Payer: Brighton Health Commercial |
$307,765.40
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$325,978.04
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$377,534.12
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$320,904.01
|
| Rate for Payer: Elderplan Medicare Advantage |
$303,606.99
|
| Rate for Payer: EmblemHealth Commercial |
$319,586.31
|
| Rate for Payer: Fidelis Medicare Advantage |
$319,586.31
|
| Rate for Payer: Group Health Inc Commercial |
$319,586.31
|
| Rate for Payer: Group Health Inc Medicare |
$319,586.31
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$319,586.31
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$319,586.31
|
| Rate for Payer: Healthfirst Medicare Advantage |
$297,215.27
|
| Rate for Payer: Humana Medicare |
$439,431.18
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$319,586.31
|
| Rate for Payer: United Healthcare Commercial |
$422,105.55
|
| Rate for Payer: United Healthcare Medicare Advantage |
$319,586.31
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$319,586.31
|
| Rate for Payer: Wellcare Medicare |
$303,606.99
|
|
|
MS-DRG 43.00: ENDOCRINE DISORDERS WITH CC
|
Facility
|
IP
|
$35,693.74
|
|
|
Service Code
|
MSDRG 644
|
| Min. Negotiated Rate |
$14,862.50 |
| Max. Negotiated Rate |
$35,693.74 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$15,654.77
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$25,959.08
|
| Rate for Payer: Aetna Government |
$25,959.08
|
| Rate for Payer: Brighton Health Commercial |
$14,862.50
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$26,478.26
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$18,231.75
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$15,496.99
|
| Rate for Payer: Elderplan Medicare Advantage |
$24,661.13
|
| Rate for Payer: EmblemHealth Commercial |
$25,959.08
|
| Rate for Payer: Fidelis Medicare Advantage |
$25,959.08
|
| Rate for Payer: Group Health Inc Commercial |
$25,959.08
|
| Rate for Payer: Group Health Inc Medicare |
$25,959.08
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$25,959.08
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$25,959.08
|
| Rate for Payer: Healthfirst Medicare Advantage |
$24,141.94
|
| Rate for Payer: Humana Medicare |
$35,693.74
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$25,959.08
|
| Rate for Payer: United Healthcare Commercial |
$20,384.17
|
| Rate for Payer: United Healthcare Medicare Advantage |
$25,959.08
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$25,959.08
|
| Rate for Payer: Wellcare Medicare |
$24,661.13
|
|
|
MS-DRG 43.00: ENDOCRINE DISORDERS WITH MCC
|
Facility
|
IP
|
$48,107.58
|
|
|
Service Code
|
MSDRG 643
|
| Min. Negotiated Rate |
$23,868.45 |
| Max. Negotiated Rate |
$48,107.58 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$24,257.00
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$34,987.33
|
| Rate for Payer: Aetna Government |
$34,987.33
|
| Rate for Payer: Brighton Health Commercial |
$23,868.45
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$35,687.08
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$29,279.30
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$24,887.40
|
| Rate for Payer: Elderplan Medicare Advantage |
$33,237.96
|
| Rate for Payer: EmblemHealth Commercial |
$34,987.33
|
| Rate for Payer: Fidelis Medicare Advantage |
$34,987.33
|
| Rate for Payer: Group Health Inc Commercial |
$34,987.33
|
| Rate for Payer: Group Health Inc Medicare |
$34,987.33
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$34,987.33
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$34,987.33
|
| Rate for Payer: Healthfirst Medicare Advantage |
$32,538.22
|
| Rate for Payer: Humana Medicare |
$48,107.58
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$34,987.33
|
| Rate for Payer: United Healthcare Commercial |
$32,735.99
|
| Rate for Payer: United Healthcare Medicare Advantage |
$34,987.33
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$34,987.33
|
| Rate for Payer: Wellcare Medicare |
$33,237.96
|
|
|
MS-DRG 43.00: ENDOCRINE DISORDERS WITHOUT CC/MCC
|
Facility
|
IP
|
$30,563.14
|
|
|
