|
MS-DRG 43.00: HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC
|
Facility
|
IP
|
$33,249.37
|
|
|
Service Code
|
MSDRG 976
|
| Min. Negotiated Rate |
$12,463.95 |
| Max. Negotiated Rate |
$33,249.37 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$12,463.95
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$24,181.36
|
| Rate for Payer: Aetna Government |
$24,181.36
|
| Rate for Payer: Brighton Health Commercial |
$12,970.25
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$24,664.99
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$15,910.53
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$13,523.95
|
| Rate for Payer: Elderplan Medicare Advantage |
$22,972.29
|
| Rate for Payer: EmblemHealth Commercial |
$24,181.36
|
| Rate for Payer: Fidelis Medicare Advantage |
$24,181.36
|
| Rate for Payer: Group Health Inc Commercial |
$24,181.36
|
| Rate for Payer: Group Health Inc Medicare |
$24,181.36
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$24,181.36
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$24,181.36
|
| Rate for Payer: Healthfirst Medicare Advantage |
$22,488.66
|
| Rate for Payer: Humana Medicare |
$33,249.37
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$24,181.36
|
| Rate for Payer: United Healthcare Commercial |
$17,788.92
|
| Rate for Payer: United Healthcare Medicare Advantage |
$24,181.36
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$24,181.36
|
| Rate for Payer: Wellcare Medicare |
$22,972.29
|
|
|
MS-DRG 43.00: HIV WITH OR WITHOUT OTHER RELATED CONDITION
|
Facility
|
IP
|
$41,144.15
|
|
|
Service Code
|
MSDRG 977
|
| Min. Negotiated Rate |
$18,380.20 |
| Max. Negotiated Rate |
$41,144.15 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$20,880.39
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$29,923.02
|
| Rate for Payer: Aetna Government |
$29,923.02
|
| Rate for Payer: Brighton Health Commercial |
$18,380.20
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$30,521.48
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$22,546.89
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$19,164.86
|
| Rate for Payer: Elderplan Medicare Advantage |
$28,426.87
|
| Rate for Payer: EmblemHealth Commercial |
$29,923.02
|
| Rate for Payer: Fidelis Medicare Advantage |
$29,923.02
|
| Rate for Payer: Group Health Inc Commercial |
$29,923.02
|
| Rate for Payer: Group Health Inc Medicare |
$29,923.02
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$29,923.02
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$29,923.02
|
| Rate for Payer: Healthfirst Medicare Advantage |
$27,828.41
|
| Rate for Payer: Humana Medicare |
$41,144.15
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$29,923.02
|
| Rate for Payer: United Healthcare Commercial |
$25,208.76
|
| Rate for Payer: United Healthcare Medicare Advantage |
$29,923.02
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$29,923.02
|
| Rate for Payer: Wellcare Medicare |
$28,426.87
|
|
|
MS-DRG 43.00: HYPERTENSION WITH MCC
|
Facility
|
IP
|
$38,991.59
|
|
|
Service Code
|
MSDRG 304
|
| Min. Negotiated Rate |
$16,942.01 |
| Max. Negotiated Rate |
$38,991.59 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$16,942.01
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$28,357.52
|
| Rate for Payer: Aetna Government |
$28,357.52
|
| Rate for Payer: Brighton Health Commercial |
$17,255.00
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$28,924.67
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$21,166.61
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$17,991.62
|
| Rate for Payer: Elderplan Medicare Advantage |
$26,939.64
|
| Rate for Payer: EmblemHealth Commercial |
$28,357.52
|
| Rate for Payer: Fidelis Medicare Advantage |
$28,357.52
|
| Rate for Payer: Group Health Inc Commercial |
$28,357.52
|
| Rate for Payer: Group Health Inc Medicare |
$28,357.52
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$28,357.52
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$28,357.52
|
| Rate for Payer: Healthfirst Medicare Advantage |
$26,372.49
|
| Rate for Payer: Humana Medicare |
$38,991.59
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$28,357.52
|
| Rate for Payer: United Healthcare Commercial |
$23,665.53
|
| Rate for Payer: United Healthcare Medicare Advantage |
$28,357.52
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$28,357.52
|
| Rate for Payer: Wellcare Medicare |
$26,939.64
|
|
|
MS-DRG 43.00: HYPERTENSION WITHOUT MCC
|
Facility
|
IP
|
$30,299.33
|
|
|
Service Code
|
MSDRG 305
|
| Min. Negotiated Rate |
$10,948.95 |
| Max. Negotiated Rate |
