|
MS-DRG 43.00: LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC
|
Facility
|
IP
|
$106,842.75
|
|
|
Service Code
|
MSDRG 823
|
| Min. Negotiated Rate |
$66,380.52 |
| Max. Negotiated Rate |
$106,842.75 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$66,380.52
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$77,703.82
|
| Rate for Payer: Aetna Government |
$77,703.82
|
| Rate for Payer: Brighton Health Commercial |
$66,479.60
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$79,257.90
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$81,550.16
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$69,317.64
|
| Rate for Payer: Elderplan Medicare Advantage |
$73,818.63
|
| Rate for Payer: EmblemHealth Commercial |
$77,703.82
|
| Rate for Payer: Fidelis Medicare Advantage |
$77,703.82
|
| Rate for Payer: Group Health Inc Commercial |
$77,703.82
|
| Rate for Payer: Group Health Inc Medicare |
$77,703.82
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$77,703.82
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$77,703.82
|
| Rate for Payer: Healthfirst Medicare Advantage |
$72,264.55
|
| Rate for Payer: Humana Medicare |
$106,842.75
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$77,703.82
|
| Rate for Payer: United Healthcare Commercial |
$91,177.92
|
| Rate for Payer: United Healthcare Medicare Advantage |
$77,703.82
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$77,703.82
|
| Rate for Payer: Wellcare Medicare |
$73,818.63
|
|
|
MS-DRG 43.00: LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$42,177.49
|
|
|
Service Code
|
MSDRG 825
|
| Min. Negotiated Rate |
$19,041.69 |
| Max. Negotiated Rate |
$42,177.49 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$19,041.69
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$30,674.54
|
| Rate for Payer: Aetna Government |
$30,674.54
|
| Rate for Payer: Brighton Health Commercial |
$19,566.30
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$31,288.03
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$24,001.87
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$20,401.59
|
| Rate for Payer: Elderplan Medicare Advantage |
$29,140.81
|
| Rate for Payer: EmblemHealth Commercial |
$30,674.54
|
| Rate for Payer: Fidelis Medicare Advantage |
$30,674.54
|
| Rate for Payer: Group Health Inc Commercial |
$30,674.54
|
| Rate for Payer: Group Health Inc Medicare |
$30,674.54
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$30,674.54
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$30,674.54
|
| Rate for Payer: Healthfirst Medicare Advantage |
$28,527.32
|
| Rate for Payer: Humana Medicare |
$42,177.49
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$30,674.54
|
| Rate for Payer: United Healthcare Commercial |
$26,835.52
|
| Rate for Payer: United Healthcare Medicare Advantage |
$30,674.54
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$30,674.54
|
| Rate for Payer: Wellcare Medicare |
$29,140.81
|
|
|
MS-DRG 43.00: LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC
|
Facility
|
IP
|
$35,401.95
|
|
|
Service Code
|
MSDRG 842
|
| Min. Negotiated Rate |
$14,650.80 |
| Max. Negotiated Rate |
$35,401.95 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$15,724.07
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$25,746.87
|
| Rate for Payer: Aetna Government |
$25,746.87
|
| Rate for Payer: Brighton Health Commercial |
$14,650.80
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$26,261.81
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$17,972.06
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$15,276.25
|
| Rate for Payer: Elderplan Medicare Advantage |
$24,459.53
|
| Rate for Payer: EmblemHealth Commercial |
$25,746.87
|
| Rate for Payer: Fidelis Medicare Advantage |
$25,746.87
|
| Rate for Payer: Group Health Inc Commercial |
$25,746.87
|
| Rate for Payer: Group Health Inc Medicare |
$25,746.87
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$25,746.87
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$25,746.87
|
| Rate for Payer: Healthfirst Medicare Advantage |
$23,944.59
|
| Rate for Payer: Humana Medicare |