Service Code
|
MSDRG 645
|
| Min. Negotiated Rate |
$11,140.35 |
| Max. Negotiated Rate |
$30,563.14 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$11,219.47
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$22,227.74
|
| Rate for Payer: Aetna Government |
$22,227.74
|
| Rate for Payer: Brighton Health Commercial |
$11,140.35
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$22,672.29
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$13,665.81
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$11,615.94
|
| Rate for Payer: Elderplan Medicare Advantage |
$21,116.35
|
| Rate for Payer: EmblemHealth Commercial |
$22,227.74
|
| Rate for Payer: Fidelis Medicare Advantage |
$22,227.74
|
| Rate for Payer: Group Health Inc Commercial |
$22,227.74
|
| Rate for Payer: Group Health Inc Medicare |
$22,227.74
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$22,227.74
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$22,227.74
|
| Rate for Payer: Healthfirst Medicare Advantage |
$20,671.80
|
| Rate for Payer: Humana Medicare |
$30,563.14
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$22,227.74
|
| Rate for Payer: United Healthcare Commercial |
$15,279.18
|
| Rate for Payer: United Healthcare Medicare Advantage |
$22,227.74
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$22,227.74
|
| Rate for Payer: Wellcare Medicare |
$21,116.35
|
|
|
MS-DRG 43.00: ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES
|
Facility
|
IP
|
$129,269.96
|
|
|
Service Code
|
MSDRG 213
|
| Min. Negotiated Rate |
$82,750.05 |
| Max. Negotiated Rate |
$129,269.96 |
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$94,014.52
|
| Rate for Payer: Aetna Government |
$94,014.52
|
| Rate for Payer: Brighton Health Commercial |
$82,750.05
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$95,894.81
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$101,509.03
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$86,282.68
|
| Rate for Payer: Elderplan Medicare Advantage |
$89,313.79
|
| Rate for Payer: EmblemHealth Commercial |
$94,014.52
|
| Rate for Payer: Fidelis Medicare Advantage |
$94,014.52
|
| Rate for Payer: Group Health Inc Commercial |
$94,014.52
|
| Rate for Payer: Group Health Inc Medicare |
$94,014.52
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$94,014.52
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$94,014.52
|
| Rate for Payer: Healthfirst Medicare Advantage |
$87,433.50
|
| Rate for Payer: Humana Medicare |
$129,269.96
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$94,014.52
|
| Rate for Payer: United Healthcare Commercial |
$113,493.12
|
| Rate for Payer: United Healthcare Medicare Advantage |
$94,014.52
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$94,014.52
|
| Rate for Payer: Wellcare Medicare |
$89,313.79
|
|
|
MS-DRG 43.00: ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC
|
Facility
|
IP
|
$137,694.41
|
|
|
Service Code
|
MSDRG 266
|
| Min. Negotiated Rate |
$88,861.80 |
| Max. Negotiated Rate |
$137,694.41 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$92,098.74
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$100,141.39
|
| Rate for Payer: Aetna Government |
$100,141.39
|
| Rate for Payer: Brighton Health Commercial |
$88,861.80
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$102,144.22
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$109,006.28
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$92,655.34
|
| Rate for Payer: Elderplan Medicare Advantage |
$95,134.32
|
| Rate for Payer: EmblemHealth Commercial |
$100,141.39
|
| Rate for Payer: Fidelis Medicare Advantage |
$100,141.39
|
| Rate for Payer: Group Health Inc Commercial |
$100,141.39
|
| Rate for Payer: Group Health Inc Medicare |
$100,141.39
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$100,141.39
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$100,141.39
|
| Rate for Payer: Healthfirst Medicare Advantage |
$93,131.49
|
| Rate for Payer: Humana Medicare |
$137,694.41
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$100,141.39
|
| Rate for Payer: United Healthcare Commercial |
$121,875.49
|