$30,299.33 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$11,110.36
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$22,035.88
|
| Rate for Payer: Aetna Government |
$22,035.88
|
| Rate for Payer: Brighton Health Commercial |
$10,948.95
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$22,476.60
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$13,431.02
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$11,416.36
|
| Rate for Payer: Elderplan Medicare Advantage |
$20,934.09
|
| Rate for Payer: EmblemHealth Commercial |
$22,035.88
|
| Rate for Payer: Fidelis Medicare Advantage |
$22,035.88
|
| Rate for Payer: Group Health Inc Commercial |
$22,035.88
|
| Rate for Payer: Group Health Inc Medicare |
$22,035.88
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$22,035.88
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$22,035.88
|
| Rate for Payer: Healthfirst Medicare Advantage |
$20,493.37
|
| Rate for Payer: Humana Medicare |
$30,299.33
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$22,035.88
|
| Rate for Payer: United Healthcare Commercial |
$15,016.67
|
| Rate for Payer: United Healthcare Medicare Advantage |
$22,035.88
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$22,035.88
|
| Rate for Payer: Wellcare Medicare |
$20,934.09
|
|
|
MS-DRG 43.00: INBORN AND OTHER DISORDERS OF METABOLISM
|
Facility
|
IP
|
$43,630.52
|
|
|
Service Code
|
MSDRG 642
|
| Min. Negotiated Rate |
$19,217.16 |
| Max. Negotiated Rate |
$43,630.52 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$19,217.16
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$31,731.29
|
| Rate for Payer: Aetna Government |
$31,731.29
|
| Rate for Payer: Brighton Health Commercial |
$20,620.45
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$32,365.92
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$25,294.99
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$21,500.74
|
| Rate for Payer: Elderplan Medicare Advantage |
$30,144.73
|
| Rate for Payer: EmblemHealth Commercial |
$31,731.29
|
| Rate for Payer: Fidelis Medicare Advantage |
$31,731.29
|
| Rate for Payer: Group Health Inc Commercial |
$31,731.29
|
| Rate for Payer: Group Health Inc Medicare |
$31,731.29
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$31,731.29
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$31,731.29
|
| Rate for Payer: Healthfirst Medicare Advantage |
$29,510.10
|
| Rate for Payer: Humana Medicare |
$43,630.52
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$31,731.29
|
| Rate for Payer: United Healthcare Commercial |
$28,281.30
|
| Rate for Payer: United Healthcare Medicare Advantage |
$31,731.29
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$31,731.29
|
| Rate for Payer: Wellcare Medicare |
$30,144.73
|
|
|
MS-DRG 43.00: INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC
|
Facility
|
IP
|
$34,774.36
|
|
|
Service Code
|
MSDRG 758
|
| Min. Negotiated Rate |
$14,195.50 |
| Max. Negotiated Rate |
$34,774.36 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$14,635.89
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$25,290.44
|
| Rate for Payer: Aetna Government |
$25,290.44
|
| Rate for Payer: Brighton Health Commercial |
$14,195.50
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$25,796.25
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$17,413.54
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$14,801.51
|
| Rate for Payer: Elderplan Medicare Advantage |
$24,025.92
|
| Rate for Payer: EmblemHealth Commercial |
$25,290.44
|
| Rate for Payer: Fidelis Medicare Advantage |
$25,290.44
|
| Rate for Payer: Group Health Inc Commercial |
$25,290.44
|
| Rate for Payer: Group Health Inc Medicare |
$25,290.44
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$25,290.44
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$25,290.44
|
| Rate for Payer: Healthfirst Medicare Advantage |
$23,520.11
|
| Rate for Payer: Humana Medicare |
$34,774.36
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$25,290.44
|
| Rate for Payer: United Healthcare Commercial |
$19,469.37
|
| Rate for Payer: United Healthcare Medicare Advantage |
$25,290.44
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$25,290.44
|
| Rate for Payer: Wellcare Medicare |
$24,025.92
|
|
|
MS-DRG 43.00: INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC
|
Facility
|
IP
|
$43,826.36
|
|
|
Service Code
|
MSDRG 757
|
| Min. Negotiated Rate |
$20,762.55 |
| Max. Negotiated Rate |
$43,826.36 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$21,993.64
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$31,873.72
|
| Rate for Payer: Aetna Government |
$31,873.72
|