$35,401.95
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$25,746.87
|
| Rate for Payer: United Healthcare Commercial |
$20,093.82
|
| Rate for Payer: United Healthcare Medicare Advantage |
$25,746.87
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$25,746.87
|
| Rate for Payer: Wellcare Medicare |
$24,459.53
|
|
|
MS-DRG 43.00: MAJOR BLADDER PROCEDURES WITH CC
|
Facility
|
IP
|
$71,156.33
|
|
|
Service Code
|
MSDRG 654
|
| Min. Negotiated Rate |
$40,364.44 |
| Max. Negotiated Rate |
$71,156.33 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$40,364.44
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$51,750.06
|
| Rate for Payer: Aetna Government |
$51,750.06
|
| Rate for Payer: Brighton Health Commercial |
$40,589.85
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$52,785.06
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$49,791.35
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$42,322.64
|
| Rate for Payer: Elderplan Medicare Advantage |
$49,162.56
|
| Rate for Payer: EmblemHealth Commercial |
$51,750.06
|
| Rate for Payer: Fidelis Medicare Advantage |
$51,750.06
|
| Rate for Payer: Group Health Inc Commercial |
$51,750.06
|
| Rate for Payer: Group Health Inc Medicare |
$51,750.06
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$51,750.06
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$51,750.06
|
| Rate for Payer: Healthfirst Medicare Advantage |
$48,127.56
|
| Rate for Payer: Humana Medicare |
$71,156.33
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$51,750.06
|
| Rate for Payer: United Healthcare Commercial |
$55,669.68
|
| Rate for Payer: United Healthcare Medicare Advantage |
$51,750.06
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$51,750.06
|
| Rate for Payer: Wellcare Medicare |
$49,162.56
|
|
|
MS-DRG 43.00: MAJOR BLADDER PROCEDURES WITH MCC
|
Facility
|
IP
|
$119,066.70
|
|
|
Service Code
|
MSDRG 653
|
| Min. Negotiated Rate |
$75,347.80 |
| Max. Negotiated Rate |
$119,066.70 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$79,823.53
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$86,593.96
|
| Rate for Payer: Aetna Government |
$86,593.96
|
| Rate for Payer: Brighton Health Commercial |
$75,347.80
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$88,325.84
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$92,428.73
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$78,564.42
|
| Rate for Payer: Elderplan Medicare Advantage |
$82,264.26
|
| Rate for Payer: EmblemHealth Commercial |
$86,593.96
|
| Rate for Payer: Fidelis Medicare Advantage |
$86,593.96
|
| Rate for Payer: Group Health Inc Commercial |
$86,593.96
|
| Rate for Payer: Group Health Inc Medicare |
$86,593.96
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$86,593.96
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$86,593.96
|
| Rate for Payer: Healthfirst Medicare Advantage |
$80,532.38
|
| Rate for Payer: Humana Medicare |
$119,066.70
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$86,593.96
|
| Rate for Payer: United Healthcare Commercial |
$103,340.81
|
| Rate for Payer: United Healthcare Medicare Advantage |
$86,593.96
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$86,593.96
|
| Rate for Payer: Wellcare Medicare |
$82,264.26
|
|
|
MS-DRG 43.00: MAJOR BLADDER PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$57,511.34
|
|
|
Service Code
|
MSDRG 655
|
| Min. Negotiated Rate |
$30,690.70 |
| Max. Negotiated Rate |
$57,511.34 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$31,079.51
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$41,826.43
|
| Rate for Payer: Aetna Government |
$41,826.43
|
| Rate for Payer: Brighton Health Commercial |
$30,690.70
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$42,662.96
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$37,648.11
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$32,000.90
|
| Rate for Payer: Elderplan Medicare Advantage |
$39,735.11
|
| Rate for Payer: EmblemHealth Commercial |
$41,826.43
|
| Rate for Payer: Fidelis Medicare Advantage |
$41,826.43
|
| Rate for Payer: Group Health Inc Commercial |
