|
MS-DRG 43.00: INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC
|
Facility
|
IP
|
$121,013.42
|
|
|
Service Code
|
MSDRG 021
|
| Min. Negotiated Rate |
$76,760.10 |
| Max. Negotiated Rate |
$121,013.42 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$90,554.94
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$88,009.76
|
| Rate for Payer: Aetna Government |
$88,009.76
|
| Rate for Payer: Brighton Health Commercial |
$76,760.10
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$89,769.96
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$94,161.19
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$80,037.02
|
| Rate for Payer: Elderplan Medicare Advantage |
$83,609.27
|
| Rate for Payer: EmblemHealth Commercial |
$88,009.76
|
| Rate for Payer: Fidelis Medicare Advantage |
$88,009.76
|
| Rate for Payer: Group Health Inc Commercial |
$88,009.76
|
| Rate for Payer: Group Health Inc Medicare |
$88,009.76
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$88,009.76
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$88,009.76
|
| Rate for Payer: Healthfirst Medicare Advantage |
$81,849.08
|
| Rate for Payer: Humana Medicare |
$121,013.42
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$88,009.76
|
| Rate for Payer: United Healthcare Commercial |
$105,277.80
|
| Rate for Payer: United Healthcare Medicare Advantage |
$88,009.76
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$88,009.76
|
| Rate for Payer: Wellcare Medicare |
$83,609.27
|
|
|
MS-DRG 43.00: INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC
|
Facility
|
IP
|
$172,479.44
|
|
|
Service Code
|
MSDRG 020
|
| Min. Negotiated Rate |
$114,097.60 |
| Max. Negotiated Rate |
$172,479.44 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$124,630.64
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$125,439.59
|
| Rate for Payer: Aetna Government |
$125,439.59
|
| Rate for Payer: Brighton Health Commercial |
$114,097.60
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$127,948.38
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$139,962.90
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$118,968.47
|
| Rate for Payer: Elderplan Medicare Advantage |
$119,167.61
|
| Rate for Payer: EmblemHealth Commercial |
$125,439.59
|
| Rate for Payer: Fidelis Medicare Advantage |
$125,439.59
|
| Rate for Payer: Group Health Inc Commercial |
$125,439.59
|
| Rate for Payer: Group Health Inc Medicare |
$125,439.59
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$125,439.59
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$125,439.59
|
| Rate for Payer: Healthfirst Medicare Advantage |
$116,658.82
|
| Rate for Payer: Humana Medicare |
$172,479.44
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$125,439.59
|
| Rate for Payer: United Healthcare Commercial |
$156,486.83
|
| Rate for Payer: United Healthcare Medicare Advantage |
$125,439.59
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$125,439.59
|
| Rate for Payer: Wellcare Medicare |
$119,167.61
|
|
|
MS-DRG 43.00: INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC
|
Facility
|
IP
|
$78,713.35
|
|
|
Service Code
|
MSDRG 022
|
| Min. Negotiated Rate |
$44,588.95 |
| Max. Negotiated Rate |
$78,713.35 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$51,263.94
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$57,246.07
|
| Rate for Payer: Aetna Government |
$57,246.07
|
| Rate for Payer: Brighton Health Commercial |
$44,588.95
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$58,390.99
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$54,697.02
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$46,492.47
|
| Rate for Payer: Elderplan Medicare Advantage |
$54,383.77
|
| Rate for Payer: EmblemHealth Commercial |
$57,246.07
|
| Rate for Payer: Fidelis Medicare Advantage |
$57,246.07
|
| Rate for Payer: Group Health Inc Commercial |
$57,246.07
|
| Rate for Payer: Group Health Inc Medicare |
$57,246.07
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$57,246.07
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$57,246.07
|
| Rate for Payer: Healthfirst Medicare Advantage |
$53,238.85
|
| Rate for Payer: Humana Medicare |
$78,713.35
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$57,246.07
|
| Rate for Payer: United Healthcare Commercial |
$61,154.51
|
| Rate for Payer: United Healthcare Medicare Advantage |
$57,246.07
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$57,246.07
|
| Rate for Payer: Wellcare Medicare |
$54,383.77
|
|
|
MS-DRG 43.00: INTRAOCULAR PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$51,345.42
|
|
|
Service Code
|
MSDRG 116
|
| Min. Negotiated Rate |
