|
MS-DRG 43.00: HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$46,672.50
|
|
|
Service Code
|
MSDRG 513
|
| Min. Negotiated Rate |
$22,827.35 |
| Max. Negotiated Rate |
$46,672.50 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$23,901.65
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$33,943.64
|
| Rate for Payer: Aetna Government |
$33,943.64
|
| Rate for Payer: Brighton Health Commercial |
$22,827.35
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$34,622.51
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$28,002.18
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$23,801.86
|
| Rate for Payer: Elderplan Medicare Advantage |
$32,246.46
|
| Rate for Payer: EmblemHealth Commercial |
$33,943.64
|
| Rate for Payer: Fidelis Medicare Advantage |
$33,943.64
|
| Rate for Payer: Group Health Inc Commercial |
$33,943.64
|
| Rate for Payer: Group Health Inc Medicare |
$33,943.64
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$33,943.64
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$33,943.64
|
| Rate for Payer: Healthfirst Medicare Advantage |
$31,567.59
|
| Rate for Payer: Humana Medicare |
$46,672.50
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$33,943.64
|
| Rate for Payer: United Healthcare Commercial |
$31,308.10
|
| Rate for Payer: United Healthcare Medicare Advantage |
$33,943.64
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$33,943.64
|
| Rate for Payer: Wellcare Medicare |
$32,246.46
|
|
|
MS-DRG 43.00: HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$35,639.79
|
|
|
Service Code
|
MSDRG 514
|
| Min. Negotiated Rate |
$14,823.35 |
| Max. Negotiated Rate |
$35,639.79 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$15,356.92
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$25,919.85
|
| Rate for Payer: Aetna Government |
$25,919.85
|
| Rate for Payer: Brighton Health Commercial |
$14,823.35
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$26,438.25
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$18,183.72
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$15,456.16
|
| Rate for Payer: Elderplan Medicare Advantage |
$24,623.86
|
| Rate for Payer: EmblemHealth Commercial |
$25,919.85
|
| Rate for Payer: Fidelis Medicare Advantage |
$25,919.85
|
| Rate for Payer: Group Health Inc Commercial |
$25,919.85
|
| Rate for Payer: Group Health Inc Medicare |
$25,919.85
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$25,919.85
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$25,919.85
|
| Rate for Payer: Healthfirst Medicare Advantage |
$24,105.46
|
| Rate for Payer: Humana Medicare |
$35,639.79
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$25,919.85
|
| Rate for Payer: United Healthcare Commercial |
$20,330.48
|
| Rate for Payer: United Healthcare Medicare Advantage |
$25,919.85
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$25,919.85
|
| Rate for Payer: Wellcare Medicare |
$24,623.86
|
|
|
MS-DRG 43.00: HAND PROCEDURES FOR INJURIES
|
Facility
|
IP
|
$54,467.37
|
|
|
Service Code
|
MSDRG 906
|
| Min. Negotiated Rate |
$25,554.80 |
| Max. Negotiated Rate |
$54,467.37 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$27,744.19
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$39,612.63
|
| Rate for Payer: Aetna Government |
$39,612.63
|
| Rate for Payer: Brighton Health Commercial |
$25,554.80
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$40,404.88
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$31,347.93
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$26,645.74
|
| Rate for Payer: Elderplan Medicare Advantage |
$37,632.00
|
| Rate for Payer: EmblemHealth Commercial |
$39,612.63
|
| Rate for Payer: Fidelis Medicare Advantage |
$39,612.63
|
| Rate for Payer: Group Health Inc Commercial |
$39,612.63
|
| Rate for Payer: Group Health Inc Medicare |
$39,612.63
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$39,612.63
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$39,612.63
|
| Rate for Payer: Healthfirst Medicare Advantage |
$36,839.75
|
| Rate for Payer: Humana Medicare |
$54,467.37
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$39,612.63
|
| Rate for Payer: United Healthcare Commercial |
$35,048.85
|
| Rate for Payer: United Healthcare Medicare Advantage |
$39,612.63
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$39,612.63
|
| Rate for Payer: Wellcare Medicare |
$37,632.00
|
|
|
MS-DRG 43.00: HEADACHES WITH MCC
|
Facility
|
IP
|
$37,610.46
|
|
|
Service Code
|
MSDRG 102
|
| Min. Negotiated Rate |
$16,253.05 |
| Max. Negotiated Rate |
$37,610.46 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$17,791.32