| Rate for Payer: Brighton Health Commercial |
$20,762.55
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$32,511.19
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$25,469.31
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$21,648.91
|
| Rate for Payer: Elderplan Medicare Advantage |
$30,280.03
|
| Rate for Payer: EmblemHealth Commercial |
$31,873.72
|
| Rate for Payer: Fidelis Medicare Advantage |
$31,873.72
|
| Rate for Payer: Group Health Inc Commercial |
$31,873.72
|
| Rate for Payer: Group Health Inc Medicare |
$31,873.72
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$31,873.72
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$31,873.72
|
| Rate for Payer: Healthfirst Medicare Advantage |
$29,642.56
|
| Rate for Payer: Humana Medicare |
$43,826.36
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$31,873.72
|
| Rate for Payer: United Healthcare Commercial |
$28,476.20
|
| Rate for Payer: United Healthcare Medicare Advantage |
$31,873.72
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$31,873.72
|
| Rate for Payer: Wellcare Medicare |
$30,280.03
|
|
|
MS-DRG 43.00: INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC
|
Facility
|
IP
|
$28,470.53
|
|
|
Service Code
|
MSDRG 759
|
| Min. Negotiated Rate |
$9,528.22 |
| Max. Negotiated Rate |
$28,470.53 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$9,528.22
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$20,705.84
|
| Rate for Payer: Aetna Government |
$20,705.84
|
| Rate for Payer: Brighton Health Commercial |
$9,622.20
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$21,119.96
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$11,803.50
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$10,032.98
|
| Rate for Payer: Elderplan Medicare Advantage |
$19,670.55
|
| Rate for Payer: EmblemHealth Commercial |
$20,705.84
|
| Rate for Payer: Fidelis Medicare Advantage |
$20,705.84
|
| Rate for Payer: Group Health Inc Commercial |
$20,705.84
|
| Rate for Payer: Group Health Inc Medicare |
$20,705.84
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$20,705.84
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$20,705.84
|
| Rate for Payer: Healthfirst Medicare Advantage |
$19,256.43
|
| Rate for Payer: Humana Medicare |
$28,470.53
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$20,705.84
|
| Rate for Payer: United Healthcare Commercial |
$13,197.01
|
| Rate for Payer: United Healthcare Medicare Advantage |
$20,705.84
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$20,705.84
|
| Rate for Payer: Wellcare Medicare |
$19,670.55
|
|
|
MS-DRG 43.00: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$55,142.90
|
|
|
Service Code
|
MSDRG 854
|
| Min. Negotiated Rate |
$28,972.45 |
| Max. Negotiated Rate |
$55,142.90 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$30,053.26
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$40,103.93
|
| Rate for Payer: Aetna Government |
$40,103.93
|
| Rate for Payer: Brighton Health Commercial |
$28,972.45
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$40,906.01
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$35,540.34
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$30,209.29
|
| Rate for Payer: Elderplan Medicare Advantage |
$38,098.73
|
| Rate for Payer: EmblemHealth Commercial |
$40,103.93
|
| Rate for Payer: Fidelis Medicare Advantage |
$40,103.93
|
| Rate for Payer: Group Health Inc Commercial |
$40,103.93
|
| Rate for Payer: Group Health Inc Medicare |
$40,103.93
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$40,103.93
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$40,103.93
|
| Rate for Payer: Healthfirst Medicare Advantage |
$37,296.65
|
| Rate for Payer: Humana Medicare |
$55,142.90
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$40,103.93
|
| Rate for Payer: United Healthcare Commercial |
$39,736.21
|
| Rate for Payer: United Healthcare Medicare Advantage |
$40,103.93
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$40,103.93
|
| Rate for Payer: Wellcare Medicare |
$38,098.73
|
|
|
MS-DRG 43.00: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$113,914.12
|
|
|
Service Code
|
MSDRG 853
|
| Min. Negotiated Rate |
$71,609.70 |
| Max. Negotiated Rate |
$113,914.12 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$73,714.68
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$82,846.63
|
| Rate for Payer: Aetna Government |
$82,846.63
|
| Rate for Payer: Brighton Health Commercial |
$71,609.70
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$84,503.56
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$87,843.22