$26,217.45 |
| Max. Negotiated Rate |
$51,345.42 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$26,995.15
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$37,342.12
|
| Rate for Payer: Aetna Government |
$37,342.12
|
| Rate for Payer: Brighton Health Commercial |
$26,217.45
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$38,088.96
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$32,160.80
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$27,336.68
|
| Rate for Payer: Elderplan Medicare Advantage |
$35,475.01
|
| Rate for Payer: EmblemHealth Commercial |
$37,342.12
|
| Rate for Payer: Fidelis Medicare Advantage |
$37,342.12
|
| Rate for Payer: Group Health Inc Commercial |
$37,342.12
|
| Rate for Payer: Group Health Inc Medicare |
$37,342.12
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$37,342.12
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$37,342.12
|
| Rate for Payer: Healthfirst Medicare Advantage |
$34,728.17
|
| Rate for Payer: Humana Medicare |
$51,345.42
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$37,342.12
|
| Rate for Payer: United Healthcare Commercial |
$35,957.68
|
| Rate for Payer: United Healthcare Medicare Advantage |
$37,342.12
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$37,342.12
|
| Rate for Payer: Wellcare Medicare |
$35,475.01
|
|
|
MS-DRG 43.00: INTRAOCULAR PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$36,890.95
|
|
|
Service Code
|
MSDRG 117
|
| Min. Negotiated Rate |
$15,731.05 |
| Max. Negotiated Rate |
$36,890.95 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$17,670.41
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$26,829.78
|
| Rate for Payer: Aetna Government |
$26,829.78
|
| Rate for Payer: Brighton Health Commercial |
$15,731.05
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$27,366.38
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$19,297.19
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$16,402.61
|
| Rate for Payer: Elderplan Medicare Advantage |
$25,488.29
|
| Rate for Payer: EmblemHealth Commercial |
$26,829.78
|
| Rate for Payer: Fidelis Medicare Advantage |
$26,829.78
|
| Rate for Payer: Group Health Inc Commercial |
$26,829.78
|
| Rate for Payer: Group Health Inc Medicare |
$26,829.78
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$26,829.78
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$26,829.78
|
| Rate for Payer: Healthfirst Medicare Advantage |
$24,951.70
|
| Rate for Payer: Humana Medicare |
$36,890.95
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$26,829.78
|
| Rate for Payer: United Healthcare Commercial |
$21,575.41
|
| Rate for Payer: United Healthcare Medicare Advantage |
$26,829.78
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$26,829.78
|
| Rate for Payer: Wellcare Medicare |
$25,488.29
|
|
|
MS-DRG 43.00: ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC
|
Facility
|
IP
|
$50,328.11
|
|
|
Service Code
|
MSDRG 062
|
| Min. Negotiated Rate |
$25,479.40 |
| Max. Negotiated Rate |
$50,328.11 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$27,598.22
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$36,602.26
|
| Rate for Payer: Aetna Government |
$36,602.26
|
| Rate for Payer: Brighton Health Commercial |
$25,479.40
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$37,334.31
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$31,255.44
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$26,567.12
|
| Rate for Payer: Elderplan Medicare Advantage |
$34,772.15
|
| Rate for Payer: EmblemHealth Commercial |
$36,602.26
|
| Rate for Payer: Fidelis Medicare Advantage |
$36,602.26
|
| Rate for Payer: Group Health Inc Commercial |
$36,602.26
|
| Rate for Payer: Group Health Inc Medicare |
$36,602.26
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$36,602.26
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$36,602.26
|
| Rate for Payer: Healthfirst Medicare Advantage |
$34,040.10
|
| Rate for Payer: Humana Medicare |
$50,328.11
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$36,602.26
|
| Rate for Payer: United Healthcare Commercial |
$34,945.44
|
| Rate for Payer: United Healthcare Medicare Advantage |
$36,602.26
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$36,602.26
|
| Rate for Payer: Wellcare Medicare |
$34,772.15
|
|
|
MS-DRG 43.00: ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC
|
Facility
|
IP
|
$70,312.91
|
|
|
Service Code
|
MSDRG 061
|
| Min. Negotiated Rate |
$39,977.95 |
| Max. Negotiated Rate |
$70,312.91 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$41,327.29
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$51,136.66