$41,826.43
|
| Rate for Payer: Group Health Inc Medicare |
$41,826.43
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$41,826.43
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$41,826.43
|
| Rate for Payer: Healthfirst Medicare Advantage |
$38,898.58
|
| Rate for Payer: Humana Medicare |
$57,511.34
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$41,826.43
|
| Rate for Payer: United Healthcare Commercial |
$42,092.82
|
| Rate for Payer: United Healthcare Medicare Advantage |
$41,826.43
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$41,826.43
|
| Rate for Payer: Wellcare Medicare |
$39,735.11
|
|
|
MS-DRG 43.00: MAJOR CHEST PROCEDURES WITH CC
|
Facility
|
IP
|
$65,653.95
|
|
|
Service Code
|
MSDRG 164
|
| Min. Negotiated Rate |
$36,598.00 |
| Max. Negotiated Rate |
$65,653.95 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$37,605.65
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$47,748.33
|
| Rate for Payer: Aetna Government |
$47,748.33
|
| Rate for Payer: Brighton Health Commercial |
$36,598.00
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$48,703.30
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$44,894.56
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$38,160.38
|
| Rate for Payer: Elderplan Medicare Advantage |
$45,360.91
|
| Rate for Payer: EmblemHealth Commercial |
$47,748.33
|
| Rate for Payer: Fidelis Medicare Advantage |
$47,748.33
|
| Rate for Payer: Group Health Inc Commercial |
$47,748.33
|
| Rate for Payer: Group Health Inc Medicare |
$47,748.33
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$47,748.33
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$47,748.33
|
| Rate for Payer: Healthfirst Medicare Advantage |
$44,405.95
|
| Rate for Payer: Humana Medicare |
$65,653.95
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$47,748.33
|
| Rate for Payer: United Healthcare Commercial |
$50,194.79
|
| Rate for Payer: United Healthcare Medicare Advantage |
$47,748.33
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$47,748.33
|
| Rate for Payer: Wellcare Medicare |
$45,360.91
|
|
|
MS-DRG 43.00: MAJOR CHEST PROCEDURES WITH MCC
|
Facility
|
IP
|
$104,784.13
|
|
|
Service Code
|
MSDRG 163
|
| Min. Negotiated Rate |
$64,986.10 |
| Max. Negotiated Rate |
$104,784.13 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$69,502.03
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$76,206.64
|
| Rate for Payer: Aetna Government |
$76,206.64
|
| Rate for Payer: Brighton Health Commercial |
$64,986.10
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$77,730.77
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$79,718.09
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$67,760.38
|
| Rate for Payer: Elderplan Medicare Advantage |
$72,396.31
|
| Rate for Payer: EmblemHealth Commercial |
$76,206.64
|
| Rate for Payer: Fidelis Medicare Advantage |
$76,206.64
|
| Rate for Payer: Group Health Inc Commercial |
$76,206.64
|
| Rate for Payer: Group Health Inc Medicare |
$76,206.64
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$76,206.64
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$76,206.64
|
| Rate for Payer: Healthfirst Medicare Advantage |
$70,872.18
|
| Rate for Payer: Humana Medicare |
$104,784.13
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$76,206.64
|
| Rate for Payer: United Healthcare Commercial |
$89,129.56
|
| Rate for Payer: United Healthcare Medicare Advantage |
$76,206.64
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$76,206.64
|
| Rate for Payer: Wellcare Medicare |
$72,396.31
|
|
|
MS-DRG 43.00: MAJOR CHEST PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$53,466.04
|
|
|
Service Code
|
MSDRG 165
|
| Min. Negotiated Rate |
$27,667.52 |
| Max. Negotiated Rate |
$53,466.04 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$27,667.52
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$38,884.39
|
| Rate for Payer: Aetna Government |
$38,884.39
|
| Rate for Payer: Brighton Health Commercial |
$27,755.90
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$39,662.08
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$34,048.01
