|
MS-DRG 43.00: EXTRACRANIAL PROCEDURES WITH MCC
|
Facility
|
IP
|
$81,005.82
|
|
|
Service Code
|
MSDRG 037
|
| Min. Negotiated Rate |
$47,735.45 |
| Max. Negotiated Rate |
$81,005.82 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$49,773.22
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$58,913.32
|
| Rate for Payer: Aetna Government |
$58,913.32
|
| Rate for Payer: Brighton Health Commercial |
$47,735.45
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$60,091.59
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$58,556.81
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$49,773.29
|
| Rate for Payer: Elderplan Medicare Advantage |
$55,967.65
|
| Rate for Payer: EmblemHealth Commercial |
$58,913.32
|
| Rate for Payer: Fidelis Medicare Advantage |
$58,913.32
|
| Rate for Payer: Group Health Inc Commercial |
$58,913.32
|
| Rate for Payer: Group Health Inc Medicare |
$58,913.32
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$58,913.32
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$58,913.32
|
| Rate for Payer: Healthfirst Medicare Advantage |
$54,789.39
|
| Rate for Payer: Humana Medicare |
$81,005.82
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$58,913.32
|
| Rate for Payer: United Healthcare Commercial |
$65,469.99
|
| Rate for Payer: United Healthcare Medicare Advantage |
$58,913.32
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$58,913.32
|
| Rate for Payer: Wellcare Medicare |
$55,967.65
|
|
|
MS-DRG 43.00: EXTRACRANIAL PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$38,701.77
|
|
|
Service Code
|
MSDRG 039
|
| Min. Negotiated Rate |
$16,824.05 |
| Max. Negotiated Rate |
$38,701.77 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$16,824.05
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$28,146.74
|
| Rate for Payer: Aetna Government |
$28,146.74
|
| Rate for Payer: Brighton Health Commercial |
$17,044.75
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$28,709.67
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$20,908.70
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$17,772.40
|
| Rate for Payer: Elderplan Medicare Advantage |
$26,739.40
|
| Rate for Payer: EmblemHealth Commercial |
$28,146.74
|
| Rate for Payer: Fidelis Medicare Advantage |
$28,146.74
|
| Rate for Payer: Group Health Inc Commercial |
$28,146.74
|
| Rate for Payer: Group Health Inc Medicare |
$28,146.74
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$28,146.74
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$28,146.74
|
| Rate for Payer: Healthfirst Medicare Advantage |
$26,176.47
|
| Rate for Payer: Humana Medicare |
$38,701.77
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$28,146.74
|
| Rate for Payer: United Healthcare Commercial |
$23,377.17
|
| Rate for Payer: United Healthcare Medicare Advantage |
$28,146.74
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$28,146.74
|
| Rate for Payer: Wellcare Medicare |
$26,739.40
|
|
|
MS-DRG 43.00: EXTRAOCULAR PROCEDURES EXCEPT ORBIT
|
Facility
|
IP
|
$45,885.03
|
|
|
Service Code
|
MSDRG 115
|
| Min. Negotiated Rate |
$22,256.05 |
| Max. Negotiated Rate |
$45,885.03 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$23,067.08
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$33,370.93
|
| Rate for Payer: Aetna Government |
$33,370.93
|
| Rate for Payer: Brighton Health Commercial |
$22,256.05
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$34,038.35
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$27,301.37
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$23,206.17
|
| Rate for Payer: Elderplan Medicare Advantage |
$31,702.38
|
| Rate for Payer: EmblemHealth Commercial |
$33,370.93
|
| Rate for Payer: Fidelis Medicare Advantage |
$33,370.93
|
| Rate for Payer: Group Health Inc Commercial |
$33,370.93
|
| Rate for Payer: Group Health Inc Medicare |
$33,370.93
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$33,370.93
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$33,370.93
|
| Rate for Payer: Healthfirst Medicare Advantage |
$31,034.96
|
| Rate for Payer: Humana Medicare |
$45,885.03
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$33,370.93
|
| Rate for Payer: United Healthcare Commercial |
$30,524.56
|
| Rate for Payer: United Healthcare Medicare Advantage |
$33,370.93
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$33,370.93
|
| Rate for Payer: Wellcare Medicare |
$31,702.38
|
|
|
MS-DRG 43.00: EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE
|
Facility
|
IP
|
$133,998.84
|
|
|
Service Code
|
MSDRG 790
|
| Min. Negotiated Rate |
$3,163.00 |
| Max. Negotiated Rate |