|
| Rate for Payer: Aetna Government |
$51,136.66
|
| Rate for Payer: Brighton Health Commercial |
$39,977.95
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$52,159.39
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$49,040.73
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$41,684.62
|
| Rate for Payer: Elderplan Medicare Advantage |
$48,579.83
|
| Rate for Payer: EmblemHealth Commercial |
$51,136.66
|
| Rate for Payer: Fidelis Medicare Advantage |
$51,136.66
|
| Rate for Payer: Group Health Inc Commercial |
$51,136.66
|
| Rate for Payer: Group Health Inc Medicare |
$51,136.66
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$51,136.66
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$51,136.66
|
| Rate for Payer: Healthfirst Medicare Advantage |
$47,557.09
|
| Rate for Payer: Humana Medicare |
$70,312.91
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$51,136.66
|
| Rate for Payer: United Healthcare Commercial |
$54,830.45
|
| Rate for Payer: United Healthcare Medicare Advantage |
$51,136.66
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$51,136.66
|
| Rate for Payer: Wellcare Medicare |
$48,579.83
|
|
|
MS-DRG 43.00: ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC
|
Facility
|
IP
|
$43,264.76
|
|
|
Service Code
|
MSDRG 063
|
| Min. Negotiated Rate |
$20,355.10 |
| Max. Negotiated Rate |
$43,264.76 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$21,922.87
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$31,465.28
|
| Rate for Payer: Aetna Government |
$31,465.28
|
| Rate for Payer: Brighton Health Commercial |
$20,355.10
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$32,094.59
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$24,969.49
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$21,224.07
|
| Rate for Payer: Elderplan Medicare Advantage |
$29,892.02
|
| Rate for Payer: EmblemHealth Commercial |
$31,465.28
|
| Rate for Payer: Fidelis Medicare Advantage |
$31,465.28
|
| Rate for Payer: Group Health Inc Commercial |
$31,465.28
|
| Rate for Payer: Group Health Inc Medicare |
$31,465.28
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$31,465.28
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$31,465.28
|
| Rate for Payer: Healthfirst Medicare Advantage |
$29,262.71
|
| Rate for Payer: Humana Medicare |
$43,264.76
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$31,465.28
|
| Rate for Payer: United Healthcare Commercial |
$27,917.37
|
| Rate for Payer: United Healthcare Medicare Advantage |
$31,465.28
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$31,465.28
|
| Rate for Payer: Wellcare Medicare |
$29,892.02
|
|
|
MS-DRG 43.00: KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC
|
Facility
|
IP
|
$51,783.12
|
|
|
Service Code
|
MSDRG 657
|
| Min. Negotiated Rate |
$26,535.00 |
| Max. Negotiated Rate |
$51,783.12 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$27,192.73
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$37,660.45
|
| Rate for Payer: Aetna Government |
$37,660.45
|
| Rate for Payer: Brighton Health Commercial |
$26,535.00
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$38,413.66
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$32,550.34
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$27,667.79
|
| Rate for Payer: Elderplan Medicare Advantage |
$35,777.43
|
| Rate for Payer: EmblemHealth Commercial |
$37,660.45
|
| Rate for Payer: Fidelis Medicare Advantage |
$37,660.45
|
| Rate for Payer: Group Health Inc Commercial |
$37,660.45
|
| Rate for Payer: Group Health Inc Medicare |
$37,660.45
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$37,660.45
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$37,660.45
|
| Rate for Payer: Healthfirst Medicare Advantage |
$35,024.22
|
| Rate for Payer: Humana Medicare |
$51,783.12
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$37,660.45
|
| Rate for Payer: United Healthcare Commercial |
$36,393.21
|
| Rate for Payer: United Healthcare Medicare Advantage |
$37,660.45
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$37,660.45
|
| Rate for Payer: Wellcare Medicare |
$35,777.43
|
|
|
MS-DRG 43.00: KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC
|
Facility
|
IP
|
$78,841.26
|
|
|
Service Code
|
MSDRG 656
|
| Min. Negotiated Rate |
$46,165.10 |
| Max. Negotiated Rate |
$78,841.26 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$46,263.91
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$57,339.10
|
| Rate for Payer: Aetna Government |
$57,339.10
|
| Rate for Payer: Brighton Health Commercial |
$46,165.10
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$58,485.88