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$28,940.81
|
| Rate for Payer: Elderplan Medicare Advantage |
$36,940.17
|
| Rate for Payer: EmblemHealth Commercial |
$38,884.39
|
| Rate for Payer: Fidelis Medicare Advantage |
$38,884.39
|
| Rate for Payer: Group Health Inc Commercial |
$38,884.39
|
| Rate for Payer: Group Health Inc Medicare |
$38,884.39
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$38,884.39
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$38,884.39
|
| Rate for Payer: Healthfirst Medicare Advantage |
$36,162.48
|
| Rate for Payer: Humana Medicare |
$53,466.04
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$38,884.39
|
| Rate for Payer: United Healthcare Commercial |
$38,067.70
|
| Rate for Payer: United Healthcare Medicare Advantage |
$38,884.39
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$38,884.39
|
| Rate for Payer: Wellcare Medicare |
$36,940.17
|
|
|
MS-DRG 43.00: MAJOR CHEST TRAUMA WITH CC
|
Facility
|
IP
|
$36,475.26
|
|
|
Service Code
|
MSDRG 184
|
| Min. Negotiated Rate |
$15,429.45 |
| Max. Negotiated Rate |
$36,475.26 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$15,510.27
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$26,527.46
|
| Rate for Payer: Aetna Government |
$26,527.46
|
| Rate for Payer: Brighton Health Commercial |
$15,429.45
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$27,058.01
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$18,927.22
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$16,088.14
|
| Rate for Payer: Elderplan Medicare Advantage |
$25,201.09
|
| Rate for Payer: EmblemHealth Commercial |
$26,527.46
|
| Rate for Payer: Fidelis Medicare Advantage |
$26,527.46
|
| Rate for Payer: Group Health Inc Commercial |
$26,527.46
|
| Rate for Payer: Group Health Inc Medicare |
$26,527.46
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$26,527.46
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$26,527.46
|
| Rate for Payer: Healthfirst Medicare Advantage |
$24,670.54
|
| Rate for Payer: Humana Medicare |
$36,475.26
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$26,527.46
|
| Rate for Payer: United Healthcare Commercial |
$21,161.76
|
| Rate for Payer: United Healthcare Medicare Advantage |
$26,527.46
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$26,527.46
|
| Rate for Payer: Wellcare Medicare |
$25,201.09
|
|
|
MS-DRG 43.00: MAJOR CHEST TRAUMA WITH MCC
|
Facility
|
IP
|
$45,785.09
|
|
|
Service Code
|
MSDRG 183
|
| Min. Negotiated Rate |
$22,183.55 |
| Max. Negotiated Rate |
$45,785.09 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$23,216.00
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$33,298.25
|
| Rate for Payer: Aetna Government |
$33,298.25
|
| Rate for Payer: Brighton Health Commercial |
$22,183.55
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$33,964.21
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$27,212.44
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$23,130.57
|
| Rate for Payer: Elderplan Medicare Advantage |
$31,633.34
|
| Rate for Payer: EmblemHealth Commercial |
$33,298.25
|
| Rate for Payer: Fidelis Medicare Advantage |
$33,298.25
|
| Rate for Payer: Group Health Inc Commercial |
$33,298.25
|
| Rate for Payer: Group Health Inc Medicare |
$33,298.25
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$33,298.25
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$33,298.25
|
| Rate for Payer: Healthfirst Medicare Advantage |
$30,967.37
|
| Rate for Payer: Humana Medicare |
$45,785.09
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$33,298.25
|
| Rate for Payer: United Healthcare Commercial |
$30,425.12
|
| Rate for Payer: United Healthcare Medicare Advantage |
$33,298.25
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$33,298.25
|
| Rate for Payer: Wellcare Medicare |
$31,633.34
|
|
|
MS-DRG 43.00: MAJOR CHEST TRAUMA WITHOUT CC/MCC
|
Facility
|
IP
|
$30,926.90
|
|
|
Service Code
|
MSDRG 185
|
| Min. Negotiated Rate |
$11,142.80 |
| Max. Negotiated Rate |
$30,926.90 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$11,142.80