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$74,666.74
|
| Rate for Payer: Elderplan Medicare Advantage |
$78,704.30
|
| Rate for Payer: EmblemHealth Commercial |
$82,846.63
|
| Rate for Payer: Fidelis Medicare Advantage |
$82,846.63
|
| Rate for Payer: Group Health Inc Commercial |
$82,846.63
|
| Rate for Payer: Group Health Inc Medicare |
$82,846.63
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$82,846.63
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$82,846.63
|
| Rate for Payer: Healthfirst Medicare Advantage |
$77,047.37
|
| Rate for Payer: Humana Medicare |
$113,914.12
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$82,846.63
|
| Rate for Payer: United Healthcare Commercial |
$98,213.94
|
| Rate for Payer: United Healthcare Medicare Advantage |
$82,846.63
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$82,846.63
|
| Rate for Payer: Wellcare Medicare |
$78,704.30
|
|
|
MS-DRG 43.00: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$45,131.53
|
|
|
Service Code
|
MSDRG 855
|
| Min. Negotiated Rate |
$21,709.40 |
| Max. Negotiated Rate |
$45,131.53 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$25,093.04
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$32,822.93
|
| Rate for Payer: Aetna Government |
$32,822.93
|
| Rate for Payer: Brighton Health Commercial |
$21,709.40
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$33,479.39
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$26,630.80
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$22,636.18
|
| Rate for Payer: Elderplan Medicare Advantage |
$31,181.78
|
| Rate for Payer: EmblemHealth Commercial |
$32,822.93
|
| Rate for Payer: Fidelis Medicare Advantage |
$32,822.93
|
| Rate for Payer: Group Health Inc Commercial |
$32,822.93
|
| Rate for Payer: Group Health Inc Medicare |
$32,822.93
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$32,822.93
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$32,822.93
|
| Rate for Payer: Healthfirst Medicare Advantage |
$30,525.32
|
| Rate for Payer: Humana Medicare |
$45,131.53
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$32,822.93
|
| Rate for Payer: United Healthcare Commercial |
$29,774.82
|
| Rate for Payer: United Healthcare Medicare Advantage |
$32,822.93
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$32,822.93
|
| Rate for Payer: Wellcare Medicare |
$31,181.78
|
|
|
MS-DRG 43.00: INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC
|
Facility
|
IP
|
$44,845.68
|
|
|
Service Code
|
MSDRG 727
|
| Min. Negotiated Rate |
$21,502.05 |
| Max. Negotiated Rate |
$44,845.68 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$23,901.65
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$32,615.04
|
| Rate for Payer: Aetna Government |
$32,615.04
|
| Rate for Payer: Brighton Health Commercial |
$21,502.05
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$33,267.34
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$26,376.45
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$22,419.98
|
| Rate for Payer: Elderplan Medicare Advantage |
$30,984.29
|
| Rate for Payer: EmblemHealth Commercial |
$32,615.04
|
| Rate for Payer: Fidelis Medicare Advantage |
$32,615.04
|
| Rate for Payer: Group Health Inc Commercial |
$32,615.04
|
| Rate for Payer: Group Health Inc Medicare |
$32,615.04
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$32,615.04
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$32,615.04
|
| Rate for Payer: Healthfirst Medicare Advantage |
$30,331.99
|
| Rate for Payer: Humana Medicare |
$44,845.68
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$32,615.04
|
| Rate for Payer: United Healthcare Commercial |
$29,490.43
|
| Rate for Payer: United Healthcare Medicare Advantage |
$32,615.04
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$32,615.04
|
| Rate for Payer: Wellcare Medicare |
$30,984.29
|
|
|
MS-DRG 43.00: INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC
|
Facility
|
IP
|
$31,420.56
|
|
|
Service Code
|
MSDRG 728
|
| Min. Negotiated Rate |
$11,762.40 |
| Max. Negotiated Rate |
$31,420.56 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$11,797.47
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$22,851.32
|
| Rate for Payer: Aetna Government |
$22,851.32
|
| Rate for Payer: Brighton Health Commercial |
$11,762.40
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$23,308.35
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$14,428.87
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$12,264.54
|
| Rate for Payer: Elderplan Medicare Advantage |
$21,708.75
|
| Rate for Payer: EmblemHealth Commercial |
$22,851.32
|