$133,998.84 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$88,471.47
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$97,453.70
|
| Rate for Payer: Aetna Government |
$97,453.70
|
| Rate for Payer: Brighton Health Commercial |
$86,180.75
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$99,402.77
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$105,717.45
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$89,859.84
|
| Rate for Payer: Elderplan Medicare Advantage |
$92,581.01
|
| Rate for Payer: EmblemHealth Commercial |
$97,453.70
|
| Rate for Payer: Fidelis Medicare Advantage |
$97,453.70
|
| Rate for Payer: Group Health Inc Commercial |
$7,000.00
|
| Rate for Payer: Group Health Inc Medicare |
$97,453.70
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$97,453.70
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$97,453.70
|
| Rate for Payer: Healthfirst Medicare Advantage |
$90,631.94
|
| Rate for Payer: Humana Medicare |
$133,998.84
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$97,453.70
|
| Rate for Payer: United Healthcare Commercial |
$3,163.00
|
| Rate for Payer: United Healthcare Medicare Advantage |
$97,453.70
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$97,453.70
|
| Rate for Payer: Wellcare Medicare |
$92,581.01
|
|
|
MS-DRG 43.00: FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES
|
Facility
|
IP
|
$42,934.98
|
|
|
Service Code
|
MSDRG 748
|
| Min. Negotiated Rate |
$1,000.00 |
| Max. Negotiated Rate |
$42,934.98 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$20,715.25
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$31,225.44
|
| Rate for Payer: Aetna Government |
$31,225.44
|
| Rate for Payer: Brighton Health Commercial |
$20,115.85
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$31,849.95
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$24,676.00
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$20,974.60
|
| Rate for Payer: Elderplan Medicare Advantage |
$29,664.17
|
| Rate for Payer: EmblemHealth Commercial |
$31,225.44
|
| Rate for Payer: Fidelis Medicare Advantage |
$31,225.44
|
| Rate for Payer: Group Health Inc Commercial |
$1,000.00
|
| Rate for Payer: Group Health Inc Medicare |
$31,225.44
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$31,225.44
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$31,225.44
|
| Rate for Payer: Healthfirst Medicare Advantage |
$29,039.66
|
| Rate for Payer: Humana Medicare |
$42,934.98
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$31,225.44
|
| Rate for Payer: United Healthcare Commercial |
$27,589.24
|
| Rate for Payer: United Healthcare Medicare Advantage |
$31,225.44
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$31,225.44
|
| Rate for Payer: Wellcare Medicare |
$29,664.17
|
|
|
MS-DRG 43.00: FEVER AND INFLAMMATORY CONDITIONS
|
Facility
|
IP
|
$32,949.57
|
|
|
Service Code
|
MSDRG 864
|
| Min. Negotiated Rate |
$12,871.65 |
| Max. Negotiated Rate |
$32,949.57 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$13,016.89
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$23,963.32
|
| Rate for Payer: Aetna Government |
$23,963.32
|
| Rate for Payer: Brighton Health Commercial |
$12,871.65
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$24,442.59
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$15,789.58
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$13,421.15
|
| Rate for Payer: Elderplan Medicare Advantage |
$22,765.15
|
| Rate for Payer: EmblemHealth Commercial |
$23,963.32
|
| Rate for Payer: Fidelis Medicare Advantage |
$23,963.32
|
| Rate for Payer: Group Health Inc Commercial |
$23,963.32
|
| Rate for Payer: Group Health Inc Medicare |
$23,963.32
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$23,963.32
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$23,963.32
|
| Rate for Payer: Healthfirst Medicare Advantage |
$22,285.89
|
| Rate for Payer: Humana Medicare |
$32,949.57
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$23,963.32
|
| Rate for Payer: United Healthcare Commercial |
$17,653.69
|
| Rate for Payer: United Healthcare Medicare Advantage |
$23,963.32
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$23,963.32
|
| Rate for Payer: Wellcare Medicare |
$22,765.15
|
|
|
MS-DRG 43.00: FOOT PROCEDURES WITH CC
|
Facility
|
IP
|
$52,566.59
|
|
|
Service Code
|
MSDRG 504
|
| Min. Negotiated Rate |
$25,466.09 |
| Max. Negotiated Rate |
$52,566.59 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$25,466.09
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$38,230.25
|
| Rate for Payer: Aetna Government |
$38,230.25
|
