|
MS-DRG 43.00: KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC
|
Facility
|
IP
|
$37,528.54
|
|
|
Service Code
|
MSDRG 489
|
| Min. Negotiated Rate |
$16,193.60 |
| Max. Negotiated Rate |
$37,528.54 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$18,249.89
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$27,293.48
|
| Rate for Payer: Aetna Government |
$27,293.48
|
| Rate for Payer: Brighton Health Commercial |
$16,193.60
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$27,839.35
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$19,864.60
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$16,884.91
|
| Rate for Payer: Elderplan Medicare Advantage |
$25,928.81
|
| Rate for Payer: EmblemHealth Commercial |
$27,293.48
|
| Rate for Payer: Fidelis Medicare Advantage |
$27,293.48
|
| Rate for Payer: Group Health Inc Commercial |
$27,293.48
|
| Rate for Payer: Group Health Inc Medicare |
$27,293.48
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$27,293.48
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$27,293.48
|
| Rate for Payer: Healthfirst Medicare Advantage |
$25,382.94
|
| Rate for Payer: Humana Medicare |
$37,528.54
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$27,293.48
|
| Rate for Payer: United Healthcare Commercial |
$22,209.80
|
| Rate for Payer: United Healthcare Medicare Advantage |
$27,293.48
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$27,293.48
|
| Rate for Payer: Wellcare Medicare |
$25,928.81
|
|
|
MS-DRG 43.00: KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC
|
Facility
|
IP
|
$57,001.68
|
|
|
Service Code
|
MSDRG 486
|
| Min. Negotiated Rate |
$29,612.38 |
| Max. Negotiated Rate |
$57,001.68 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$29,612.38
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$41,455.77
|
| Rate for Payer: Aetna Government |
$41,455.77
|
| Rate for Payer: Brighton Health Commercial |
$30,320.95
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$42,284.89
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$37,194.54
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$31,615.36
|
| Rate for Payer: Elderplan Medicare Advantage |
$39,382.98
|
| Rate for Payer: EmblemHealth Commercial |
$41,455.77
|
| Rate for Payer: Fidelis Medicare Advantage |
$41,455.77
|
| Rate for Payer: Group Health Inc Commercial |
$41,455.77
|
| Rate for Payer: Group Health Inc Medicare |
$41,455.77
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$41,455.77
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$41,455.77
|
| Rate for Payer: Healthfirst Medicare Advantage |
$38,553.87
|
| Rate for Payer: Humana Medicare |
$57,001.68
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$41,455.77
|
| Rate for Payer: United Healthcare Commercial |
$41,585.71
|
| Rate for Payer: United Healthcare Medicare Advantage |
$41,455.77
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$41,455.77
|
| Rate for Payer: Wellcare Medicare |
$39,382.98
|
|
|
MS-DRG 43.00: KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC
|
Facility
|
IP
|
$79,706.69
|
|
|
Service Code
|
MSDRG 485
|
| Min. Negotiated Rate |
$46,792.95 |
| Max. Negotiated Rate |
$79,706.69 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$48,570.03
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$57,968.50
|
| Rate for Payer: Aetna Government |
$57,968.50
|
| Rate for Payer: Brighton Health Commercial |
$46,792.95
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$59,127.87
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$57,400.65
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$48,790.56
|
| Rate for Payer: Elderplan Medicare Advantage |
$55,070.07
|
| Rate for Payer: EmblemHealth Commercial |
$57,968.50
|
| Rate for Payer: Fidelis Medicare Advantage |
$57,968.50
|
| Rate for Payer: Group Health Inc Commercial |
$57,968.50
|
| Rate for Payer: Group Health Inc Medicare |
$57,968.50
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$57,968.50
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$57,968.50
|
| Rate for Payer: Healthfirst Medicare Advantage |
$53,910.71
|
| Rate for Payer: Humana Medicare |
$79,706.69
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$57,968.50
|
| Rate for Payer: United Healthcare Commercial |
$64,177.34
|
| Rate for Payer: United Healthcare Medicare Advantage |
$57,968.50
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$57,968.50
|
| Rate for Payer: Wellcare Medicare |
$55,070.07
|
|
|
MS-DRG 43.00: KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC
|
Facility
|
IP
|
$46,510.61
|
|
|
Service Code
|
MSDRG 487
|
| Min. Negotiated Rate |