| Rate for Payer: United Healthcare Medicare Advantage |
$100,141.39
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$100,141.39
|
| Rate for Payer: Wellcare Medicare |
$95,134.32
|
|
|
MS-DRG 43.00: ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC
|
Facility
|
IP
|
$110,360.44
|
|
|
Service Code
|
MSDRG 267
|
| Min. Negotiated Rate |
$69,031.60 |
| Max. Negotiated Rate |
$110,360.44 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$71,958.55
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$80,262.14
|
| Rate for Payer: Aetna Government |
$80,262.14
|
| Rate for Payer: Brighton Health Commercial |
$69,031.60
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$81,867.38
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$84,680.68
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$71,978.58
|
| Rate for Payer: Elderplan Medicare Advantage |
$76,249.03
|
| Rate for Payer: EmblemHealth Commercial |
$80,262.14
|
| Rate for Payer: Fidelis Medicare Advantage |
$80,262.14
|
| Rate for Payer: Group Health Inc Commercial |
$80,262.14
|
| Rate for Payer: Group Health Inc Medicare |
$80,262.14
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$80,262.14
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$80,262.14
|
| Rate for Payer: Healthfirst Medicare Advantage |
$74,643.79
|
| Rate for Payer: Humana Medicare |
$110,360.44
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$80,262.14
|
| Rate for Payer: United Healthcare Commercial |
$94,678.03
|
| Rate for Payer: United Healthcare Medicare Advantage |
$80,262.14
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$80,262.14
|
| Rate for Payer: Wellcare Medicare |
$76,249.03
|
|
|
MS-DRG 43.00: EPISTAXIS WITH MCC
|
Facility
|
IP
|
$41,819.70
|
|
|
Service Code
|
MSDRG 150
|
| Min. Negotiated Rate |
$19,306.75 |
| Max. Negotiated Rate |
$41,819.70 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$19,382.30
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$30,414.33
|
| Rate for Payer: Aetna Government |
$30,414.33
|
| Rate for Payer: Brighton Health Commercial |
$19,306.75
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$31,022.62
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$23,683.48
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$20,130.96
|
| Rate for Payer: Elderplan Medicare Advantage |
$28,893.61
|
| Rate for Payer: EmblemHealth Commercial |
$30,414.33
|
| Rate for Payer: Fidelis Medicare Advantage |
$30,414.33
|
| Rate for Payer: Group Health Inc Commercial |
$30,414.33
|
| Rate for Payer: Group Health Inc Medicare |
$30,414.33
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$30,414.33
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$30,414.33
|
| Rate for Payer: Healthfirst Medicare Advantage |
$28,285.33
|
| Rate for Payer: Humana Medicare |
$41,819.70
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$30,414.33
|
| Rate for Payer: United Healthcare Commercial |
$26,479.54
|
| Rate for Payer: United Healthcare Medicare Advantage |
$30,414.33
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$30,414.33
|
| Rate for Payer: Wellcare Medicare |
$28,893.61
|
|
|
MS-DRG 43.00: EPISTAXIS WITHOUT MCC
|
Facility
|
IP
|
$29,877.60
|
|
|
Service Code
|
MSDRG 151
|
| Min. Negotiated Rate |
$10,643.00 |
| Max. Negotiated Rate |
$29,877.60 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$11,363.97
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$21,729.16
|
| Rate for Payer: Aetna Government |
$21,729.16
|
| Rate for Payer: Brighton Health Commercial |
$10,643.00
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$22,163.74
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$13,055.71
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$11,097.35
|
| Rate for Payer: Elderplan Medicare Advantage |
$20,642.70
|
| Rate for Payer: EmblemHealth Commercial |
$21,729.16
|
| Rate for Payer: Fidelis Medicare Advantage |
$21,729.16
|
| Rate for Payer: Group Health Inc Commercial |
$21,729.16
|
| Rate for Payer: Group Health Inc Medicare |
$21,729.16
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$21,729.16