| Rate for Payer: Fidelis Medicare Advantage |
$22,851.32
|
| Rate for Payer: Group Health Inc Commercial |
$22,851.32
|
| Rate for Payer: Group Health Inc Medicare |
$22,851.32
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$22,851.32
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$22,851.32
|
| Rate for Payer: Healthfirst Medicare Advantage |
$21,251.73
|
| Rate for Payer: Humana Medicare |
$31,420.56
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$22,851.32
|
| Rate for Payer: United Healthcare Commercial |
$16,132.33
|
| Rate for Payer: United Healthcare Medicare Advantage |
$22,851.32
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$22,851.32
|
| Rate for Payer: Wellcare Medicare |
$21,708.75
|
|
|
MS-DRG 43.00: INFLAMMATORY BOWEL DISEASE WITH CC
|
Facility
|
IP
|
$34,720.40
|
|
|
Service Code
|
MSDRG 386
|
| Min. Negotiated Rate |
$14,156.35 |
| Max. Negotiated Rate |
$34,720.40 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$14,326.24
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$25,251.20
|
| Rate for Payer: Aetna Government |
$25,251.20
|
| Rate for Payer: Brighton Health Commercial |
$14,156.35
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$25,756.22
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$17,365.52
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$14,760.69
|
| Rate for Payer: Elderplan Medicare Advantage |
$23,988.64
|
| Rate for Payer: EmblemHealth Commercial |
$25,251.20
|
| Rate for Payer: Fidelis Medicare Advantage |
$25,251.20
|
| Rate for Payer: Group Health Inc Commercial |
$25,251.20
|
| Rate for Payer: Group Health Inc Medicare |
$25,251.20
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$25,251.20
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$25,251.20
|
| Rate for Payer: Healthfirst Medicare Advantage |
$23,483.62
|
| Rate for Payer: Humana Medicare |
$34,720.40
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$25,251.20
|
| Rate for Payer: United Healthcare Commercial |
$19,415.68
|
| Rate for Payer: United Healthcare Medicare Advantage |
$25,251.20
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$25,251.20
|
| Rate for Payer: Wellcare Medicare |
$23,988.64
|
|
|
MS-DRG 43.00: INFLAMMATORY BOWEL DISEASE WITH MCC
|
Facility
|
IP
|
$46,832.42
|
|
|
Service Code
|
MSDRG 385
|
| Min. Negotiated Rate |
$22,943.35 |
| Max. Negotiated Rate |
$46,832.42 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$23,103.94
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$34,059.94
|
| Rate for Payer: Aetna Government |
$34,059.94
|
| Rate for Payer: Brighton Health Commercial |
$22,943.35
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$34,741.14
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$28,144.48
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$23,922.81
|
| Rate for Payer: Elderplan Medicare Advantage |
$32,356.94
|
| Rate for Payer: EmblemHealth Commercial |
$34,059.94
|
| Rate for Payer: Fidelis Medicare Advantage |
$34,059.94
|
| Rate for Payer: Group Health Inc Commercial |
$34,059.94
|
| Rate for Payer: Group Health Inc Medicare |
$34,059.94
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$34,059.94
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$34,059.94
|
| Rate for Payer: Healthfirst Medicare Advantage |
$31,675.74
|
| Rate for Payer: Humana Medicare |
$46,832.42
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$34,059.94
|
| Rate for Payer: United Healthcare Commercial |
$31,467.20
|
| Rate for Payer: United Healthcare Medicare Advantage |
$34,059.94
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$34,059.94
|
| Rate for Payer: Wellcare Medicare |
$32,356.94
|
|
|
MS-DRG 43.00: INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC
|
Facility
|
IP
|
$28,824.29
|
|
|
Service Code
|
MSDRG 387
|
| Min. Negotiated Rate |
$9,878.85 |
| Max. Negotiated Rate |
$28,824.29 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$10,087.05
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$20,963.12
|
| Rate for Payer: Aetna Government |
$20,963.12
|
| Rate for Payer: Brighton Health Commercial |
$9,878.85
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$21,382.38
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$12,118.33
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$10,300.58
|
| Rate for Payer: Elderplan Medicare Advantage |
$19,914.96
|
| Rate for Payer: EmblemHealth Commercial |
$20,963.12
|
| Rate for Payer: Fidelis Medicare Advantage |
$20,963.12
|
| Rate for Payer: Group Health Inc Commercial |
$20,963.12
|
| Rate for Payer: Group Health Inc Medicare |
$20,963.12