$22,709.90 |
| Max. Negotiated Rate |
$46,510.61 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$22,779.55
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$33,825.90
|
| Rate for Payer: Aetna Government |
$33,825.90
|
| Rate for Payer: Brighton Health Commercial |
$22,709.90
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$34,502.42
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$27,858.11
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$23,679.39
|
| Rate for Payer: Elderplan Medicare Advantage |
$32,134.60
|
| Rate for Payer: EmblemHealth Commercial |
$33,825.90
|
| Rate for Payer: Fidelis Medicare Advantage |
$33,825.90
|
| Rate for Payer: Group Health Inc Commercial |
$33,825.90
|
| Rate for Payer: Group Health Inc Medicare |
$33,825.90
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$33,825.90
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$33,825.90
|
| Rate for Payer: Healthfirst Medicare Advantage |
$31,458.09
|
| Rate for Payer: Humana Medicare |
$46,510.61
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$33,825.90
|
| Rate for Payer: United Healthcare Commercial |
$31,147.02
|
| Rate for Payer: United Healthcare Medicare Advantage |
$33,825.90
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$33,825.90
|
| Rate for Payer: Wellcare Medicare |
$32,134.60
|
|
|
MS-DRG 43.00: LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC
|
Facility
|
IP
|
$49,016.96
|
|
|
Service Code
|
MSDRG 418
|
| Min. Negotiated Rate |
$24,103.65 |
| Max. Negotiated Rate |
$49,016.96 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$24,103.65
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$35,648.70
|
| Rate for Payer: Aetna Government |
$35,648.70
|
| Rate for Payer: Brighton Health Commercial |
$24,528.20
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$36,361.67
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$30,088.61
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$25,575.32
|
| Rate for Payer: Elderplan Medicare Advantage |
$33,866.26
|
| Rate for Payer: EmblemHealth Commercial |
$35,648.70
|
| Rate for Payer: Fidelis Medicare Advantage |
$35,648.70
|
| Rate for Payer: Group Health Inc Commercial |
$35,648.70
|
| Rate for Payer: Group Health Inc Medicare |
$35,648.70
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$35,648.70
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$35,648.70
|
| Rate for Payer: Healthfirst Medicare Advantage |
$33,153.29
|
| Rate for Payer: Humana Medicare |
$49,016.96
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$35,648.70
|
| Rate for Payer: United Healthcare Commercial |
$33,640.85
|
| Rate for Payer: United Healthcare Medicare Advantage |
$35,648.70
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$35,648.70
|
| Rate for Payer: Wellcare Medicare |
$33,866.26
|
|
|
MS-DRG 43.00: LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC
|
Facility
|
IP
|
$62,903.78
|
|
|
Service Code
|
MSDRG 417
|
| Min. Negotiated Rate |
$34,175.96 |
| Max. Negotiated Rate |
$62,903.78 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$34,175.96
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$45,748.20
|
| Rate for Payer: Aetna Government |
$45,748.20
|
| Rate for Payer: Brighton Health Commercial |
$34,602.80
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$46,663.16
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$42,447.06
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$36,080.01
|
| Rate for Payer: Elderplan Medicare Advantage |
$43,460.79
|
| Rate for Payer: EmblemHealth Commercial |
$45,748.20
|
| Rate for Payer: Fidelis Medicare Advantage |
$45,748.20
|
| Rate for Payer: Group Health Inc Commercial |
$45,748.20
|
| Rate for Payer: Group Health Inc Medicare |
$45,748.20
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$45,748.20
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$45,748.20
|
| Rate for Payer: Healthfirst Medicare Advantage |
$42,545.83
|
| Rate for Payer: Humana Medicare |
$62,903.78
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$45,748.20
|
| Rate for Payer: United Healthcare Commercial |
$47,458.34
|
| Rate for Payer: United Healthcare Medicare Advantage |
$45,748.20
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$45,748.20
|
| Rate for Payer: Wellcare Medicare |
$43,460.79
|
|
|
MS-DRG 43.00: LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC
|
Facility
|
IP
|
$42,505.25
|
|
|
Service Code
|
MSDRG 419
|
| Min. Negotiated Rate |
$19,363.13 |
| Max. Negotiated Rate |
$42,505.25 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$19,363.13
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$30,912.91