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$56,630.47
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$48,135.90
|
| Rate for Payer: Elderplan Medicare Advantage |
$54,472.14
|
| Rate for Payer: EmblemHealth Commercial |
$57,339.10
|
| Rate for Payer: Fidelis Medicare Advantage |
$57,339.10
|
| Rate for Payer: Group Health Inc Commercial |
$57,339.10
|
| Rate for Payer: Group Health Inc Medicare |
$57,339.10
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$57,339.10
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$57,339.10
|
| Rate for Payer: Healthfirst Medicare Advantage |
$53,325.36
|
| Rate for Payer: Humana Medicare |
$78,841.26
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$57,339.10
|
| Rate for Payer: United Healthcare Commercial |
$63,316.23
|
| Rate for Payer: United Healthcare Medicare Advantage |
$57,339.10
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$57,339.10
|
| Rate for Payer: Wellcare Medicare |
$54,472.14
|
|
|
MS-DRG 43.00: KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC
|
Facility
|
IP
|
$46,222.81
|
|
|
Service Code
|
MSDRG 658
|
| Min. Negotiated Rate |
$21,828.50 |
| Max. Negotiated Rate |
$46,222.81 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$21,828.50
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$33,616.59
|
| Rate for Payer: Aetna Government |
$33,616.59
|
| Rate for Payer: Brighton Health Commercial |
$22,501.10
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$34,288.92
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$27,601.98
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$23,461.68
|
| Rate for Payer: Elderplan Medicare Advantage |
$31,935.76
|
| Rate for Payer: EmblemHealth Commercial |
$33,616.59
|
| Rate for Payer: Fidelis Medicare Advantage |
$33,616.59
|
| Rate for Payer: Group Health Inc Commercial |
$33,616.59
|
| Rate for Payer: Group Health Inc Medicare |
$33,616.59
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$33,616.59
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$33,616.59
|
| Rate for Payer: Healthfirst Medicare Advantage |
$31,263.43
|
| Rate for Payer: Humana Medicare |
$46,222.81
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$33,616.59
|
| Rate for Payer: United Healthcare Commercial |
$30,860.65
|
| Rate for Payer: United Healthcare Medicare Advantage |
$33,616.59
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$33,616.59
|
| Rate for Payer: Wellcare Medicare |
$31,935.76
|
|
|
MS-DRG 43.00: KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC
|
Facility
|
IP
|
$41,623.83
|
|
|
Service Code
|
MSDRG 660
|
| Min. Negotiated Rate |
$19,164.65 |
| Max. Negotiated Rate |
$41,623.83 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$19,845.30
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$30,271.88
|
| Rate for Payer: Aetna Government |
$30,271.88
|
| Rate for Payer: Brighton Health Commercial |
$19,164.65
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$30,877.32
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$23,509.17
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$19,982.80
|
| Rate for Payer: Elderplan Medicare Advantage |
$28,758.29
|
| Rate for Payer: EmblemHealth Commercial |
$30,271.88
|
| Rate for Payer: Fidelis Medicare Advantage |
$30,271.88
|
| Rate for Payer: Group Health Inc Commercial |
$30,271.88
|
| Rate for Payer: Group Health Inc Medicare |
$30,271.88
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$30,271.88
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$30,271.88
|
| Rate for Payer: Healthfirst Medicare Advantage |
$28,152.85
|
| Rate for Payer: Humana Medicare |
$41,623.83
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$30,271.88
|
| Rate for Payer: United Healthcare Commercial |
$26,284.65
|
| Rate for Payer: United Healthcare Medicare Advantage |
$30,271.88
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$30,271.88
|
| Rate for Payer: Wellcare Medicare |
$28,758.29
|
|
|
MS-DRG 43.00: KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC
|
Facility
|
IP
|
$65,991.75
|
|
|
Service Code
|
MSDRG 659
|
| Min. Negotiated Rate |
$36,843.05 |
| Max. Negotiated Rate |
$65,991.75 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$38,173.33
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$47,994.00
|
| Rate for Payer: Aetna Government |
$47,994.00
|
| Rate for Payer: Brighton Health Commercial |
$36,843.05
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$48,953.88
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$45,195.17
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$38,415.89
|
| Rate for Payer: Elderplan Medicare Advantage |