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$20,963.12
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$20,963.12
|
| Rate for Payer: Healthfirst Medicare Advantage |
$19,495.70
|
| Rate for Payer: Humana Medicare |
$28,824.29
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$20,963.12
|
| Rate for Payer: United Healthcare Commercial |
$13,549.01
|
| Rate for Payer: United Healthcare Medicare Advantage |
$20,963.12
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$20,963.12
|
| Rate for Payer: Wellcare Medicare |
$19,914.96
|
|
|
MS-DRG 43.00: INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC
|
Facility
|
IP
|
$45,677.18
|
|
|
Service Code
|
MSDRG 351
|
| Min. Negotiated Rate |
$21,462.82 |
| Max. Negotiated Rate |
$45,677.18 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$21,462.82
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$33,219.77
|
| Rate for Payer: Aetna Government |
$33,219.77
|
| Rate for Payer: Brighton Health Commercial |
$22,105.25
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$33,884.17
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$27,116.39
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$23,048.93
|
| Rate for Payer: Elderplan Medicare Advantage |
$31,558.78
|
| Rate for Payer: EmblemHealth Commercial |
$33,219.77
|
| Rate for Payer: Fidelis Medicare Advantage |
$33,219.77
|
| Rate for Payer: Group Health Inc Commercial |
$33,219.77
|
| Rate for Payer: Group Health Inc Medicare |
$33,219.77
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$33,219.77
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$33,219.77
|
| Rate for Payer: Healthfirst Medicare Advantage |
$30,894.39
|
| Rate for Payer: Humana Medicare |
$45,677.18
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$33,219.77
|
| Rate for Payer: United Healthcare Commercial |
$30,317.73
|
| Rate for Payer: United Healthcare Medicare Advantage |
$33,219.77
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$33,219.77
|
| Rate for Payer: Wellcare Medicare |
$31,558.78
|
|
|
MS-DRG 43.00: INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC
|
Facility
|
IP
|
$65,012.39
|
|
|
Service Code
|
MSDRG 350
|
| Min. Negotiated Rate |
$35,388.00 |
| Max. Negotiated Rate |
$65,012.39 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$35,388.00
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$47,281.74
|
| Rate for Payer: Aetna Government |
$47,281.74
|
| Rate for Payer: Brighton Health Commercial |
$36,132.55
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$48,227.37
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$44,323.60
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$37,675.06
|
| Rate for Payer: Elderplan Medicare Advantage |
$44,917.65
|
| Rate for Payer: EmblemHealth Commercial |
$47,281.74
|
| Rate for Payer: Fidelis Medicare Advantage |
$47,281.74
|
| Rate for Payer: Group Health Inc Commercial |
$47,281.74
|
| Rate for Payer: Group Health Inc Medicare |
$47,281.74
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$47,281.74
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$47,281.74
|
| Rate for Payer: Healthfirst Medicare Advantage |
$43,972.02
|
| Rate for Payer: Humana Medicare |
$65,012.39
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$47,281.74
|
| Rate for Payer: United Healthcare Commercial |
$49,556.42
|
| Rate for Payer: United Healthcare Medicare Advantage |
$47,281.74
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$47,281.74
|
| Rate for Payer: Wellcare Medicare |
$44,917.65
|
|
|
MS-DRG 43.00: INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$38,547.88
|
|
|
Service Code
|
MSDRG 352
|
| Min. Negotiated Rate |
$16,352.21 |
| Max. Negotiated Rate |
$38,547.88 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$16,352.21
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$28,034.82
|
| Rate for Payer: Aetna Government |
$28,034.82
|
| Rate for Payer: Brighton Health Commercial |
$16,933.10
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$28,595.52
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$20,771.74
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$17,655.98
|
| Rate for Payer: Elderplan Medicare Advantage |
$26,633.08
|
| Rate for Payer: EmblemHealth Commercial |
$28,034.82
|
| Rate for Payer: Fidelis Medicare Advantage |
$28,034.82
|
| Rate for Payer: Group Health Inc Commercial |
$28,034.82
|
| Rate for Payer: Group Health Inc Medicare |
$28,034.82
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$28,034.82
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$28,034.82
|
| Rate for Payer: Healthfirst Medicare Advantage |
$26,072.38
|