| Rate for Payer: Brighton Health Commercial |
$27,103.40
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$38,994.86
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$33,247.59
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$28,260.45
|
| Rate for Payer: Elderplan Medicare Advantage |
$36,318.74
|
| Rate for Payer: EmblemHealth Commercial |
$38,230.25
|
| Rate for Payer: Fidelis Medicare Advantage |
$38,230.25
|
| Rate for Payer: Group Health Inc Commercial |
$38,230.25
|
| Rate for Payer: Group Health Inc Medicare |
$38,230.25
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$38,230.25
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$38,230.25
|
| Rate for Payer: Healthfirst Medicare Advantage |
$35,554.13
|
| Rate for Payer: Humana Medicare |
$52,566.59
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$38,230.25
|
| Rate for Payer: United Healthcare Commercial |
$37,172.78
|
| Rate for Payer: United Healthcare Medicare Advantage |
$38,230.25
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$38,230.25
|
| Rate for Payer: Wellcare Medicare |
$36,318.74
|
|
|
MS-DRG 43.00: FOOT PROCEDURES WITH MCC
|
Facility
|
IP
|
$70,992.43
|
|
|
Service Code
|
MSDRG 503
|
| Min. Negotiated Rate |
$39,544.62 |
| Max. Negotiated Rate |
$70,992.43 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$39,544.62
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$51,630.86
|
| Rate for Payer: Aetna Government |
$51,630.86
|
| Rate for Payer: Brighton Health Commercial |
$40,470.95
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$52,663.48
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$49,645.49
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$42,198.67
|
| Rate for Payer: Elderplan Medicare Advantage |
$49,049.32
|
| Rate for Payer: EmblemHealth Commercial |
$51,630.86
|
| Rate for Payer: Fidelis Medicare Advantage |
$51,630.86
|
| Rate for Payer: Group Health Inc Commercial |
$51,630.86
|
| Rate for Payer: Group Health Inc Medicare |
$51,630.86
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$51,630.86
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$51,630.86
|
| Rate for Payer: Healthfirst Medicare Advantage |
$48,016.70
|
| Rate for Payer: Humana Medicare |
$70,992.43
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$51,630.86
|
| Rate for Payer: United Healthcare Commercial |
$55,506.61
|
| Rate for Payer: United Healthcare Medicare Advantage |
$51,630.86
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$51,630.86
|
| Rate for Payer: Wellcare Medicare |
$49,049.32
|
|
|
MS-DRG 43.00: FOOT PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$51,039.64
|
|
|
Service Code
|
MSDRG 505
|
| Min. Negotiated Rate |
$25,150.55 |
| Max. Negotiated Rate |
$51,039.64 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$25,150.55
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$37,119.74
|
| Rate for Payer: Aetna Government |
$37,119.74
|
| Rate for Payer: Brighton Health Commercial |
$25,995.60
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$37,862.13
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$31,888.66
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$27,105.36
|
| Rate for Payer: Elderplan Medicare Advantage |
$35,263.75
|
| Rate for Payer: EmblemHealth Commercial |
$37,119.74
|
| Rate for Payer: Fidelis Medicare Advantage |
$37,119.74
|
| Rate for Payer: Group Health Inc Commercial |
$37,119.74
|
| Rate for Payer: Group Health Inc Medicare |
$37,119.74
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$37,119.74
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$37,119.74
|
| Rate for Payer: Healthfirst Medicare Advantage |
$34,521.36
|
| Rate for Payer: Humana Medicare |
$51,039.64
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$37,119.74
|
| Rate for Payer: United Healthcare Commercial |
$35,653.41
|
| Rate for Payer: United Healthcare Medicare Advantage |
$37,119.74
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$37,119.74
|
| Rate for Payer: Wellcare Medicare |
$35,263.75
|
|
|
MS-DRG 43.00: FRACTURES OF FEMUR WITH MCC
|
Facility
|
IP
|
$46,540.61
|
|
|
Service Code
|
MSDRG 533
|
| Min. Negotiated Rate |
$22,731.65 |
| Max. Negotiated Rate |
$46,540.61 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$24,054.99
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$33,847.72
|
| Rate for Payer: Aetna Government |
$33,847.72
|
| Rate for Payer: Brighton Health Commercial |
$22,731.65
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$34,524.67
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$27,884.79
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$23,702.07