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$27,353.06
|
| Rate for Payer: Aetna Government |
$27,353.06
|
| Rate for Payer: Brighton Health Commercial |
$16,253.05
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$27,900.12
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$19,937.53
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$16,946.90
|
| Rate for Payer: Elderplan Medicare Advantage |
$25,985.41
|
| Rate for Payer: EmblemHealth Commercial |
$27,353.06
|
| Rate for Payer: Fidelis Medicare Advantage |
$27,353.06
|
| Rate for Payer: Group Health Inc Commercial |
$27,353.06
|
| Rate for Payer: Group Health Inc Medicare |
$27,353.06
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$27,353.06
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$27,353.06
|
| Rate for Payer: Healthfirst Medicare Advantage |
$25,438.35
|
| Rate for Payer: Humana Medicare |
$37,610.46
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$27,353.06
|
| Rate for Payer: United Healthcare Commercial |
$22,291.34
|
| Rate for Payer: United Healthcare Medicare Advantage |
$27,353.06
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$27,353.06
|
| Rate for Payer: Wellcare Medicare |
$25,985.41
|
|
|
MS-DRG 43.00: HEADACHES WITHOUT MCC
|
Facility
|
IP
|
$31,922.26
|
|
|
Service Code
|
MSDRG 103
|
| Min. Negotiated Rate |
$12,126.35 |
| Max. Negotiated Rate |
$31,922.26 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$12,421.19
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$23,216.19
|
| Rate for Payer: Aetna Government |
$23,216.19
|
| Rate for Payer: Brighton Health Commercial |
$12,126.35
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$23,680.51
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$14,875.33
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$12,644.03
|
| Rate for Payer: Elderplan Medicare Advantage |
$22,055.38
|
| Rate for Payer: EmblemHealth Commercial |
$23,216.19
|
| Rate for Payer: Fidelis Medicare Advantage |
$23,216.19
|
| Rate for Payer: Group Health Inc Commercial |
$23,216.19
|
| Rate for Payer: Group Health Inc Medicare |
$23,216.19
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$23,216.19
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$23,216.19
|
| Rate for Payer: Healthfirst Medicare Advantage |
$21,591.06
|
| Rate for Payer: Humana Medicare |
$31,922.26
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$23,216.19
|
| Rate for Payer: United Healthcare Commercial |
$16,631.50
|
| Rate for Payer: United Healthcare Medicare Advantage |
$23,216.19
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$23,216.19
|
| Rate for Payer: Wellcare Medicare |
$22,055.38
|
|
|
MS-DRG 43.00: HEART FAILURE AND SHOCK WITH CC
|
Facility
|
IP
|
$32,176.09
|
|
|
Service Code
|
MSDRG 292
|
| Min. Negotiated Rate |
$12,310.50 |
| Max. Negotiated Rate |
$32,176.09 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$12,629.09
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$23,400.79
|
| Rate for Payer: Aetna Government |
$23,400.79
|
| Rate for Payer: Brighton Health Commercial |
$12,310.50
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$23,868.81
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$15,101.22
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$12,836.04
|
| Rate for Payer: Elderplan Medicare Advantage |
$22,230.75
|
| Rate for Payer: EmblemHealth Commercial |
$23,400.79
|
| Rate for Payer: Fidelis Medicare Advantage |
$23,400.79
|
| Rate for Payer: Group Health Inc Commercial |
$23,400.79
|
| Rate for Payer: Group Health Inc Medicare |
$23,400.79
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$23,400.79
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$23,400.79
|
| Rate for Payer: Healthfirst Medicare Advantage |
$21,762.73
|
| Rate for Payer: Humana Medicare |
$32,176.09
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$23,400.79
|
| Rate for Payer: United Healthcare Commercial |
$16,884.06
|
| Rate for Payer: United Healthcare Medicare Advantage |
$23,400.79
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$23,400.79
|
| Rate for Payer: Wellcare Medicare |
$22,230.75
|
|
|
MS-DRG 43.00: HEART FAILURE AND SHOCK WITH MCC
|
Facility
|
IP
|
$40,866.35
|
|
|
Service Code
|
MSDRG 291
|
| Min. Negotiated Rate |
$18,615.10 |
| Max. Negotiated Rate |
$40,866.35 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$18,931.11
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$29,720.98
|
| Rate for Payer: Aetna Government |
$29,720.98
|
| Rate for Payer: Brighton Health Commercial |
$18,615.10
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$30,315.40