| Rate for Payer: Humana Medicare |
$38,547.88
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$28,034.82
|
| Rate for Payer: United Healthcare Commercial |
$23,224.04
|
| Rate for Payer: United Healthcare Medicare Advantage |
$28,034.82
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$28,034.82
|
| Rate for Payer: Wellcare Medicare |
$26,633.08
|
|
|
MS-DRG 43.00: INTERSTITIAL LUNG DISEASE WITH CC
|
Facility
|
IP
|
$34,176.78
|
|
|
Service Code
|
MSDRG 197
|
| Min. Negotiated Rate |
$13,761.95 |
| Max. Negotiated Rate |
$34,176.78 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$14,708.14
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$24,855.84
|
| Rate for Payer: Aetna Government |
$24,855.84
|
| Rate for Payer: Brighton Health Commercial |
$13,761.95
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$25,352.96
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$16,881.71
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$14,349.45
|
| Rate for Payer: Elderplan Medicare Advantage |
$23,613.05
|
| Rate for Payer: EmblemHealth Commercial |
$24,855.84
|
| Rate for Payer: Fidelis Medicare Advantage |
$24,855.84
|
| Rate for Payer: Group Health Inc Commercial |
$24,855.84
|
| Rate for Payer: Group Health Inc Medicare |
$24,855.84
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$24,855.84
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$24,855.84
|
| Rate for Payer: Healthfirst Medicare Advantage |
$23,115.93
|
| Rate for Payer: Humana Medicare |
$34,176.78
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$24,855.84
|
| Rate for Payer: United Healthcare Commercial |
$18,874.75
|
| Rate for Payer: United Healthcare Medicare Advantage |
$24,855.84
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$24,855.84
|
| Rate for Payer: Wellcare Medicare |
$23,613.05
|
|
|
MS-DRG 43.00: INTERSTITIAL LUNG DISEASE WITH MCC
|
Facility
|
IP
|
$52,926.36
|
|
|
Service Code
|
MSDRG 196
|
| Min. Negotiated Rate |
$27,364.40 |
| Max. Negotiated Rate |
$52,926.36 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$27,947.67
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$38,491.90
|
| Rate for Payer: Aetna Government |
$38,491.90
|
| Rate for Payer: Brighton Health Commercial |
$27,364.40
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$39,261.74
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$33,567.76
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$28,532.60
|
| Rate for Payer: Elderplan Medicare Advantage |
$36,567.31
|
| Rate for Payer: EmblemHealth Commercial |
$38,491.90
|
| Rate for Payer: Fidelis Medicare Advantage |
$38,491.90
|
| Rate for Payer: Group Health Inc Commercial |
$38,491.90
|
| Rate for Payer: Group Health Inc Medicare |
$38,491.90
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$38,491.90
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$38,491.90
|
| Rate for Payer: Healthfirst Medicare Advantage |
$35,797.47
|
| Rate for Payer: Humana Medicare |
$52,926.36
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$38,491.90
|
| Rate for Payer: United Healthcare Commercial |
$37,530.75
|
| Rate for Payer: United Healthcare Medicare Advantage |
$38,491.90
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$38,491.90
|
| Rate for Payer: Wellcare Medicare |
$36,567.31
|
|
|
MS-DRG 43.00: INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC
|
Facility
|
IP
|
$29,521.81
|
|
|
Service Code
|
MSDRG 198
|
| Min. Negotiated Rate |
$10,384.90 |
| Max. Negotiated Rate |
$29,521.81 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$11,474.56
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$21,470.41
|
| Rate for Payer: Aetna Government |
$21,470.41
|
| Rate for Payer: Brighton Health Commercial |
$10,384.90
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$21,899.82
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$12,739.10
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$10,828.23
|
| Rate for Payer: Elderplan Medicare Advantage |
$20,396.89
|
| Rate for Payer: EmblemHealth Commercial |
$21,470.41
|
| Rate for Payer: Fidelis Medicare Advantage |
$21,470.41
|
| Rate for Payer: Group Health Inc Commercial |
$21,470.41
|
| Rate for Payer: Group Health Inc Medicare |
$21,470.41
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$21,470.41
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$21,470.41
|
| Rate for Payer: Healthfirst Medicare Advantage |
$19,967.48
|
| Rate for Payer: Humana Medicare |
$29,521.81
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$21,470.41
|
| Rate for Payer: United Healthcare Commercial |
$14,243.07
|