|
| Rate for Payer: Elderplan Medicare Advantage |
$32,155.33
|
| Rate for Payer: EmblemHealth Commercial |
$33,847.72
|
| Rate for Payer: Fidelis Medicare Advantage |
$33,847.72
|
| Rate for Payer: Group Health Inc Commercial |
$33,847.72
|
| Rate for Payer: Group Health Inc Medicare |
$33,847.72
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$33,847.72
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$33,847.72
|
| Rate for Payer: Healthfirst Medicare Advantage |
$31,478.38
|
| Rate for Payer: Humana Medicare |
$46,540.61
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$33,847.72
|
| Rate for Payer: United Healthcare Commercial |
$31,176.85
|
| Rate for Payer: United Healthcare Medicare Advantage |
$33,847.72
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$33,847.72
|
| Rate for Payer: Wellcare Medicare |
$32,155.33
|
|
|
MS-DRG 43.00: FRACTURES OF FEMUR WITHOUT MCC
|
Facility
|
IP
|
$31,318.62
|
|
|
Service Code
|
MSDRG 534
|
| Min. Negotiated Rate |
$11,688.45 |
| Max. Negotiated Rate |
$31,318.62 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$11,943.45
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$22,777.18
|
| Rate for Payer: Aetna Government |
$22,777.18
|
| Rate for Payer: Brighton Health Commercial |
$11,688.45
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$23,232.72
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$14,338.16
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$12,187.43
|
| Rate for Payer: Elderplan Medicare Advantage |
$21,638.32
|
| Rate for Payer: EmblemHealth Commercial |
$22,777.18
|
| Rate for Payer: Fidelis Medicare Advantage |
$22,777.18
|
| Rate for Payer: Group Health Inc Commercial |
$22,777.18
|
| Rate for Payer: Group Health Inc Medicare |
$22,777.18
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$22,777.18
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$22,777.18
|
| Rate for Payer: Healthfirst Medicare Advantage |
$21,182.78
|
| Rate for Payer: Humana Medicare |
$31,318.62
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$22,777.18
|
| Rate for Payer: United Healthcare Commercial |
$16,030.91
|
| Rate for Payer: United Healthcare Medicare Advantage |
$22,777.18
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$22,777.18
|
| Rate for Payer: Wellcare Medicare |
$21,638.32
|
|
|
MS-DRG 43.00: FRACTURES OF HIP AND PELVIS WITH MCC
|
Facility
|
IP
|
$40,830.36
|
|
|
Service Code
|
MSDRG 535
|
| Min. Negotiated Rate |
$18,589.00 |
| Max. Negotiated Rate |
$40,830.36 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$19,119.84
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$29,694.81
|
| Rate for Payer: Aetna Government |
$29,694.81
|
| Rate for Payer: Brighton Health Commercial |
$18,589.00
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$30,288.71
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$22,803.02
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$19,382.57
|
| Rate for Payer: Elderplan Medicare Advantage |
$28,210.07
|
| Rate for Payer: EmblemHealth Commercial |
$29,694.81
|
| Rate for Payer: Fidelis Medicare Advantage |
$29,694.81
|
| Rate for Payer: Group Health Inc Commercial |
$29,694.81
|
| Rate for Payer: Group Health Inc Medicare |
$29,694.81
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$29,694.81
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$29,694.81
|
| Rate for Payer: Healthfirst Medicare Advantage |
$27,616.17
|
| Rate for Payer: Humana Medicare |
$40,830.36
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$29,694.81
|
| Rate for Payer: United Healthcare Commercial |
$25,495.13
|
| Rate for Payer: United Healthcare Medicare Advantage |
$29,694.81
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$29,694.81
|
| Rate for Payer: Wellcare Medicare |
$28,210.07
|
|
|
MS-DRG 43.00: FRACTURES OF HIP AND PELVIS WITHOUT MCC
|
Facility
|
IP
|
$31,348.62
|
|
|
Service Code
|
MSDRG 536
|
| Min. Negotiated Rate |
$11,605.79 |
| Max. Negotiated Rate |
$31,348.62 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$11,605.79
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$22,799.00
|
| Rate for Payer: Aetna Government |
$22,799.00
|
| Rate for Payer: Brighton Health Commercial |
$11,710.20
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$23,254.98
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$14,364.84
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$12,210.11
|
| Rate for Payer: Elderplan Medicare Advantage |
$21,659.05
|
| Rate for Payer: EmblemHealth Commercial |
$22,799.00
|
| Rate for Payer: Fidelis Medicare Advantage |
$22,799.00
|