|
| Rate for Payer: Aetna Government |
$30,912.91
|
| Rate for Payer: Brighton Health Commercial |
$19,804.10
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$31,531.17
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$24,293.58
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$20,649.54
|
| Rate for Payer: Elderplan Medicare Advantage |
$29,367.26
|
| Rate for Payer: EmblemHealth Commercial |
$30,912.91
|
| Rate for Payer: Fidelis Medicare Advantage |
$30,912.91
|
| Rate for Payer: Group Health Inc Commercial |
$30,912.91
|
| Rate for Payer: Group Health Inc Medicare |
$30,912.91
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$30,912.91
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$30,912.91
|
| Rate for Payer: Healthfirst Medicare Advantage |
$28,749.01
|
| Rate for Payer: Humana Medicare |
$42,505.25
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$30,912.91
|
| Rate for Payer: United Healthcare Commercial |
$27,161.66
|
| Rate for Payer: United Healthcare Medicare Advantage |
$30,912.91
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$30,912.91
|
| Rate for Payer: Wellcare Medicare |
$29,367.26
|
|
|
MS-DRG 43.00: LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$90,417.62
|
|
|
Service Code
|
MSDRG 956
|
| Min. Negotiated Rate |
$54,563.50 |
| Max. Negotiated Rate |
$90,417.62 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$57,184.06
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$65,758.27
|
| Rate for Payer: Aetna Government |
$65,758.27
|
| Rate for Payer: Brighton Health Commercial |
$54,563.50
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$67,073.44
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$66,932.74
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$56,892.83
|
| Rate for Payer: Elderplan Medicare Advantage |
$62,470.36
|
| Rate for Payer: EmblemHealth Commercial |
$65,758.27
|
| Rate for Payer: Fidelis Medicare Advantage |
$65,758.27
|
| Rate for Payer: Group Health Inc Commercial |
$65,758.27
|
| Rate for Payer: Group Health Inc Medicare |
$65,758.27
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$65,758.27
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$65,758.27
|
| Rate for Payer: Healthfirst Medicare Advantage |
$61,155.19
|
| Rate for Payer: Humana Medicare |
$90,417.62
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$65,758.27
|
| Rate for Payer: United Healthcare Commercial |
$74,834.78
|
| Rate for Payer: United Healthcare Medicare Advantage |
$65,758.27
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$65,758.27
|
| Rate for Payer: Wellcare Medicare |
$62,470.36
|
|
|
MS-DRG 43.00: LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT
|
Facility
|
IP
|
$205,044.91
|
|
|
Service Code
|
MSDRG 005
|
| Min. Negotiated Rate |
$149,502.25 |
| Max. Negotiated Rate |
$205,044.91 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$152,610.75
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$160,931.77
|
| Rate for Payer: Aetna Government |
$160,931.77
|
| Rate for Payer: Brighton Health Commercial |
$149,502.25
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$164,150.41
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$183,393.59
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$155,884.55
|
| Rate for Payer: Elderplan Medicare Advantage |
$152,885.18
|
| Rate for Payer: EmblemHealth Commercial |
$160,931.77
|
| Rate for Payer: Fidelis Medicare Advantage |
$160,931.77
|
| Rate for Payer: Group Health Inc Commercial |
$160,931.77
|
| Rate for Payer: Group Health Inc Medicare |
$160,931.77
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$160,931.77
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$160,931.77
|
| Rate for Payer: Healthfirst Medicare Advantage |
$149,666.55
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$160,931.77
|
| Rate for Payer: United Healthcare Commercial |
$205,044.91
|
| Rate for Payer: United Healthcare Medicare Advantage |
$160,931.77
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$160,931.77
|
| Rate for Payer: Wellcare Medicare |
$152,885.18
|
|
|
MS-DRG 43.00: LIVER TRANSPLANT WITHOUT MCC
|
Facility
|
IP
|
$92,216.02
|
|
|
Service Code
|
MSDRG 006
|
| Min. Negotiated Rate |
$67,236.50 |
| Max. Negotiated Rate |
$92,216.02 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$71,320.09
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$78,462.59
|
| Rate for Payer: Aetna Government |
$78,462.59
|
| Rate for Payer: Brighton Health Commercial |
$67,236.50
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$80,031.84