$45,594.30
|
| Rate for Payer: EmblemHealth Commercial |
$47,994.00
|
| Rate for Payer: Fidelis Medicare Advantage |
$47,994.00
|
| Rate for Payer: Group Health Inc Commercial |
$47,994.00
|
| Rate for Payer: Group Health Inc Medicare |
$47,994.00
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$47,994.00
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$47,994.00
|
| Rate for Payer: Healthfirst Medicare Advantage |
$44,634.42
|
| Rate for Payer: Humana Medicare |
$65,991.75
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$47,994.00
|
| Rate for Payer: United Healthcare Commercial |
$50,530.88
|
| Rate for Payer: United Healthcare Medicare Advantage |
$47,994.00
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$47,994.00
|
| Rate for Payer: Wellcare Medicare |
$45,594.30
|
|
|
MS-DRG 43.00: KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC
|
Facility
|
IP
|
$35,901.64
|
|
|
Service Code
|
MSDRG 661
|
| Min. Negotiated Rate |
$15,013.30 |
| Max. Negotiated Rate |
$35,901.64 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$15,458.66
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$26,110.28
|
| Rate for Payer: Aetna Government |
$26,110.28
|
| Rate for Payer: Brighton Health Commercial |
$15,013.30
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$26,632.49
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$18,416.73
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$15,654.22
|
| Rate for Payer: Elderplan Medicare Advantage |
$24,804.77
|
| Rate for Payer: EmblemHealth Commercial |
$26,110.28
|
| Rate for Payer: Fidelis Medicare Advantage |
$26,110.28
|
| Rate for Payer: Group Health Inc Commercial |
$26,110.28
|
| Rate for Payer: Group Health Inc Medicare |
$26,110.28
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$26,110.28
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$26,110.28
|
| Rate for Payer: Healthfirst Medicare Advantage |
$24,282.56
|
| Rate for Payer: Humana Medicare |
$35,901.64
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$26,110.28
|
| Rate for Payer: United Healthcare Commercial |
$20,591.00
|
| Rate for Payer: United Healthcare Medicare Advantage |
$26,110.28
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$26,110.28
|
| Rate for Payer: Wellcare Medicare |
$24,804.77
|
|
|
MS-DRG 43.00: KIDNEY AND URINARY TRACT INFECTIONS WITH MCC
|
Facility
|
IP
|
$38,397.96
|
|
|
Service Code
|
MSDRG 689
|
| Min. Negotiated Rate |
$16,824.35 |
| Max. Negotiated Rate |
$38,397.96 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$17,316.53
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$27,925.79
|
| Rate for Payer: Aetna Government |
$27,925.79
|
| Rate for Payer: Brighton Health Commercial |
$16,824.35
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$28,484.31
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$20,638.34
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$17,542.59
|
| Rate for Payer: Elderplan Medicare Advantage |
$26,529.50
|
| Rate for Payer: EmblemHealth Commercial |
$27,925.79
|
| Rate for Payer: Fidelis Medicare Advantage |
$27,925.79
|
| Rate for Payer: Group Health Inc Commercial |
$27,925.79
|
| Rate for Payer: Group Health Inc Medicare |
$27,925.79
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$27,925.79
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$27,925.79
|
| Rate for Payer: Healthfirst Medicare Advantage |
$25,970.98
|
| Rate for Payer: Humana Medicare |
$38,397.96
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$27,925.79
|
| Rate for Payer: United Healthcare Commercial |
$23,074.89
|
| Rate for Payer: United Healthcare Medicare Advantage |
$27,925.79
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$27,925.79
|
| Rate for Payer: Wellcare Medicare |
$26,529.50
|
|
|
MS-DRG 43.00: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC
|
Facility
|
IP
|
$31,386.59
|
|
|
Service Code
|
MSDRG 690
|
| Min. Negotiated Rate |
$11,737.75 |
| Max. Negotiated Rate |
$31,386.59 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$11,897.74
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$22,826.61
|
| Rate for Payer: Aetna Government |
$22,826.61
|
| Rate for Payer: Brighton Health Commercial |
$11,737.75
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$23,283.14
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$14,398.63
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$12,238.84
|
| Rate for Payer: Elderplan Medicare Advantage |
$21,685.28
|
| Rate for Payer: EmblemHealth Commercial |
$22,826.61
|
| Rate for Payer: Fidelis Medicare Advantage |
$22,826.61
|
| Rate for Payer: Group Health Inc Commercial |