| Rate for Payer: Group Health Inc Commercial |
$22,799.00
|
| Rate for Payer: Group Health Inc Medicare |
$22,799.00
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$22,799.00
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$22,799.00
|
| Rate for Payer: Healthfirst Medicare Advantage |
$21,203.07
|
| Rate for Payer: Humana Medicare |
$31,348.62
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$22,799.00
|
| Rate for Payer: United Healthcare Commercial |
$16,060.74
|
| Rate for Payer: United Healthcare Medicare Advantage |
$22,799.00
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$22,799.00
|
| Rate for Payer: Wellcare Medicare |
$21,659.05
|
|
|
MS-DRG 43.00: FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC
|
Facility
|
IP
|
$43,684.48
|
|
|
Service Code
|
MSDRG 562
|
| Min. Negotiated Rate |
$20,659.60 |
| Max. Negotiated Rate |
$43,684.48 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$22,422.72
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$31,770.53
|
| Rate for Payer: Aetna Government |
$31,770.53
|
| Rate for Payer: Brighton Health Commercial |
$20,659.60
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$32,405.94
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$25,343.02
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$21,541.57
|
| Rate for Payer: Elderplan Medicare Advantage |
$30,182.00
|
| Rate for Payer: EmblemHealth Commercial |
$31,770.53
|
| Rate for Payer: Fidelis Medicare Advantage |
$31,770.53
|
| Rate for Payer: Group Health Inc Commercial |
$31,770.53
|
| Rate for Payer: Group Health Inc Medicare |
$31,770.53
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$31,770.53
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$31,770.53
|
| Rate for Payer: Healthfirst Medicare Advantage |
$29,546.59
|
| Rate for Payer: Humana Medicare |
$43,684.48
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$31,770.53
|
| Rate for Payer: United Healthcare Commercial |
$28,335.00
|
| Rate for Payer: United Healthcare Medicare Advantage |
$31,770.53
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$31,770.53
|
| Rate for Payer: Wellcare Medicare |
$30,182.00
|
|
|
MS-DRG 43.00: FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC
|
Facility
|
IP
|
$33,105.45
|
|
|
Service Code
|
MSDRG 563
|
| Min. Negotiated Rate |
$12,984.75 |
| Max. Negotiated Rate |
$33,105.45 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$13,205.62
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$24,076.69
|
| Rate for Payer: Aetna Government |
$24,076.69
|
| Rate for Payer: Brighton Health Commercial |
$12,984.75
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$24,558.22
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$15,928.32
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$13,539.07
|
| Rate for Payer: Elderplan Medicare Advantage |
$22,872.86
|
| Rate for Payer: EmblemHealth Commercial |
$24,076.69
|
| Rate for Payer: Fidelis Medicare Advantage |
$24,076.69
|
| Rate for Payer: Group Health Inc Commercial |
$24,076.69
|
| Rate for Payer: Group Health Inc Medicare |
$24,076.69
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$24,076.69
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$24,076.69
|
| Rate for Payer: Healthfirst Medicare Advantage |
$22,391.32
|
| Rate for Payer: Humana Medicare |
$33,105.45
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$24,076.69
|
| Rate for Payer: United Healthcare Commercial |
$17,808.81
|
| Rate for Payer: United Healthcare Medicare Advantage |
$24,076.69
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$24,076.69
|
| Rate for Payer: Wellcare Medicare |
$22,872.86
|
|
|
MS-DRG 43.00: FULL TERM NEONATE WITH MAJOR PROBLEMS
|
Facility
|
IP
|
$98,544.26
|
|
|
Service Code
|
MSDRG 793
|
| Min. Negotiated Rate |
$3,163.00 |
| Max. Negotiated Rate |
$98,544.26 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$62,066.13
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$71,668.55
|
| Rate for Payer: Aetna Government |
$71,668.55
|
| Rate for Payer: Brighton Health Commercial |
$60,459.20
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$73,101.92
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$74,164.97
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$63,040.22
|
| Rate for Payer: Elderplan Medicare Advantage |
$68,085.12
|
| Rate for Payer: EmblemHealth Commercial |
$71,668.55
|
| Rate for Payer: Fidelis Medicare Advantage |
$71,668.55
|
| Rate for Payer: Group Health Inc Commercial |
$7,000.00
|
| Rate for Payer: Group Health Inc Medicare |
$71,668.55
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$71,668.55