| Rate for Payer: United Healthcare Medicare Advantage |
$21,470.41
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$21,470.41
|
| Rate for Payer: Wellcare Medicare |
$20,396.89
|
|
|
MS-DRG 43.00: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS
|
Facility
|
IP
|
$35,399.94
|
|
|
Service Code
|
MSDRG 065
|
| Min. Negotiated Rate |
$14,649.35 |
| Max. Negotiated Rate |
$35,399.94 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$14,986.82
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$25,745.41
|
| Rate for Payer: Aetna Government |
$25,745.41
|
| Rate for Payer: Brighton Health Commercial |
$14,649.35
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$26,260.32
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$17,970.28
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$15,274.74
|
| Rate for Payer: Elderplan Medicare Advantage |
$24,458.14
|
| Rate for Payer: EmblemHealth Commercial |
$25,745.41
|
| Rate for Payer: Fidelis Medicare Advantage |
$25,745.41
|
| Rate for Payer: Group Health Inc Commercial |
$25,745.41
|
| Rate for Payer: Group Health Inc Medicare |
$25,745.41
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$25,745.41
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$25,745.41
|
| Rate for Payer: Healthfirst Medicare Advantage |
$23,943.23
|
| Rate for Payer: Humana Medicare |
$35,399.94
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$25,745.41
|
| Rate for Payer: United Healthcare Commercial |
$20,091.84
|
| Rate for Payer: United Healthcare Medicare Advantage |
$25,745.41
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$25,745.41
|
| Rate for Payer: Wellcare Medicare |
$24,458.14
|
|
|
MS-DRG 43.00: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC
|
Facility
|
IP
|
$55,400.73
|
|
|
Service Code
|
MSDRG 064
|
| Min. Negotiated Rate |
$29,159.50 |
| Max. Negotiated Rate |
$55,400.73 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$29,534.24
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$40,291.44
|
| Rate for Payer: Aetna Government |
$40,291.44
|
| Rate for Payer: Brighton Health Commercial |
$29,159.50
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$41,097.27
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$35,769.80
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$30,404.33
|
| Rate for Payer: Elderplan Medicare Advantage |
$38,276.87
|
| Rate for Payer: EmblemHealth Commercial |
$40,291.44
|
| Rate for Payer: Fidelis Medicare Advantage |
$40,291.44
|
| Rate for Payer: Group Health Inc Commercial |
$40,291.44
|
| Rate for Payer: Group Health Inc Medicare |
$40,291.44
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$40,291.44
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$40,291.44
|
| Rate for Payer: Healthfirst Medicare Advantage |
$37,471.04
|
| Rate for Payer: Humana Medicare |
$55,400.73
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$40,291.44
|
| Rate for Payer: United Healthcare Commercial |
$39,992.76
|
| Rate for Payer: United Healthcare Medicare Advantage |
$40,291.44
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$40,291.44
|
| Rate for Payer: Wellcare Medicare |
$38,276.87
|
|
|
MS-DRG 43.00: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC
|
Facility
|
IP
|
$28,886.26
|
|
|
Service Code
|
MSDRG 066
|
| Min. Negotiated Rate |
$9,923.80 |
| Max. Negotiated Rate |
$28,886.26 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$10,137.19
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$21,008.19
|
| Rate for Payer: Aetna Government |
$21,008.19
|
| Rate for Payer: Brighton Health Commercial |
$9,923.80
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$21,428.35
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$12,173.47
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$10,347.45
|
| Rate for Payer: Elderplan Medicare Advantage |
$19,957.78
|
| Rate for Payer: EmblemHealth Commercial |
$21,008.19
|
| Rate for Payer: Fidelis Medicare Advantage |
$21,008.19
|
| Rate for Payer: Group Health Inc Commercial |
$21,008.19
|
| Rate for Payer: Group Health Inc Medicare |
$21,008.19
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$21,008.19
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$21,008.19
|
| Rate for Payer: Healthfirst Medicare Advantage |
$19,537.62
|
| Rate for Payer: Humana Medicare |
$28,886.26
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$21,008.19
|
| Rate for Payer: United Healthcare Commercial |
$13,610.66
|
| Rate for Payer: United Healthcare Medicare Advantage |
$21,008.19
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$21,008.19
|
| Rate for Payer: Wellcare Medicare |
$19,957.78
|
|