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$21,729.16
|
| Rate for Payer: Healthfirst Medicare Advantage |
$20,208.12
|
| Rate for Payer: Humana Medicare |
$29,877.60
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$21,729.16
|
| Rate for Payer: United Healthcare Commercial |
$14,597.06
|
| Rate for Payer: United Healthcare Medicare Advantage |
$21,729.16
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$21,729.16
|
| Rate for Payer: Wellcare Medicare |
$20,642.70
|
|
|
MS-DRG 43.00: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC
|
Facility
|
IP
|
$40,556.56
|
|
|
Service Code
|
MSDRG 391
|
| Min. Negotiated Rate |
$18,390.35 |
| Max. Negotiated Rate |
$40,556.56 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$18,810.20
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$29,495.68
|
| Rate for Payer: Aetna Government |
$29,495.68
|
| Rate for Payer: Brighton Health Commercial |
$18,390.35
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$30,085.59
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$22,559.34
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$19,175.44
|
| Rate for Payer: Elderplan Medicare Advantage |
$28,020.90
|
| Rate for Payer: EmblemHealth Commercial |
$29,495.68
|
| Rate for Payer: Fidelis Medicare Advantage |
$29,495.68
|
| Rate for Payer: Group Health Inc Commercial |
$29,495.68
|
| Rate for Payer: Group Health Inc Medicare |
$29,495.68
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$29,495.68
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$29,495.68
|
| Rate for Payer: Healthfirst Medicare Advantage |
$27,430.98
|
| Rate for Payer: Humana Medicare |
$40,556.56
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$29,495.68
|
| Rate for Payer: United Healthcare Commercial |
$25,222.68
|
| Rate for Payer: United Healthcare Medicare Advantage |
$29,495.68
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$29,495.68
|
| Rate for Payer: Wellcare Medicare |
$28,020.90
|
|
|
MS-DRG 43.00: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC
|
Facility
|
IP
|
$30,788.97
|
|
|
Service Code
|
MSDRG 392
|
| Min. Negotiated Rate |
$11,304.20 |
| Max. Negotiated Rate |
$30,788.97 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$11,583.67
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$22,391.98
|
| Rate for Payer: Aetna Government |
$22,391.98
|
| Rate for Payer: Brighton Health Commercial |
$11,304.20
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$22,839.82
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$13,866.80
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$11,786.78
|
| Rate for Payer: Elderplan Medicare Advantage |
$21,272.38
|
| Rate for Payer: EmblemHealth Commercial |
$22,391.98
|
| Rate for Payer: Fidelis Medicare Advantage |
$22,391.98
|
| Rate for Payer: Group Health Inc Commercial |
$22,391.98
|
| Rate for Payer: Group Health Inc Medicare |
$22,391.98
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$22,391.98
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$22,391.98
|
| Rate for Payer: Healthfirst Medicare Advantage |
$20,824.54
|
| Rate for Payer: Humana Medicare |
$30,788.97
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$22,391.98
|
| Rate for Payer: United Healthcare Commercial |
$15,503.91
|
| Rate for Payer: United Healthcare Medicare Advantage |
$22,391.98
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$22,391.98
|
| Rate for Payer: Wellcare Medicare |
$21,272.38
|
|
|
MS-DRG 43.00: EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT
|
Facility
|
IP
|
$93,039.90
|
|
|
Service Code
|
MSDRG 933
|
| Min. Negotiated Rate |
$44,706.84 |
| Max. Negotiated Rate |
$93,039.90 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$44,706.84
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$67,665.38
|
| Rate for Payer: Aetna Government |
$67,665.38
|
| Rate for Payer: Brighton Health Commercial |
$55,342.15
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$69,018.69
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$67,887.91
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$57,704.73
|
| Rate for Payer: Elderplan Medicare Advantage |