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$71,668.55
|
| Rate for Payer: Healthfirst Medicare Advantage |
$66,651.75
|
| Rate for Payer: Humana Medicare |
$98,544.26
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$71,668.55
|
| Rate for Payer: United Healthcare Commercial |
$3,163.00
|
| Rate for Payer: United Healthcare Medicare Advantage |
$71,668.55
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$71,668.55
|
| Rate for Payer: Wellcare Medicare |
$68,085.12
|
|
|
MS-DRG 43.00: FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY
|
Facility
|
IP
|
$59,390.07
|
|
|
Service Code
|
MSDRG 934
|
| Min. Negotiated Rate |
$30,853.91 |
| Max. Negotiated Rate |
$59,390.07 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$30,853.91
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$43,192.78
|
| Rate for Payer: Aetna Government |
$43,192.78
|
| Rate for Payer: Brighton Health Commercial |
$32,053.70
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$44,056.64
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$39,320.10
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$33,422.08
|
| Rate for Payer: Elderplan Medicare Advantage |
$41,033.14
|
| Rate for Payer: EmblemHealth Commercial |
$43,192.78
|
| Rate for Payer: Fidelis Medicare Advantage |
$43,192.78
|
| Rate for Payer: Group Health Inc Commercial |
$43,192.78
|
| Rate for Payer: Group Health Inc Medicare |
$43,192.78
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$43,192.78
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$43,192.78
|
| Rate for Payer: Healthfirst Medicare Advantage |
$40,169.29
|
| Rate for Payer: Humana Medicare |
$59,390.07
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$43,192.78
|
| Rate for Payer: United Healthcare Commercial |
$43,962.20
|
| Rate for Payer: United Healthcare Medicare Advantage |
$43,192.78
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$43,192.78
|
| Rate for Payer: Wellcare Medicare |
$41,033.14
|
|
|
MS-DRG 43.00: FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC
|
Facility
|
IP
|
$158,566.62
|
|
|
Service Code
|
MSDRG 928
|
| Min. Negotiated Rate |
$102,030.98 |
| Max. Negotiated Rate |
$158,566.62 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$102,030.98
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$115,321.18
|
| Rate for Payer: Aetna Government |
$115,321.18
|
| Rate for Payer: Brighton Health Commercial |
$104,004.15
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$117,627.60
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$127,581.32
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$108,444.12
|
| Rate for Payer: Elderplan Medicare Advantage |
$109,555.12
|
| Rate for Payer: EmblemHealth Commercial |
$115,321.18
|
| Rate for Payer: Fidelis Medicare Advantage |
$115,321.18
|
| Rate for Payer: Group Health Inc Commercial |
$115,321.18
|
| Rate for Payer: Group Health Inc Medicare |
$115,321.18
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$115,321.18
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$115,321.18
|
| Rate for Payer: Healthfirst Medicare Advantage |
$107,248.70
|
| Rate for Payer: Humana Medicare |
$158,566.62
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$115,321.18
|
| Rate for Payer: United Healthcare Commercial |
$142,643.48
|
| Rate for Payer: United Healthcare Medicare Advantage |
$115,321.18
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$115,321.18
|
| Rate for Payer: Wellcare Medicare |
$109,555.12
|
|
|
MS-DRG 43.00: FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC
|
Facility
|
IP
|
$79,580.78
|
|
|
Service Code
|
MSDRG 929
|
| Min. Negotiated Rate |
$46,701.60 |
| Max. Negotiated Rate |
$79,580.78 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$47,412.55
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$57,876.93
|
| Rate for Payer: Aetna Government |
$57,876.93
|
| Rate for Payer: Brighton Health Commercial |
$46,701.60
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$59,034.47
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$57,288.60
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$48,695.31
|
| Rate for Payer: Elderplan Medicare Advantage |
$54,983.08
|
| Rate for Payer: EmblemHealth Commercial |
$57,876.93
|
| Rate for Payer: Fidelis Medicare Advantage |
$57,876.93
|
| Rate for Payer: Group Health Inc Commercial |
$57,876.93
|
| Rate for Payer: Group Health Inc Medicare |
$57,876.93
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$57,876.93
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$57,876.93
|
| Rate for Payer: Healthfirst Medicare Advantage |