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$82,478.64
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$70,106.85
|
| Rate for Payer: Elderplan Medicare Advantage |
$74,539.46
|
| Rate for Payer: EmblemHealth Commercial |
$78,462.59
|
| Rate for Payer: Fidelis Medicare Advantage |
$78,462.59
|
| Rate for Payer: Group Health Inc Commercial |
$78,462.59
|
| Rate for Payer: Group Health Inc Medicare |
$78,462.59
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$78,462.59
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$78,462.59
|
| Rate for Payer: Healthfirst Medicare Advantage |
$72,970.21
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$78,462.59
|
| Rate for Payer: United Healthcare Commercial |
$92,216.02
|
| Rate for Payer: United Healthcare Medicare Advantage |
$78,462.59
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$78,462.59
|
| Rate for Payer: Wellcare Medicare |
$74,539.46
|
|
|
MS-DRG 43.00: LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC
|
Facility
|
IP
|
$51,261.46
|
|
|
Service Code
|
MSDRG 496
|
| Min. Negotiated Rate |
$26,156.55 |
| Max. Negotiated Rate |
$51,261.46 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$29,305.69
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$37,281.06
|
| Rate for Payer: Aetna Government |
$37,281.06
|
| Rate for Payer: Brighton Health Commercial |
$26,156.55
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$38,026.68
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$32,086.10
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$27,273.18
|
| Rate for Payer: Elderplan Medicare Advantage |
$35,417.01
|
| Rate for Payer: EmblemHealth Commercial |
$37,281.06
|
| Rate for Payer: Fidelis Medicare Advantage |
$37,281.06
|
| Rate for Payer: Group Health Inc Commercial |
$37,281.06
|
| Rate for Payer: Group Health Inc Medicare |
$37,281.06
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$37,281.06
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$37,281.06
|
| Rate for Payer: Healthfirst Medicare Advantage |
$34,671.39
|
| Rate for Payer: Humana Medicare |
$51,261.46
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$37,281.06
|
| Rate for Payer: United Healthcare Commercial |
$35,874.16
|
| Rate for Payer: United Healthcare Medicare Advantage |
$37,281.06
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$37,281.06
|
| Rate for Payer: Wellcare Medicare |
$35,417.01
|
|
|
MS-DRG 43.00: LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC
|
Facility
|
IP
|
$87,673.44
|
|
|
Service Code
|
MSDRG 495
|
| Min. Negotiated Rate |
$52,572.65 |
| Max. Negotiated Rate |
$87,673.44 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$52,804.79
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$63,762.50
|
| Rate for Payer: Aetna Government |
$63,762.50
|
| Rate for Payer: Brighton Health Commercial |
$52,572.65
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$65,037.75
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$64,490.58
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$54,816.99
|
| Rate for Payer: Elderplan Medicare Advantage |
$60,574.38
|
| Rate for Payer: EmblemHealth Commercial |
$63,762.50
|
| Rate for Payer: Fidelis Medicare Advantage |
$63,762.50
|
| Rate for Payer: Group Health Inc Commercial |
$63,762.50
|
| Rate for Payer: Group Health Inc Medicare |
$63,762.50
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$63,762.50
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$63,762.50
|
| Rate for Payer: Healthfirst Medicare Advantage |
$59,299.12
|
| Rate for Payer: Humana Medicare |
$87,673.44
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$63,762.50
|
| Rate for Payer: United Healthcare Commercial |
$72,104.30
|
| Rate for Payer: United Healthcare Medicare Advantage |
$63,762.50
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$63,762.50
|
| Rate for Payer: Wellcare Medicare |
$60,574.38
|
|
|
MS-DRG 43.00: LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC
|
Facility
|
IP
|
$39,357.33
|
|
|
Service Code
|
MSDRG 497
|
| Min. Negotiated Rate |
$16,699.65 |
| Max. Negotiated Rate |
$39,357.33 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$21,047.01
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$28,623.51
|
| Rate for Payer: Aetna Government |
$28,623.51
|
| Rate for Payer: Brighton Health Commercial |
$16,699.65
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$29,195.98
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$20,485.37
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$17,412.56
|
| Rate for Payer: Elderplan Medicare Advantage |
$27,192.33
|
| Rate for Payer: EmblemHealth Commercial |