$22,826.61
|
| Rate for Payer: Group Health Inc Medicare |
$22,826.61
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$22,826.61
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$22,826.61
|
| Rate for Payer: Healthfirst Medicare Advantage |
$21,228.75
|
| Rate for Payer: Humana Medicare |
$31,386.59
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$22,826.61
|
| Rate for Payer: United Healthcare Commercial |
$16,098.53
|
| Rate for Payer: United Healthcare Medicare Advantage |
$22,826.61
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$22,826.61
|
| Rate for Payer: Wellcare Medicare |
$21,685.28
|
|
|
MS-DRG 43.00: KIDNEY AND URINARY TRACT NEOPLASMS WITH CC
|
Facility
|
IP
|
$36,149.46
|
|
|
Service Code
|
MSDRG 687
|
| Min. Negotiated Rate |
$15,193.10 |
| Max. Negotiated Rate |
$36,149.46 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$15,412.95
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$26,290.52
|
| Rate for Payer: Aetna Government |
$26,290.52
|
| Rate for Payer: Brighton Health Commercial |
$15,193.10
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$26,816.33
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$18,637.29
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$15,841.70
|
| Rate for Payer: Elderplan Medicare Advantage |
$24,975.99
|
| Rate for Payer: EmblemHealth Commercial |
$26,290.52
|
| Rate for Payer: Fidelis Medicare Advantage |
$26,290.52
|
| Rate for Payer: Group Health Inc Commercial |
$26,290.52
|
| Rate for Payer: Group Health Inc Medicare |
$26,290.52
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$26,290.52
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$26,290.52
|
| Rate for Payer: Healthfirst Medicare Advantage |
$24,450.18
|
| Rate for Payer: Humana Medicare |
$36,149.46
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$26,290.52
|
| Rate for Payer: United Healthcare Commercial |
$20,837.60
|
| Rate for Payer: United Healthcare Medicare Advantage |
$26,290.52
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$26,290.52
|
| Rate for Payer: Wellcare Medicare |
$24,975.99
|
|
|
MS-DRG 43.00: KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC
|
Facility
|
IP
|
$51,257.46
|
|
|
Service Code
|
MSDRG 686
|
| Min. Negotiated Rate |
$26,153.65 |
| Max. Negotiated Rate |
$51,257.46 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$27,121.95
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$37,278.15
|
| Rate for Payer: Aetna Government |
$37,278.15
|
| Rate for Payer: Brighton Health Commercial |
$26,153.65
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$38,023.71
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$32,082.54
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$27,270.16
|
| Rate for Payer: Elderplan Medicare Advantage |
$35,414.24
|
| Rate for Payer: EmblemHealth Commercial |
$37,278.15
|
| Rate for Payer: Fidelis Medicare Advantage |
$37,278.15
|
| Rate for Payer: Group Health Inc Commercial |
$37,278.15
|
| Rate for Payer: Group Health Inc Medicare |
$37,278.15
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$37,278.15
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$37,278.15
|
| Rate for Payer: Healthfirst Medicare Advantage |
$34,668.68
|
| Rate for Payer: Humana Medicare |
$51,257.46
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$37,278.15
|
| Rate for Payer: United Healthcare Commercial |
$35,870.18
|
| Rate for Payer: United Healthcare Medicare Advantage |
$37,278.15
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$37,278.15
|
| Rate for Payer: Wellcare Medicare |
$35,414.24
|
|
|
MS-DRG 43.00: KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC
|
Facility
|
IP
|
$31,002.81
|
|
|
Service Code
|
MSDRG 688
|
| Min. Negotiated Rate |
$11,459.35 |
| Max. Negotiated Rate |
$31,002.81 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$11,514.37
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$22,547.50
|
| Rate for Payer: Aetna Government |
$22,547.50
|
| Rate for Payer: Brighton Health Commercial |
$11,459.35
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$22,998.45
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$14,057.12
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$11,948.55
|
| Rate for Payer: Elderplan Medicare Advantage |
$21,420.12
|
| Rate for Payer: EmblemHealth Commercial |
$22,547.50
|
| Rate for Payer: Fidelis Medicare Advantage |
$22,547.50
|
| Rate for Payer: Group Health Inc Commercial |
$22,547.50
|
| Rate for Payer: Group Health Inc Medicare |
$22,547.50
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$22,547.50
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$22,547.50