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$22,835.04
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$19,409.79
|
| Rate for Payer: Elderplan Medicare Advantage |
$28,234.93
|
| Rate for Payer: EmblemHealth Commercial |
$29,720.98
|
| Rate for Payer: Fidelis Medicare Advantage |
$29,720.98
|
| Rate for Payer: Group Health Inc Commercial |
$29,720.98
|
| Rate for Payer: Group Health Inc Medicare |
$29,720.98
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$29,720.98
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$29,720.98
|
| Rate for Payer: Healthfirst Medicare Advantage |
$27,640.51
|
| Rate for Payer: Humana Medicare |
$40,866.35
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$29,720.98
|
| Rate for Payer: United Healthcare Commercial |
$25,530.93
|
| Rate for Payer: United Healthcare Medicare Advantage |
$29,720.98
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$29,720.98
|
| Rate for Payer: Wellcare Medicare |
$28,234.93
|
|
|
MS-DRG 43.00: HEART FAILURE AND SHOCK WITHOUT CC/MCC
|
Facility
|
IP
|
$26,519.82
|
|
|
Service Code
|
MSDRG 293
|
| Min. Negotiated Rate |
$8,207.00 |
| Max. Negotiated Rate |
$26,519.82 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$8,279.32
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$19,287.14
|
| Rate for Payer: Aetna Government |
$19,287.14
|
| Rate for Payer: Brighton Health Commercial |
$8,207.00
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$19,672.88
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$10,067.48
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$8,557.36
|
| Rate for Payer: Elderplan Medicare Advantage |
$18,322.78
|
| Rate for Payer: EmblemHealth Commercial |
$19,287.14
|
| Rate for Payer: Fidelis Medicare Advantage |
$19,287.14
|
| Rate for Payer: Group Health Inc Commercial |
$19,287.14
|
| Rate for Payer: Group Health Inc Medicare |
$19,287.14
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$19,287.14
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$19,287.14
|
| Rate for Payer: Healthfirst Medicare Advantage |
$17,937.04
|
| Rate for Payer: Humana Medicare |
$26,519.82
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$19,287.14
|
| Rate for Payer: United Healthcare Commercial |
$11,256.04
|
| Rate for Payer: United Healthcare Medicare Advantage |
$19,287.14
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$19,287.14
|
| Rate for Payer: Wellcare Medicare |
$18,322.78
|
|
|
MS-DRG 43.00: HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC
|
Facility
|
IP
|
$557,311.30
|
|
|
Service Code
|
MSDRG 001
|
| Min. Negotiated Rate |
$389,122.44 |
| Max. Negotiated Rate |
$557,311.30 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$399,568.86
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$418,411.23
|
| Rate for Payer: Aetna Government |
$418,411.23
|
| Rate for Payer: Brighton Health Commercial |
$406,346.55
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$426,779.45
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$498,463.07
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$423,693.62
|
| Rate for Payer: Elderplan Medicare Advantage |
$397,490.67
|
| Rate for Payer: EmblemHealth Commercial |
$418,411.23
|
| Rate for Payer: Fidelis Medicare Advantage |
$418,411.23
|
| Rate for Payer: Group Health Inc Commercial |
$418,411.23
|
| Rate for Payer: Group Health Inc Medicare |
$418,411.23
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$418,411.23
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$418,411.23
|
| Rate for Payer: Healthfirst Medicare Advantage |
$389,122.44
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$418,411.23
|
| Rate for Payer: United Healthcare Commercial |
$557,311.30
|
| Rate for Payer: United Healthcare Medicare Advantage |
$418,411.23
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$418,411.23
|
| Rate for Payer: Wellcare Medicare |
$397,490.67
|
|
|
MS-DRG 43.00: HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC
|
Facility
|
IP
|
$225,355.51
|
|
|
Service Code
|
MSDRG 002
|
| Min. Negotiated Rate |
$163,472.86 |
| Max. Negotiated Rate |
$225,355.51 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$180,539.25
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$175,777.27
|
| Rate for Payer: Aetna Government |
$175,777.27
|
| Rate for Payer: Brighton Health Commercial |
$164,311.10
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$179,292.82
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$201,559.52
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$171,325.60
|