$28,623.51
|
| Rate for Payer: Fidelis Medicare Advantage |
$28,623.51
|
| Rate for Payer: Group Health Inc Commercial |
$28,623.51
|
| Rate for Payer: Group Health Inc Medicare |
$28,623.51
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$28,623.51
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$28,623.51
|
| Rate for Payer: Healthfirst Medicare Advantage |
$26,619.86
|
| Rate for Payer: Humana Medicare |
$39,357.33
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$28,623.51
|
| Rate for Payer: United Healthcare Commercial |
$22,903.86
|
| Rate for Payer: United Healthcare Medicare Advantage |
$28,623.51
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$28,623.51
|
| Rate for Payer: Wellcare Medicare |
$27,192.33
|
|
|
MS-DRG 43.00: LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC
|
Facility
|
IP
|
$75,503.45
|
|
|
Service Code
|
MSDRG 498
|
| Min. Negotiated Rate |
$38,499.20 |
| Max. Negotiated Rate |
$75,503.45 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$38,499.20
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$54,911.60
|
| Rate for Payer: Aetna Government |
$54,911.60
|
| Rate for Payer: Brighton Health Commercial |
$43,743.60
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$56,009.83
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$53,660.03
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$45,611.03
|
| Rate for Payer: Elderplan Medicare Advantage |
$52,166.02
|
| Rate for Payer: EmblemHealth Commercial |
$54,911.60
|
| Rate for Payer: Fidelis Medicare Advantage |
$54,911.60
|
| Rate for Payer: Group Health Inc Commercial |
$54,911.60
|
| Rate for Payer: Group Health Inc Medicare |
$54,911.60
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$54,911.60
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$54,911.60
|
| Rate for Payer: Healthfirst Medicare Advantage |
$51,067.79
|
| Rate for Payer: Humana Medicare |
$75,503.45
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$54,911.60
|
| Rate for Payer: United Healthcare Commercial |
$59,995.10
|
| Rate for Payer: United Healthcare Medicare Advantage |
$54,911.60
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$54,911.60
|
| Rate for Payer: Wellcare Medicare |
$52,166.02
|
|
|
MS-DRG 43.00: LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC
|
Facility
|
IP
|
$55,476.66
|
|
|
Service Code
|
MSDRG 499
|
| Min. Negotiated Rate |
$19,018.10 |
| Max. Negotiated Rate |
$55,476.66 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$19,018.10
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$40,346.66
|
| Rate for Payer: Aetna Government |
$40,346.66
|
| Rate for Payer: Brighton Health Commercial |
$29,214.60
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$41,153.59
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$35,837.39
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$30,461.78
|
| Rate for Payer: Elderplan Medicare Advantage |
$38,329.33
|
| Rate for Payer: EmblemHealth Commercial |
$40,346.66
|
| Rate for Payer: Fidelis Medicare Advantage |
$40,346.66
|
| Rate for Payer: Group Health Inc Commercial |
$40,346.66
|
| Rate for Payer: Group Health Inc Medicare |
$40,346.66
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$40,346.66
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$40,346.66
|
| Rate for Payer: Healthfirst Medicare Advantage |
$37,522.39
|
| Rate for Payer: Humana Medicare |
$55,476.66
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$40,346.66
|
| Rate for Payer: United Healthcare Commercial |
$40,068.33
|
| Rate for Payer: United Healthcare Medicare Advantage |
$40,346.66
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$40,346.66
|
| Rate for Payer: Wellcare Medicare |
$38,329.33
|
|
|
MS-DRG 43.00: LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC
|
Facility
|
IP
|
$65,895.82
|
|
|
Service Code
|
MSDRG 493
|
| Min. Negotiated Rate |
$35,413.07 |
| Max. Negotiated Rate |
$65,895.82 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$35,413.07
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$47,924.23
|
| Rate for Payer: Aetna Government |
$47,924.23
|
| Rate for Payer: Brighton Health Commercial |
$36,773.45
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$48,882.71
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$45,109.79
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$38,343.32
|
| Rate for Payer: Elderplan Medicare Advantage |
$45,528.02
|
| Rate for Payer: EmblemHealth Commercial |
$47,924.23
|
| Rate for Payer: Fidelis Medicare Advantage |
$47,924.23
|
| Rate for Payer: Group Health Inc Commercial |
$47,924.23
|
| Rate for Payer: Group Health Inc Medicare |