$64,282.11
|
| Rate for Payer: EmblemHealth Commercial |
$67,665.38
|
| Rate for Payer: Fidelis Medicare Advantage |
$67,665.38
|
| Rate for Payer: Group Health Inc Commercial |
$67,665.38
|
| Rate for Payer: Group Health Inc Medicare |
$67,665.38
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$67,665.38
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$67,665.38
|
| Rate for Payer: Healthfirst Medicare Advantage |
$62,928.80
|
| Rate for Payer: Humana Medicare |
$93,039.90
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$67,665.38
|
| Rate for Payer: United Healthcare Commercial |
$75,902.71
|
| Rate for Payer: United Healthcare Medicare Advantage |
$67,665.38
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$67,665.38
|
| Rate for Payer: Wellcare Medicare |
$64,282.11
|
|
|
MS-DRG 43.00: EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT
|
Facility
|
IP
|
$441,935.52
|
|
|
Service Code
|
MSDRG 927
|
| Min. Negotiated Rate |
$267,237.90 |
| Max. Negotiated Rate |
$441,935.52 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$388,659.03
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$321,407.65
|
| Rate for Payer: Aetna Government |
$321,407.65
|
| Rate for Payer: Brighton Health Commercial |
$267,237.90
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$327,835.80
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$327,819.26
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$278,646.38
|
| Rate for Payer: Elderplan Medicare Advantage |
$305,337.27
|
| Rate for Payer: EmblemHealth Commercial |
$321,407.65
|
| Rate for Payer: Fidelis Medicare Advantage |
$321,407.65
|
| Rate for Payer: Group Health Inc Commercial |
$321,407.65
|
| Rate for Payer: Group Health Inc Medicare |
$321,407.65
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$321,407.65
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$321,407.65
|
| Rate for Payer: Healthfirst Medicare Advantage |
$298,909.11
|
| Rate for Payer: Humana Medicare |
$441,935.52
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$321,407.65
|
| Rate for Payer: United Healthcare Commercial |
$366,521.39
|
| Rate for Payer: United Healthcare Medicare Advantage |
$321,407.65
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$321,407.65
|
| Rate for Payer: Wellcare Medicare |
$305,337.27
|
|
|
MS-DRG 43.00: EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC
|
Facility
|
IP
|
$64,344.83
|
|
|
Service Code
|
MSDRG 982
|
| Min. Negotiated Rate |
$35,648.25 |
| Max. Negotiated Rate |
$64,344.83 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$36,656.07
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$46,796.24
|
| Rate for Payer: Aetna Government |
$46,796.24
|
| Rate for Payer: Brighton Health Commercial |
$35,648.25
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$47,732.16
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$43,729.51
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$37,170.09
|
| Rate for Payer: Elderplan Medicare Advantage |
$44,456.43
|
| Rate for Payer: EmblemHealth Commercial |
$46,796.24
|
| Rate for Payer: Fidelis Medicare Advantage |
$46,796.24
|
| Rate for Payer: Group Health Inc Commercial |
$46,796.24
|
| Rate for Payer: Group Health Inc Medicare |
$46,796.24
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$46,796.24
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$46,796.24
|
| Rate for Payer: Healthfirst Medicare Advantage |
$43,520.50
|
| Rate for Payer: Humana Medicare |
$64,344.83
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$46,796.24
|
| Rate for Payer: United Healthcare Commercial |
$48,892.19
|
| Rate for Payer: United Healthcare Medicare Advantage |
$46,796.24
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$46,796.24
|
| Rate for Payer: Wellcare Medicare |
$44,456.43
|
|
|
MS-DRG 43.00: EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC
|
Facility
|
IP
|
$108,981.35
|
|
|
Service Code
|
MSDRG 981
|
| Min. Negotiated Rate |
$68,031.10 |
| Max. Negotiated Rate |
$108,981.35 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$69,897.20
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$79,259.16