|
| Rate for Payer: Healthfirst Medicare Advantage |
$20,969.17
|
| Rate for Payer: Humana Medicare |
$31,002.81
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$22,547.50
|
| Rate for Payer: United Healthcare Commercial |
$15,716.70
|
| Rate for Payer: United Healthcare Medicare Advantage |
$22,547.50
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$22,547.50
|
| Rate for Payer: Wellcare Medicare |
$21,420.12
|
|
|
MS-DRG 43.00: KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC
|
Facility
|
IP
|
$38,068.18
|
|
|
Service Code
|
MSDRG 695
|
| Min. Negotiated Rate |
$16,585.10 |
| Max. Negotiated Rate |
$38,068.18 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$17,635.02
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$27,685.95
|
| Rate for Payer: Aetna Government |
$27,685.95
|
| Rate for Payer: Brighton Health Commercial |
$16,585.10
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$28,239.67
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$20,344.85
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$17,293.12
|
| Rate for Payer: Elderplan Medicare Advantage |
$26,301.65
|
| Rate for Payer: EmblemHealth Commercial |
$27,685.95
|
| Rate for Payer: Fidelis Medicare Advantage |
$27,685.95
|
| Rate for Payer: Group Health Inc Commercial |
$27,685.95
|
| Rate for Payer: Group Health Inc Medicare |
$27,685.95
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$27,685.95
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$27,685.95
|
| Rate for Payer: Healthfirst Medicare Advantage |
$25,747.93
|
| Rate for Payer: Humana Medicare |
$38,068.18
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$27,685.95
|
| Rate for Payer: United Healthcare Commercial |
$22,746.75
|
| Rate for Payer: United Healthcare Medicare Advantage |
$27,685.95
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$27,685.95
|
| Rate for Payer: Wellcare Medicare |
$26,301.65
|
|
|
MS-DRG 43.00: KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC
|
Facility
|
IP
|
$28,978.19
|
|
|
Service Code
|
MSDRG 696
|
| Min. Negotiated Rate |
$9,990.50 |
| Max. Negotiated Rate |
$28,978.19 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$10,205.01
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$21,075.05
|
| Rate for Payer: Aetna Government |
$21,075.05
|
| Rate for Payer: Brighton Health Commercial |
$9,990.50
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$21,496.55
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$12,255.29
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$10,417.00
|
| Rate for Payer: Elderplan Medicare Advantage |
$20,021.30
|
| Rate for Payer: EmblemHealth Commercial |
$21,075.05
|
| Rate for Payer: Fidelis Medicare Advantage |
$21,075.05
|
| Rate for Payer: Group Health Inc Commercial |
$21,075.05
|
| Rate for Payer: Group Health Inc Medicare |
$21,075.05
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$21,075.05
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$21,075.05
|
| Rate for Payer: Healthfirst Medicare Advantage |
$19,599.80
|
| Rate for Payer: Humana Medicare |
$28,978.19
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$21,075.05
|
| Rate for Payer: United Healthcare Commercial |
$13,702.14
|
| Rate for Payer: United Healthcare Medicare Advantage |
$21,075.05
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$21,075.05
|
| Rate for Payer: Wellcare Medicare |
$20,021.30
|
|
|
MS-DRG 43.00: KIDNEY TRANSPLANT
|
Facility
|
IP
|
$64,225.07
|
|
|
Service Code
|
MSDRG 652
|
| Min. Negotiated Rate |
$44,299.88 |
| Max. Negotiated Rate |
$64,225.07 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$44,299.88
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$58,003.40
|
| Rate for Payer: Aetna Government |
$58,003.40
|
| Rate for Payer: Brighton Health Commercial |
$46,827.75
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$59,163.47
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$57,443.34
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$48,826.84
|
| Rate for Payer: Elderplan Medicare Advantage |
$55,103.23
|
| Rate for Payer: EmblemHealth Commercial |
$58,003.40
|
| Rate for Payer: Fidelis Medicare Advantage |
$58,003.40
|
| Rate for Payer: Group Health Inc Commercial |
$58,003.40
|
| Rate for Payer: Group Health Inc Medicare |
$58,003.40
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$58,003.40
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$58,003.40
|
| Rate for Payer: Healthfirst Medicare Advantage |
$53,943.16
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$58,003.40
|
| Rate for Payer: United Healthcare Commercial |
$64,225.07
|