$47,924.23
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$47,924.23
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$47,924.23
|
| Rate for Payer: Healthfirst Medicare Advantage |
$44,569.53
|
| Rate for Payer: Humana Medicare |
$65,895.82
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$47,924.23
|
| Rate for Payer: United Healthcare Commercial |
$50,435.42
|
| Rate for Payer: United Healthcare Medicare Advantage |
$47,924.23
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$47,924.23
|
| Rate for Payer: Wellcare Medicare |
$45,528.02
|
|
|
MS-DRG 43.00: LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC
|
Facility
|
IP
|
$88,590.82
|
|
|
Service Code
|
MSDRG 492
|
| Min. Negotiated Rate |
$51,048.66 |
| Max. Negotiated Rate |
$88,590.82 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$51,048.66
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$64,429.69
|
| Rate for Payer: Aetna Government |
$64,429.69
|
| Rate for Payer: Brighton Health Commercial |
$53,238.20
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$65,718.28
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$65,307.01
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$55,510.96
|
| Rate for Payer: Elderplan Medicare Advantage |
$61,208.21
|
| Rate for Payer: EmblemHealth Commercial |
$64,429.69
|
| Rate for Payer: Fidelis Medicare Advantage |
$64,429.69
|
| Rate for Payer: Group Health Inc Commercial |
$64,429.69
|
| Rate for Payer: Group Health Inc Medicare |
$64,429.69
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$64,429.69
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$64,429.69
|
| Rate for Payer: Healthfirst Medicare Advantage |
$59,919.61
|
| Rate for Payer: Humana Medicare |
$88,590.82
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$64,429.69
|
| Rate for Payer: United Healthcare Commercial |
$73,017.11
|
| Rate for Payer: United Healthcare Medicare Advantage |
$64,429.69
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$64,429.69
|
| Rate for Payer: Wellcare Medicare |
$61,208.21
|
|
|
MS-DRG 43.00: LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC
|
Facility
|
IP
|
$55,310.81
|
|
|
Service Code
|
MSDRG 494
|
| Min. Negotiated Rate |
$27,561.35 |
| Max. Negotiated Rate |
$55,310.81 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$27,561.35
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$40,226.04
|
| Rate for Payer: Aetna Government |
$40,226.04
|
| Rate for Payer: Brighton Health Commercial |
$29,094.25
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$41,030.56
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$35,689.76
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$30,336.29
|
| Rate for Payer: Elderplan Medicare Advantage |
$38,214.74
|
| Rate for Payer: EmblemHealth Commercial |
$40,226.04
|
| Rate for Payer: Fidelis Medicare Advantage |
$40,226.04
|
| Rate for Payer: Group Health Inc Commercial |
$40,226.04
|
| Rate for Payer: Group Health Inc Medicare |
$40,226.04
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$40,226.04
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$40,226.04
|
| Rate for Payer: Healthfirst Medicare Advantage |
$37,410.22
|
| Rate for Payer: Humana Medicare |
$55,310.81
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$40,226.04
|
| Rate for Payer: United Healthcare Commercial |
$39,903.27
|
| Rate for Payer: United Healthcare Medicare Advantage |
$40,226.04
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$40,226.04
|
| Rate for Payer: Wellcare Medicare |
$38,214.74
|
|
|
MS-DRG 43.00: LUNG TRANSPLANT
|
Facility
|
IP
|
$257,540.63
|
|
|
Service Code
|
MSDRG 007
|
| Min. Negotiated Rate |
$180,868.07 |
| Max. Negotiated Rate |
$257,540.63 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$180,868.07
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$199,302.09
|
| Rate for Payer: Aetna Government |
$199,302.09
|
| Rate for Payer: Brighton Health Commercial |
$187,777.90
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$203,288.13
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$230,346.11
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$195,794.20
|
| Rate for Payer: Elderplan Medicare Advantage |
$189,336.99
|
| Rate for Payer: EmblemHealth Commercial |
$199,302.09
|
| Rate for Payer: Fidelis Medicare Advantage |
$199,302.09
|
| Rate for Payer: Group Health Inc Commercial |
$199,302.09
|
| Rate for Payer: Group Health Inc Medicare |
$199,302.09
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$199,302.09
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$199,302.09
|