| Rate for Payer: Elderplan Medicare Advantage |
$166,988.41
|
| Rate for Payer: EmblemHealth Commercial |
$175,777.27
|
| Rate for Payer: Fidelis Medicare Advantage |
$175,777.27
|
| Rate for Payer: Group Health Inc Commercial |
$175,777.27
|
| Rate for Payer: Group Health Inc Medicare |
$175,777.27
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$175,777.27
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$175,777.27
|
| Rate for Payer: Healthfirst Medicare Advantage |
$163,472.86
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$175,777.27
|
| Rate for Payer: United Healthcare Commercial |
$225,355.51
|
| Rate for Payer: United Healthcare Medicare Advantage |
$175,777.27
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$175,777.27
|
| Rate for Payer: Wellcare Medicare |
$166,988.41
|
|
|
MS-DRG 43.00: HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC
|
Facility
|
IP
|
$49,934.33
|
|
|
Service Code
|
MSDRG 421
|
| Min. Negotiated Rate |
$25,193.75 |
| Max. Negotiated Rate |
$49,934.33 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$25,208.05
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$36,315.88
|
| Rate for Payer: Aetna Government |
$36,315.88
|
| Rate for Payer: Brighton Health Commercial |
$25,193.75
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$37,042.20
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$30,905.03
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$26,269.28
|
| Rate for Payer: Elderplan Medicare Advantage |
$34,500.09
|
| Rate for Payer: EmblemHealth Commercial |
$36,315.88
|
| Rate for Payer: Fidelis Medicare Advantage |
$36,315.88
|
| Rate for Payer: Group Health Inc Commercial |
$36,315.88
|
| Rate for Payer: Group Health Inc Medicare |
$36,315.88
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$36,315.88
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$36,315.88
|
| Rate for Payer: Healthfirst Medicare Advantage |
$33,773.77
|
| Rate for Payer: Humana Medicare |
$49,934.33
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$36,315.88
|
| Rate for Payer: United Healthcare Commercial |
$34,553.66
|
| Rate for Payer: United Healthcare Medicare Advantage |
$36,315.88
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$36,315.88
|
| Rate for Payer: Wellcare Medicare |
$34,500.09
|
|
|
MS-DRG 43.00: HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC
|
Facility
|
IP
|
$83,304.33
|
|
|
Service Code
|
MSDRG 420
|
| Min. Negotiated Rate |
$47,195.80 |
| Max. Negotiated Rate |
$83,304.33 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$47,195.80
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$60,584.97
|
| Rate for Payer: Aetna Government |
$60,584.97
|
| Rate for Payer: Brighton Health Commercial |
$49,402.95
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$61,796.67
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$60,602.33
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$51,511.98
|
| Rate for Payer: Elderplan Medicare Advantage |
$57,555.72
|
| Rate for Payer: EmblemHealth Commercial |
$60,584.97
|
| Rate for Payer: Fidelis Medicare Advantage |
$60,584.97
|
| Rate for Payer: Group Health Inc Commercial |
$60,584.97
|
| Rate for Payer: Group Health Inc Medicare |
$60,584.97
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$60,584.97
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$60,584.97
|
| Rate for Payer: Healthfirst Medicare Advantage |
$56,344.02
|
| Rate for Payer: Humana Medicare |
$83,304.33
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$60,584.97
|
| Rate for Payer: United Healthcare Commercial |
$67,757.00
|
| Rate for Payer: United Healthcare Medicare Advantage |
$60,584.97
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$60,584.97
|
| Rate for Payer: Wellcare Medicare |
$57,555.72
|
|
|
MS-DRG 43.00: HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$43,178.82
|
|
|
Service Code
|
MSDRG 422
|
| Min. Negotiated Rate |
$20,292.75 |
| Max. Negotiated Rate |
$43,178.82 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$20,805.20
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$31,402.78
|
| Rate for Payer: Aetna Government |
$31,402.78
|
| Rate for Payer: Brighton Health Commercial |
$20,292.75
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$32,030.84
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$24,893.00
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$21,159.05
|
| Rate for Payer: Elderplan Medicare Advantage |
$29,832.64
|
| Rate for Payer: EmblemHealth Commercial |
$31,402.78
|
| Rate for Payer: Fidelis Medicare Advantage |
$31,402.78
|
| Rate for Payer: Group Health Inc Commercial |