| Rate for Payer: United Healthcare Medicare Advantage |
$58,003.40
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$58,003.40
|
| Rate for Payer: Wellcare Medicare |
$55,103.23
|
|
|
MS-DRG 43.00: KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC
|
Facility
|
IP
|
$109,173.24
|
|
|
Service Code
|
MSDRG 650
|
| Min. Negotiated Rate |
$66,315.64 |
| Max. Negotiated Rate |
$109,173.24 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$66,315.64
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$79,398.72
|
| Rate for Payer: Aetna Government |
$79,398.72
|
| Rate for Payer: Brighton Health Commercial |
$68,170.30
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$80,986.69
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$83,624.13
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$71,080.51
|
| Rate for Payer: Elderplan Medicare Advantage |
$75,428.78
|
| Rate for Payer: EmblemHealth Commercial |
$79,398.72
|
| Rate for Payer: Fidelis Medicare Advantage |
$79,398.72
|
| Rate for Payer: Group Health Inc Commercial |
$79,398.72
|
| Rate for Payer: Group Health Inc Medicare |
$79,398.72
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$79,398.72
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$79,398.72
|
| Rate for Payer: Healthfirst Medicare Advantage |
$73,840.81
|
| Rate for Payer: Humana Medicare |
$109,173.24
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$79,398.72
|
| Rate for Payer: United Healthcare Commercial |
$93,496.74
|
| Rate for Payer: United Healthcare Medicare Advantage |
$79,398.72
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$79,398.72
|
| Rate for Payer: Wellcare Medicare |
$75,428.78
|
|
|
MS-DRG 43.00: KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC
|
Facility
|
IP
|
$89,274.36
|
|
|
Service Code
|
MSDRG 651
|
| Min. Negotiated Rate |
$50,994.11 |
| Max. Negotiated Rate |
$89,274.36 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$50,994.11
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$64,926.81
|
| Rate for Payer: Aetna Government |
$64,926.81
|
| Rate for Payer: Brighton Health Commercial |
$53,734.10
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$66,225.35
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$65,915.32
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$56,028.03
|
| Rate for Payer: Elderplan Medicare Advantage |
$61,680.47
|
| Rate for Payer: EmblemHealth Commercial |
$64,926.81
|
| Rate for Payer: Fidelis Medicare Advantage |
$64,926.81
|
| Rate for Payer: Group Health Inc Commercial |
$64,926.81
|
| Rate for Payer: Group Health Inc Medicare |
$64,926.81
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$64,926.81
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$64,926.81
|
| Rate for Payer: Healthfirst Medicare Advantage |
$60,381.93
|
| Rate for Payer: Humana Medicare |
$89,274.36
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$64,926.81
|
| Rate for Payer: United Healthcare Commercial |
$73,697.24
|
| Rate for Payer: United Healthcare Medicare Advantage |
$64,926.81
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$64,926.81
|
| Rate for Payer: Wellcare Medicare |
$61,680.47
|
|
|
MS-DRG 43.00: KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC
|
Facility
|
IP
|
$50,561.95
|
|
|
Service Code
|
MSDRG 488
|
| Min. Negotiated Rate |
$22,092.20 |
| Max. Negotiated Rate |
$50,561.95 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$31,061.82
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$36,772.33
|
| Rate for Payer: Aetna Government |
$36,772.33
|
| Rate for Payer: Brighton Health Commercial |
$22,092.20
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$37,507.78
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$27,100.38
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$23,035.32
|
| Rate for Payer: Elderplan Medicare Advantage |
$34,933.71
|
| Rate for Payer: EmblemHealth Commercial |
$36,772.33
|
| Rate for Payer: Fidelis Medicare Advantage |
$36,772.33
|
| Rate for Payer: Group Health Inc Commercial |
$36,772.33
|
| Rate for Payer: Group Health Inc Medicare |
$36,772.33
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$36,772.33
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$36,772.33
|
| Rate for Payer: Healthfirst Medicare Advantage |
$34,198.27
|
| Rate for Payer: Humana Medicare |
$50,561.95
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$36,772.33
|
| Rate for Payer: United Healthcare Commercial |
$30,299.83
|
| Rate for Payer: United Healthcare Medicare Advantage |
$36,772.33
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$36,772.33
|
| Rate for Payer: Wellcare Medicare |
$34,933.71
|
|