$53,825.54
|
| Rate for Payer: Humana Medicare |
$79,580.78
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$57,876.93
|
| Rate for Payer: United Healthcare Commercial |
$64,052.05
|
| Rate for Payer: United Healthcare Medicare Advantage |
$57,876.93
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$57,876.93
|
| Rate for Payer: Wellcare Medicare |
$54,983.08
|
|
|
MS-DRG 43.00: GASTROINTESTINAL HEMORRHAGE WITH CC
|
Facility
|
IP
|
$34,808.32
|
|
|
Service Code
|
MSDRG 378
|
| Min. Negotiated Rate |
$14,220.15 |
| Max. Negotiated Rate |
$34,808.32 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$14,506.13
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$25,315.14
|
| Rate for Payer: Aetna Government |
$25,315.14
|
| Rate for Payer: Brighton Health Commercial |
$14,220.15
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$25,821.44
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$17,443.78
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$14,827.21
|
| Rate for Payer: Elderplan Medicare Advantage |
$24,049.38
|
| Rate for Payer: EmblemHealth Commercial |
$25,315.14
|
| Rate for Payer: Fidelis Medicare Advantage |
$25,315.14
|
| Rate for Payer: Group Health Inc Commercial |
$25,315.14
|
| Rate for Payer: Group Health Inc Medicare |
$25,315.14
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$25,315.14
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$25,315.14
|
| Rate for Payer: Healthfirst Medicare Advantage |
$23,543.08
|
| Rate for Payer: Humana Medicare |
$34,808.32
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$25,315.14
|
| Rate for Payer: United Healthcare Commercial |
$19,503.18
|
| Rate for Payer: United Healthcare Medicare Advantage |
$25,315.14
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$25,315.14
|
| Rate for Payer: Wellcare Medicare |
$24,049.38
|
|
|
MS-DRG 43.00: GASTROINTESTINAL HEMORRHAGE WITH MCC
|
Facility
|
IP
|
$51,743.13
|
|
|
Service Code
|
MSDRG 377
|
| Min. Negotiated Rate |
$26,397.97 |
| Max. Negotiated Rate |
$51,743.13 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$26,397.97
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$37,631.37
|
| Rate for Payer: Aetna Government |
$37,631.37
|
| Rate for Payer: Brighton Health Commercial |
$26,506.00
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$38,384.00
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$32,514.76
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$27,637.55
|
| Rate for Payer: Elderplan Medicare Advantage |
$35,749.80
|
| Rate for Payer: EmblemHealth Commercial |
$37,631.37
|
| Rate for Payer: Fidelis Medicare Advantage |
$37,631.37
|
| Rate for Payer: Group Health Inc Commercial |
$37,631.37
|
| Rate for Payer: Group Health Inc Medicare |
$37,631.37
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$37,631.37
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$37,631.37
|
| Rate for Payer: Healthfirst Medicare Advantage |
$34,997.17
|
| Rate for Payer: Humana Medicare |
$51,743.13
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$37,631.37
|
| Rate for Payer: United Healthcare Commercial |
$36,353.44
|
| Rate for Payer: United Healthcare Medicare Advantage |
$37,631.37
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$37,631.37
|
| Rate for Payer: Wellcare Medicare |
$35,749.80
|
|
|
MS-DRG 43.00: GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC
|
Facility
|
IP
|
$27,806.94
|
|
|
Service Code
|
MSDRG 379
|
| Min. Negotiated Rate |
$9,140.80 |
| Max. Negotiated Rate |
$27,806.94 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$9,336.53
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$20,223.23
|
| Rate for Payer: Aetna Government |
$20,223.23
|
| Rate for Payer: Brighton Health Commercial |
$9,140.80
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$20,627.69
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$11,212.97
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$9,531.02
|
| Rate for Payer: Elderplan Medicare Advantage |
$19,212.07
|
| Rate for Payer: EmblemHealth Commercial |
$20,223.23
|
| Rate for Payer: Fidelis Medicare Advantage |
$20,223.23
|
| Rate for Payer: Group Health Inc Commercial |
$20,223.23
|
| Rate for Payer: Group Health Inc Medicare |
$20,223.23
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$20,223.23
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$20,223.23
|
| Rate for Payer: Healthfirst Medicare Advantage |
$18,807.60
|
| Rate for Payer: Humana Medicare |
$27,806.94
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$20,223.23
|
| Rate for Payer: United Healthcare Commercial |
$12,536.76