$31,402.78
|
| Rate for Payer: Group Health Inc Medicare |
$31,402.78
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$31,402.78
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$31,402.78
|
| Rate for Payer: Healthfirst Medicare Advantage |
$29,204.59
|
| Rate for Payer: Humana Medicare |
$43,178.82
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$31,402.78
|
| Rate for Payer: United Healthcare Commercial |
$27,831.86
|
| Rate for Payer: United Healthcare Medicare Advantage |
$31,402.78
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$31,402.78
|
| Rate for Payer: Wellcare Medicare |
$29,832.64
|
|
|
MS-DRG 43.00: HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC
|
Facility
|
IP
|
$48,833.10
|
|
|
Service Code
|
MSDRG 354
|
| Min. Negotiated Rate |
$24,394.80 |
| Max. Negotiated Rate |
$48,833.10 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$25,328.96
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$35,514.98
|
| Rate for Payer: Aetna Government |
$35,514.98
|
| Rate for Payer: Brighton Health Commercial |
$24,394.80
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$36,225.28
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$29,924.97
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$25,436.22
|
| Rate for Payer: Elderplan Medicare Advantage |
$33,739.23
|
| Rate for Payer: EmblemHealth Commercial |
$35,514.98
|
| Rate for Payer: Fidelis Medicare Advantage |
$35,514.98
|
| Rate for Payer: Group Health Inc Commercial |
$35,514.98
|
| Rate for Payer: Group Health Inc Medicare |
$35,514.98
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$35,514.98
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$35,514.98
|
| Rate for Payer: Healthfirst Medicare Advantage |
$33,028.93
|
| Rate for Payer: Humana Medicare |
$48,833.10
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$35,514.98
|
| Rate for Payer: United Healthcare Commercial |
$33,457.89
|
| Rate for Payer: United Healthcare Medicare Advantage |
$35,514.98
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$35,514.98
|
| Rate for Payer: Wellcare Medicare |
$33,739.23
|
|
|
MS-DRG 43.00: HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC
|
Facility
|
IP
|
$73,208.96
|
|
|
Service Code
|
MSDRG 353
|
| Min. Negotiated Rate |
$42,079.00 |
| Max. Negotiated Rate |
$73,208.96 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$43,118.80
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$53,242.88
|
| Rate for Payer: Aetna Government |
$53,242.88
|
| Rate for Payer: Brighton Health Commercial |
$42,079.00
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$54,307.74
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$51,618.08
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$43,875.37
|
| Rate for Payer: Elderplan Medicare Advantage |
$50,580.74
|
| Rate for Payer: EmblemHealth Commercial |
$53,242.88
|
| Rate for Payer: Fidelis Medicare Advantage |
$53,242.88
|
| Rate for Payer: Group Health Inc Commercial |
$53,242.88
|
| Rate for Payer: Group Health Inc Medicare |
$53,242.88
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$53,242.88
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$53,242.88
|
| Rate for Payer: Healthfirst Medicare Advantage |
$49,515.88
|
| Rate for Payer: Humana Medicare |
$73,208.96
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$53,242.88
|
| Rate for Payer: United Healthcare Commercial |
$57,712.07
|
| Rate for Payer: United Healthcare Medicare Advantage |
$53,242.88
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$53,242.88
|
| Rate for Payer: Wellcare Medicare |
$50,580.74
|
|
|
MS-DRG 43.00: HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC
|
Facility
|
IP
|
$42,089.55
|
|
|
Service Code
|
MSDRG 355
|
| Min. Negotiated Rate |
$19,502.50 |
| Max. Negotiated Rate |
$42,089.55 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$20,091.54
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$30,610.58
|
| Rate for Payer: Aetna Government |
$30,610.58
|
| Rate for Payer: Brighton Health Commercial |
$19,502.50
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$31,222.79
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$23,923.61
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$20,335.07
|
| Rate for Payer: Elderplan Medicare Advantage |
$29,080.05
|
| Rate for Payer: EmblemHealth Commercial |
$30,610.58
|
| Rate for Payer: Fidelis Medicare Advantage |
$30,610.58
|
| Rate for Payer: Group Health Inc Commercial |
$30,610.58
|
| Rate for Payer: Group Health Inc Medicare |
$30,610.58
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$30,610.58