| Rate for Payer: Healthfirst Medicare Advantage |
$185,350.94
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$199,302.09
|
| Rate for Payer: United Healthcare Commercial |
$257,540.63
|
| Rate for Payer: United Healthcare Medicare Advantage |
$199,302.09
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$199,302.09
|
| Rate for Payer: Wellcare Medicare |
$189,336.99
|
|
|
MS-DRG 43.00: LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$59,949.75
|
|
|
Service Code
|
MSDRG 821
|
| Min. Negotiated Rate |
$32,459.70 |
| Max. Negotiated Rate |
$59,949.75 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$32,912.31
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$43,599.82
|
| Rate for Payer: Aetna Government |
$43,599.82
|
| Rate for Payer: Brighton Health Commercial |
$32,459.70
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$44,471.82
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$39,818.13
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$33,845.42
|
| Rate for Payer: Elderplan Medicare Advantage |
$41,419.83
|
| Rate for Payer: EmblemHealth Commercial |
$43,599.82
|
| Rate for Payer: Fidelis Medicare Advantage |
$43,599.82
|
| Rate for Payer: Group Health Inc Commercial |
$43,599.82
|
| Rate for Payer: Group Health Inc Medicare |
$43,599.82
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$43,599.82
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$43,599.82
|
| Rate for Payer: Healthfirst Medicare Advantage |
$40,547.83
|
| Rate for Payer: Humana Medicare |
$59,949.75
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$43,599.82
|
| Rate for Payer: United Healthcare Commercial |
$44,519.04
|
| Rate for Payer: United Healthcare Medicare Advantage |
$43,599.82
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$43,599.82
|
| Rate for Payer: Wellcare Medicare |
$41,419.83
|
|
|
MS-DRG 43.00: LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$132,425.86
|
|
|
Service Code
|
MSDRG 820
|
| Min. Negotiated Rate |
$85,039.60 |
| Max. Negotiated Rate |
$132,425.86 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$89,158.59
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$96,309.72
|
| Rate for Payer: Aetna Government |
$96,309.72
|
| Rate for Payer: Brighton Health Commercial |
$85,039.60
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$98,235.91
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$104,317.61
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$88,669.97
|
| Rate for Payer: Elderplan Medicare Advantage |
$91,494.23
|
| Rate for Payer: EmblemHealth Commercial |
$96,309.72
|
| Rate for Payer: Fidelis Medicare Advantage |
$96,309.72
|
| Rate for Payer: Group Health Inc Commercial |
$96,309.72
|
| Rate for Payer: Group Health Inc Medicare |
$96,309.72
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$96,309.72
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$96,309.72
|
| Rate for Payer: Healthfirst Medicare Advantage |
$89,568.04
|
| Rate for Payer: Humana Medicare |
$132,425.86
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$96,309.72
|
| Rate for Payer: United Healthcare Commercial |
$116,633.28
|
| Rate for Payer: United Healthcare Medicare Advantage |
$96,309.72
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$96,309.72
|
| Rate for Payer: Wellcare Medicare |
$91,494.23
|
|
|
MS-DRG 43.00: LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$39,271.39
|
|
|
Service Code
|
MSDRG 822
|
| Min. Negotiated Rate |
$17,458.00 |
| Max. Negotiated Rate |
$39,271.39 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$18,266.11
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$28,561.01
|
| Rate for Payer: Aetna Government |
$28,561.01
|
| Rate for Payer: Brighton Health Commercial |
$17,458.00
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$29,132.23
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$21,415.63
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$18,203.29
|
| Rate for Payer: Elderplan Medicare Advantage |
$27,132.96
|
| Rate for Payer: EmblemHealth Commercial |
$28,561.01
|
| Rate for Payer: Fidelis Medicare Advantage |
$28,561.01
|
| Rate for Payer: Group Health Inc Commercial |
$28,561.01
|
| Rate for Payer: Group Health Inc Medicare |
$28,561.01
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$28,561.01
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$28,561.01
|
| Rate for Payer: Healthfirst Medicare Advantage |
$26,561.74
|
| Rate for Payer: Humana Medicare |
$39,271.39
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$28,561.01
|
| Rate for Payer: United Healthcare Commercial |
$23,943.95
|
| Rate for Payer: United Healthcare Medicare Advantage |