|
| Rate for Payer: Aetna Government |
$79,259.16
|
| Rate for Payer: Brighton Health Commercial |
$68,031.10
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$80,844.34
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$83,453.38
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$70,935.37
|
| Rate for Payer: Elderplan Medicare Advantage |
$75,296.20
|
| Rate for Payer: EmblemHealth Commercial |
$79,259.16
|
| Rate for Payer: Fidelis Medicare Advantage |
$79,259.16
|
| Rate for Payer: Group Health Inc Commercial |
$79,259.16
|
| Rate for Payer: Group Health Inc Medicare |
$79,259.16
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$79,259.16
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$79,259.16
|
| Rate for Payer: Healthfirst Medicare Advantage |
$73,711.02
|
| Rate for Payer: Humana Medicare |
$108,981.35
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$79,259.16
|
| Rate for Payer: United Healthcare Commercial |
$93,305.83
|
| Rate for Payer: United Healthcare Medicare Advantage |
$79,259.16
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$79,259.16
|
| Rate for Payer: Wellcare Medicare |
$75,296.20
|
|
|
MS-DRG 43.00: EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC
|
Facility
|
IP
|
$49,464.64
|
|
|
Service Code
|
MSDRG 983
|
| Min. Negotiated Rate |
$24,111.02 |
| Max. Negotiated Rate |
$49,464.64 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$24,111.02
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$35,974.28
|
| Rate for Payer: Aetna Government |
$35,974.28
|
| Rate for Payer: Brighton Health Commercial |
$24,853.00
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$36,693.77
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$30,487.04
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$25,913.98
|
| Rate for Payer: Elderplan Medicare Advantage |
$34,175.57
|
| Rate for Payer: EmblemHealth Commercial |
$35,974.28
|
| Rate for Payer: Fidelis Medicare Advantage |
$35,974.28
|
| Rate for Payer: Group Health Inc Commercial |
$35,974.28
|
| Rate for Payer: Group Health Inc Medicare |
$35,974.28
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$35,974.28
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$35,974.28
|
| Rate for Payer: Healthfirst Medicare Advantage |
$33,456.08
|
| Rate for Payer: Humana Medicare |
$49,464.64
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$35,974.28
|
| Rate for Payer: United Healthcare Commercial |
$34,086.32
|
| Rate for Payer: United Healthcare Medicare Advantage |
$35,974.28
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$35,974.28
|
| Rate for Payer: Wellcare Medicare |
$34,175.57
|
|
|
MS-DRG 43.00: EXTRACRANIAL PROCEDURES WITH CC
|
Facility
|
IP
|
$47,637.86
|
|
|
Service Code
|
MSDRG 038
|
| Min. Negotiated Rate |
$23,527.70 |
| Max. Negotiated Rate |
$47,637.86 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$23,590.53
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$34,645.72
|
| Rate for Payer: Aetna Government |
$34,645.72
|
| Rate for Payer: Brighton Health Commercial |
$23,527.70
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$35,338.63
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$28,861.30
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$24,532.11
|
| Rate for Payer: Elderplan Medicare Advantage |
$32,913.43
|
| Rate for Payer: EmblemHealth Commercial |
$34,645.72
|
| Rate for Payer: Fidelis Medicare Advantage |
$34,645.72
|
| Rate for Payer: Group Health Inc Commercial |
$34,645.72
|
| Rate for Payer: Group Health Inc Medicare |
$34,645.72
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$34,645.72
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$34,645.72
|
| Rate for Payer: Healthfirst Medicare Advantage |
$32,220.52
|
| Rate for Payer: Humana Medicare |
$47,637.86
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$34,645.72
|
| Rate for Payer: United Healthcare Commercial |
$32,268.65
|
| Rate for Payer: United Healthcare Medicare Advantage |
$34,645.72
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$34,645.72
|
| Rate for Payer: Wellcare Medicare |
$32,913.43
|
|