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$30,610.58
|
| Rate for Payer: Healthfirst Medicare Advantage |
$28,467.84
|
| Rate for Payer: Humana Medicare |
$42,089.55
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$30,610.58
|
| Rate for Payer: United Healthcare Commercial |
$26,748.01
|
| Rate for Payer: United Healthcare Medicare Advantage |
$30,610.58
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$30,610.58
|
| Rate for Payer: Wellcare Medicare |
$29,080.05
|
|
|
MS-DRG 43.00: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC
|
Facility
|
IP
|
$57,069.62
|
|
|
Service Code
|
MSDRG 481
|
| Min. Negotiated Rate |
$30,370.25 |
| Max. Negotiated Rate |
$57,069.62 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$30,594.40
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$41,505.18
|
| Rate for Payer: Aetna Government |
$41,505.18
|
| Rate for Payer: Brighton Health Commercial |
$30,370.25
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$42,335.28
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$37,255.02
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$31,666.77
|
| Rate for Payer: Elderplan Medicare Advantage |
$39,429.92
|
| Rate for Payer: EmblemHealth Commercial |
$41,505.18
|
| Rate for Payer: Fidelis Medicare Advantage |
$41,505.18
|
| Rate for Payer: Group Health Inc Commercial |
$41,505.18
|
| Rate for Payer: Group Health Inc Medicare |
$41,505.18
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$41,505.18
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$41,505.18
|
| Rate for Payer: Healthfirst Medicare Advantage |
$38,599.82
|
| Rate for Payer: Humana Medicare |
$57,069.62
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$41,505.18
|
| Rate for Payer: United Healthcare Commercial |
$41,653.32
|
| Rate for Payer: United Healthcare Medicare Advantage |
$41,505.18
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$41,505.18
|
| Rate for Payer: Wellcare Medicare |
$39,429.92
|
|
|
MS-DRG 43.00: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC
|
Facility
|
IP
|
$73,414.87
|
|
|
Service Code
|
MSDRG 480
|
| Min. Negotiated Rate |
$42,228.35 |
| Max. Negotiated Rate |
$73,414.87 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$43,481.53
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$53,392.63
|
| Rate for Payer: Aetna Government |
$53,392.63
|
| Rate for Payer: Brighton Health Commercial |
$42,228.35
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$54,460.48
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$51,801.28
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$44,031.09
|
| Rate for Payer: Elderplan Medicare Advantage |
$50,723.00
|
| Rate for Payer: EmblemHealth Commercial |
$53,392.63
|
| Rate for Payer: Fidelis Medicare Advantage |
$53,392.63
|
| Rate for Payer: Group Health Inc Commercial |
$53,392.63
|
| Rate for Payer: Group Health Inc Medicare |
$53,392.63
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$53,392.63
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$53,392.63
|
| Rate for Payer: Healthfirst Medicare Advantage |
$49,655.15
|
| Rate for Payer: Humana Medicare |
$73,414.87
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$53,392.63
|
| Rate for Payer: United Healthcare Commercial |
$57,916.91
|
| Rate for Payer: United Healthcare Medicare Advantage |
$53,392.63
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$53,392.63
|
| Rate for Payer: Wellcare Medicare |
$50,723.00
|
|
|
MS-DRG 43.00: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC
|
Facility
|
IP
|
$47,805.74
|
|
|
Service Code
|
MSDRG 482
|
| Min. Negotiated Rate |
$23,420.96 |
| Max. Negotiated Rate |
$47,805.74 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$23,420.96
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$34,767.81
|
| Rate for Payer: Aetna Government |
$34,767.81
|
| Rate for Payer: Brighton Health Commercial |
$23,649.50
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$35,463.17
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$29,010.71
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$24,659.11
|
| Rate for Payer: Elderplan Medicare Advantage |
$33,029.42
|
| Rate for Payer: EmblemHealth Commercial |
$34,767.81
|
| Rate for Payer: Fidelis Medicare Advantage |
$34,767.81
|
| Rate for Payer: Group Health Inc Commercial |
$34,767.81
|
| Rate for Payer: Group Health Inc Medicare |
$34,767.81
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$34,767.81
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$34,767.81
|
| Rate for Payer: Healthfirst Medicare Advantage |
$32,334.06
|
| Rate for Payer: Humana Medicare |