$28,561.01
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$28,561.01
|
| Rate for Payer: Wellcare Medicare |
$27,132.96
|
|
|
MS-DRG 43.00: LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC
|
Facility
|
IP
|
$47,813.74
|
|
|
Service Code
|
MSDRG 841
|
| Min. Negotiated Rate |
$23,201.26 |
| Max. Negotiated Rate |
$47,813.74 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$23,201.26
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$34,773.63
|
| Rate for Payer: Aetna Government |
$34,773.63
|
| Rate for Payer: Brighton Health Commercial |
$23,655.30
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$35,469.10
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$29,017.83
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$24,665.15
|
| Rate for Payer: Elderplan Medicare Advantage |
$33,034.95
|
| Rate for Payer: EmblemHealth Commercial |
$34,773.63
|
| Rate for Payer: Fidelis Medicare Advantage |
$34,773.63
|
| Rate for Payer: Group Health Inc Commercial |
$34,773.63
|
| Rate for Payer: Group Health Inc Medicare |
$34,773.63
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$34,773.63
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$34,773.63
|
| Rate for Payer: Healthfirst Medicare Advantage |
$32,339.48
|
| Rate for Payer: Humana Medicare |
$47,813.74
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$34,773.63
|
| Rate for Payer: United Healthcare Commercial |
$32,443.65
|
| Rate for Payer: United Healthcare Medicare Advantage |
$34,773.63
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$34,773.63
|
| Rate for Payer: Wellcare Medicare |
$33,034.95
|
|
|
MS-DRG 43.00: LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC
|
Facility
|
IP
|
$79,862.57
|
|
|
Service Code
|
MSDRG 840
|
| Min. Negotiated Rate |
$46,081.07 |
| Max. Negotiated Rate |
$79,862.57 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$46,081.07
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$58,081.87
|
| Rate for Payer: Aetna Government |
$58,081.87
|
| Rate for Payer: Brighton Health Commercial |
$46,906.05
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$59,243.51
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$57,539.39
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$48,908.49
|
| Rate for Payer: Elderplan Medicare Advantage |
$55,177.78
|
| Rate for Payer: EmblemHealth Commercial |
$58,081.87
|
| Rate for Payer: Fidelis Medicare Advantage |
$58,081.87
|
| Rate for Payer: Group Health Inc Commercial |
$58,081.87
|
| Rate for Payer: Group Health Inc Medicare |
$58,081.87
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$58,081.87
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$58,081.87
|
| Rate for Payer: Healthfirst Medicare Advantage |
$54,016.14
|
| Rate for Payer: Humana Medicare |
$79,862.57
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$58,081.87
|
| Rate for Payer: United Healthcare Commercial |
$64,332.46
|
| Rate for Payer: United Healthcare Medicare Advantage |
$58,081.87
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$58,081.87
|
| Rate for Payer: Wellcare Medicare |
$55,177.78
|
|
|
MS-DRG 43.00: LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC
|
Facility
|
IP
|
$60,489.37
|
|
|
Service Code
|
MSDRG 824
|
| Min. Negotiated Rate |
$32,851.20 |
| Max. Negotiated Rate |
$60,489.37 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$32,924.11
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$43,992.27
|
| Rate for Payer: Aetna Government |
$43,992.27
|
| Rate for Payer: Brighton Health Commercial |
$32,851.20
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$44,872.12
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$40,298.39
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$34,253.63
|
| Rate for Payer: Elderplan Medicare Advantage |
$41,792.66
|
| Rate for Payer: EmblemHealth Commercial |
$43,992.27
|
| Rate for Payer: Fidelis Medicare Advantage |
$43,992.27
|
| Rate for Payer: Group Health Inc Commercial |
$43,992.27
|
| Rate for Payer: Group Health Inc Medicare |
$43,992.27
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$43,992.27
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$43,992.27
|
| Rate for Payer: Healthfirst Medicare Advantage |
$40,912.81
|
| Rate for Payer: Humana Medicare |
$60,489.37
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$43,992.27
|
| Rate for Payer: United Healthcare Commercial |
$45,055.99
|
| Rate for Payer: United Healthcare Medicare Advantage |
$43,992.27
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$43,992.27
|
| Rate for Payer: Wellcare Medicare |
$41,792.66
|
|