|
| Rate for Payer: United Healthcare Medicare Advantage |
$20,223.23
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$20,223.23
|
| Rate for Payer: Wellcare Medicare |
$19,212.07
|
|
|
MS-DRG 43.00: GASTROINTESTINAL OBSTRUCTION WITH CC
|
Facility
|
IP
|
$30,992.86
|
|
|
Service Code
|
MSDRG 389
|
| Min. Negotiated Rate |
$11,452.10 |
| Max. Negotiated Rate |
$30,992.86 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$11,742.92
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$22,540.26
|
| Rate for Payer: Aetna Government |
$22,540.26
|
| Rate for Payer: Brighton Health Commercial |
$11,452.10
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$22,991.07
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$14,048.23
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$11,940.99
|
| Rate for Payer: Elderplan Medicare Advantage |
$21,413.25
|
| Rate for Payer: EmblemHealth Commercial |
$22,540.26
|
| Rate for Payer: Fidelis Medicare Advantage |
$22,540.26
|
| Rate for Payer: Group Health Inc Commercial |
$22,540.26
|
| Rate for Payer: Group Health Inc Medicare |
$22,540.26
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$22,540.26
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$22,540.26
|
| Rate for Payer: Healthfirst Medicare Advantage |
$20,962.44
|
| Rate for Payer: Humana Medicare |
$30,992.86
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$22,540.26
|
| Rate for Payer: United Healthcare Commercial |
$15,706.75
|
| Rate for Payer: United Healthcare Medicare Advantage |
$22,540.26
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$22,540.26
|
| Rate for Payer: Wellcare Medicare |
$21,413.25
|
|
|
MS-DRG 43.00: GASTROINTESTINAL OBSTRUCTION WITH MCC
|
Facility
|
IP
|
$44,723.81
|
|
|
Service Code
|
MSDRG 388
|
| Min. Negotiated Rate |
$21,413.60 |
| Max. Negotiated Rate |
$44,723.81 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$21,431.86
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$32,526.41
|
| Rate for Payer: Aetna Government |
$32,526.41
|
| Rate for Payer: Brighton Health Commercial |
$21,413.60
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$33,176.94
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$26,267.94
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$22,327.75
|
| Rate for Payer: Elderplan Medicare Advantage |
$30,900.09
|
| Rate for Payer: EmblemHealth Commercial |
$32,526.41
|
| Rate for Payer: Fidelis Medicare Advantage |
$32,526.41
|
| Rate for Payer: Group Health Inc Commercial |
$32,526.41
|
| Rate for Payer: Group Health Inc Medicare |
$32,526.41
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$32,526.41
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$32,526.41
|
| Rate for Payer: Healthfirst Medicare Advantage |
$30,249.56
|
| Rate for Payer: Humana Medicare |
$44,723.81
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$32,526.41
|
| Rate for Payer: United Healthcare Commercial |
$29,369.12
|
| Rate for Payer: United Healthcare Medicare Advantage |
$32,526.41
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$32,526.41
|
| Rate for Payer: Wellcare Medicare |
$30,900.09
|
|
|
MS-DRG 43.00: GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC
|
Facility
|
IP
|
$26,080.09
|
|
|
Service Code
|
MSDRG 390
|
| Min. Negotiated Rate |
$7,888.00 |
| Max. Negotiated Rate |
$26,080.09 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$8,242.46
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$18,967.34
|
| Rate for Payer: Aetna Government |
$18,967.34
|
| Rate for Payer: Brighton Health Commercial |
$7,888.00
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$19,346.69
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$9,676.17
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$8,224.74
|
| Rate for Payer: Elderplan Medicare Advantage |
$18,018.97
|
| Rate for Payer: EmblemHealth Commercial |
$18,967.34
|
| Rate for Payer: Fidelis Medicare Advantage |
$18,967.34
|
| Rate for Payer: Group Health Inc Commercial |
$18,967.34
|
| Rate for Payer: Group Health Inc Medicare |
$18,967.34
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$18,967.34
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$18,967.34
|
| Rate for Payer: Healthfirst Medicare Advantage |
$17,639.63
|
| Rate for Payer: Humana Medicare |
$26,080.09
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$18,967.34
|
| Rate for Payer: United Healthcare Commercial |
$10,818.53
|
| Rate for Payer: United Healthcare Medicare Advantage |
$18,967.34
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$18,967.34
|
| Rate for Payer: Wellcare Medicare |
$18,018.97
|
|