$47,805.74
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$34,767.81
|
| Rate for Payer: United Healthcare Commercial |
$32,435.70
|
| Rate for Payer: United Healthcare Medicare Advantage |
$34,767.81
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$34,767.81
|
| Rate for Payer: Wellcare Medicare |
$33,029.42
|
|
|
MS-DRG 43.00: HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC
|
Facility
|
IP
|
$72,573.39
|
|
|
Service Code
|
MSDRG 521
|
| Min. Negotiated Rate |
$41,617.90 |
| Max. Negotiated Rate |
$72,573.39 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$44,149.48
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$52,780.65
|
| Rate for Payer: Aetna Government |
$52,780.65
|
| Rate for Payer: Brighton Health Commercial |
$41,617.90
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$53,836.26
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$51,052.45
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$43,394.58
|
| Rate for Payer: Elderplan Medicare Advantage |
$50,141.62
|
| Rate for Payer: EmblemHealth Commercial |
$52,780.65
|
| Rate for Payer: Fidelis Medicare Advantage |
$52,780.65
|
| Rate for Payer: Group Health Inc Commercial |
$52,780.65
|
| Rate for Payer: Group Health Inc Medicare |
$52,780.65
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$52,780.65
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$52,780.65
|
| Rate for Payer: Healthfirst Medicare Advantage |
$49,086.00
|
| Rate for Payer: Humana Medicare |
$72,573.39
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$52,780.65
|
| Rate for Payer: United Healthcare Commercial |
$57,079.67
|
| Rate for Payer: United Healthcare Medicare Advantage |
$52,780.65
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$52,780.65
|
| Rate for Payer: Wellcare Medicare |
$50,141.62
|
|
|
MS-DRG 43.00: HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC
|
Facility
|
IP
|
$57,533.33
|
|
|
Service Code
|
MSDRG 522
|
| Min. Negotiated Rate |
$30,706.65 |
| Max. Negotiated Rate |
$57,533.33 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$31,144.39
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$41,842.42
|
| Rate for Payer: Aetna Government |
$41,842.42
|
| Rate for Payer: Brighton Health Commercial |
$30,706.65
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$42,679.27
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$37,667.68
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$32,017.53
|
| Rate for Payer: Elderplan Medicare Advantage |
$39,750.30
|
| Rate for Payer: EmblemHealth Commercial |
$41,842.42
|
| Rate for Payer: Fidelis Medicare Advantage |
$41,842.42
|
| Rate for Payer: Group Health Inc Commercial |
$41,842.42
|
| Rate for Payer: Group Health Inc Medicare |
$41,842.42
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$41,842.42
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$41,842.42
|
| Rate for Payer: Healthfirst Medicare Advantage |
$38,913.45
|
| Rate for Payer: Humana Medicare |
$57,533.33
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$41,842.42
|
| Rate for Payer: United Healthcare Commercial |
$42,114.70
|
| Rate for Payer: United Healthcare Medicare Advantage |
$41,842.42
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$41,842.42
|
| Rate for Payer: Wellcare Medicare |
$39,750.30
|
|
|
MS-DRG 43.00: HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$137,552.48
|
|
|
Service Code
|
MSDRG 969
|
| Min. Negotiated Rate |
$88,758.85 |
| Max. Negotiated Rate |
$137,552.48 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$101,336.49
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$100,038.17
|
| Rate for Payer: Aetna Government |
$100,038.17
|
| Rate for Payer: Brighton Health Commercial |
$88,758.85
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$102,038.93
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$108,879.99
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$92,548.00
|
| Rate for Payer: Elderplan Medicare Advantage |
$95,036.26
|
| Rate for Payer: EmblemHealth Commercial |
$100,038.17
|
| Rate for Payer: Fidelis Medicare Advantage |
$100,038.17
|
| Rate for Payer: Group Health Inc Commercial |
$100,038.17
|
| Rate for Payer: Group Health Inc Medicare |
$100,038.17
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$100,038.17
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$100,038.17
|
| Rate for Payer: Healthfirst Medicare Advantage |
$93,035.50
|
| Rate for Payer: Humana Medicare |
$137,552.48
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$100,038.17
|
| Rate for Payer: United Healthcare Commercial |
$121,734.29
|
| Rate for Payer: United Healthcare Medicare Advantage |
$100,038.17
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$100,038.17
|
| Rate for Payer: Wellcare Medicare |
$95,036.26
|
|
|
MS-DRG 43.00: HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC
|
Facility
|
IP
|
$67,920.45
|
|
|
Service Code
|
MSDRG 970
|
| Min. Negotiated Rate |
$35,452.88 |
| Max. Negotiated Rate |
$67,920.45 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$35,452.88
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$49,396.69
|
| Rate for Payer: Aetna Government |
$49,396.69
|
| Rate for Payer: Brighton Health Commercial |
$38,242.30
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$50,384.62
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$46,911.62
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$39,874.88
|
| Rate for Payer: Elderplan Medicare Advantage |
$46,926.86
|
| Rate for Payer: EmblemHealth Commercial |
$49,396.69
|
| Rate for Payer: Fidelis Medicare Advantage |
$49,396.69
|
| Rate for Payer: Group Health Inc Commercial |
$49,396.69
|
| Rate for Payer: Group Health Inc Medicare |
$49,396.69
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$49,396.69
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$49,396.69
|
| Rate for Payer: Healthfirst Medicare Advantage |
$45,938.92
|
| Rate for Payer: Humana Medicare |
$67,920.45
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$49,396.69
|
| Rate for Payer: United Healthcare Commercial |
$52,449.97
|
| Rate for Payer: United Healthcare Medicare Advantage |
$49,396.69
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$49,396.69
|
| Rate for Payer: Wellcare Medicare |
$46,926.86
|
|
|
MS-DRG 43.00: HIV WITH MAJOR RELATED CONDITION WITH CC
|
Facility
|
IP
|
$41,090.21
|
|
|
Service Code
|
MSDRG 975
|
| Min. Negotiated Rate |
$18,777.50 |
| Max. Negotiated Rate |
$41,090.21 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$20,101.86
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$29,883.79
|
| Rate for Payer: Aetna Government |
$29,883.79
|
| Rate for Payer: Brighton Health Commercial |
$18,777.50
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$30,481.47
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$23,034.26
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$19,579.12
|
| Rate for Payer: Elderplan Medicare Advantage |
$28,389.60
|
| Rate for Payer: EmblemHealth Commercial |
$29,883.79
|
| Rate for Payer: Fidelis Medicare Advantage |
$29,883.79
|
| Rate for Payer: Group Health Inc Commercial |
$29,883.79
|
| Rate for Payer: Group Health Inc Medicare |
$29,883.79
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$29,883.79
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$29,883.79
|
| Rate for Payer: Healthfirst Medicare Advantage |
$27,791.92
|
| Rate for Payer: Humana Medicare |
$41,090.21
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$29,883.79
|
| Rate for Payer: United Healthcare Commercial |
$25,753.67
|
| Rate for Payer: United Healthcare Medicare Advantage |
$29,883.79
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$29,883.79
|
| Rate for Payer: Wellcare Medicare |
$28,389.60
|
|
|
MS-DRG 43.00: HIV WITH MAJOR RELATED CONDITION WITH MCC
|
Facility
|
IP
|
$72,889.19
|
|
|
Service Code
|
MSDRG 974
|
| Min. Negotiated Rate |
$41,847.00 |
| Max. Negotiated Rate |
$72,889.19 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$43,003.79
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$53,010.32
|
| Rate for Payer: Aetna Government |
$53,010.32
|
| Rate for Payer: Brighton Health Commercial |
$41,847.00
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$54,070.53
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$51,333.48
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$43,633.46
|
| Rate for Payer: Elderplan Medicare Advantage |
$50,359.80
|
| Rate for Payer: EmblemHealth Commercial |
$53,010.32
|
| Rate for Payer: Fidelis Medicare Advantage |
$53,010.32
|
| Rate for Payer: Group Health Inc Commercial |
$53,010.32
|
| Rate for Payer: Group Health Inc Medicare |
$53,010.32
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$53,010.32
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$53,010.32
|
| Rate for Payer: Healthfirst Medicare Advantage |
$49,299.60
|
| Rate for Payer: Humana Medicare |
$72,889.19
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$53,010.32
|
| Rate for Payer: United Healthcare Commercial |
$57,393.88
|
| Rate for Payer: United Healthcare Medicare Advantage |
$53,010.32
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$53,010.32
|
| Rate for Payer: Wellcare Medicare |
$50,359.80
|
|