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$22,492.29
|
| Rate for Payer: Aetna Government |
$22,492.29
|
| Rate for Payer: Brighton Health Commercial |
$11,404.25
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$22,942.14
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$13,989.53
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$11,891.10
|
| Rate for Payer: Elderplan Medicare Advantage |
$21,367.68
|
| Rate for Payer: EmblemHealth Commercial |
$22,492.29
|
| Rate for Payer: Fidelis Medicare Advantage |
$22,492.29
|
| Rate for Payer: Group Health Inc Commercial |
$22,492.29
|
| Rate for Payer: Group Health Inc Medicare |
$22,492.29
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$22,492.29
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$22,492.29
|
| Rate for Payer: Healthfirst Medicare Advantage |
$20,917.83
|
| Rate for Payer: Humana Medicare |
$30,926.90
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$22,492.29
|
| Rate for Payer: United Healthcare Commercial |
$15,641.13
|
| Rate for Payer: United Healthcare Medicare Advantage |
$22,492.29
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$22,492.29
|
| Rate for Payer: Wellcare Medicare |
$21,367.68
|
|
|
MS-DRG 43.00: MAJOR ESOPHAGEAL DISORDERS WITH CC
|
Facility
|
IP
|
$35,198.09
|
|
|
Service Code
|
MSDRG 369
|
| Min. Negotiated Rate |
$14,502.90 |
| Max. Negotiated Rate |
$35,198.09 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$14,572.48
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$25,598.61
|
| Rate for Payer: Aetna Government |
$25,598.61
|
| Rate for Payer: Brighton Health Commercial |
$14,502.90
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$26,110.58
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$17,790.63
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$15,122.03
|
| Rate for Payer: Elderplan Medicare Advantage |
$24,318.68
|
| Rate for Payer: EmblemHealth Commercial |
$25,598.61
|
| Rate for Payer: Fidelis Medicare Advantage |
$25,598.61
|
| Rate for Payer: Group Health Inc Commercial |
$25,598.61
|
| Rate for Payer: Group Health Inc Medicare |
$25,598.61
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$25,598.61
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$25,598.61
|
| Rate for Payer: Healthfirst Medicare Advantage |
$23,806.71
|
| Rate for Payer: Humana Medicare |
$35,198.09
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$25,598.61
|
| Rate for Payer: United Healthcare Commercial |
$19,890.98
|
| Rate for Payer: United Healthcare Medicare Advantage |
$25,598.61
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$25,598.61
|
| Rate for Payer: Wellcare Medicare |
$24,318.68
|
|
|
MS-DRG 43.00: MAJOR ESOPHAGEAL DISORDERS WITH MCC
|
Facility
|
IP
|
$47,024.27
|
|
|
Service Code
|
MSDRG 368
|
| Min. Negotiated Rate |
$23,082.55 |
| Max. Negotiated Rate |
$47,024.27 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$24,358.74
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$34,199.47
|
| Rate for Payer: Aetna Government |
$34,199.47
|
| Rate for Payer: Brighton Health Commercial |
$23,082.55
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$34,883.46
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$28,315.24
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$24,067.95
|
| Rate for Payer: Elderplan Medicare Advantage |
$32,489.50
|
| Rate for Payer: EmblemHealth Commercial |
$34,199.47
|
| Rate for Payer: Fidelis Medicare Advantage |
$34,199.47
|
| Rate for Payer: Group Health Inc Commercial |
$34,199.47
|
| Rate for Payer: Group Health Inc Medicare |
$34,199.47
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$34,199.47
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$34,199.47
|
| Rate for Payer: Healthfirst Medicare Advantage |
$31,805.51
|
| Rate for Payer: Humana Medicare |
$47,024.27
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$34,199.47
|
| Rate for Payer: United Healthcare Commercial |
$31,658.12
|
| Rate for Payer: United Healthcare Medicare Advantage |
$34,199.47
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$34,199.47
|
| Rate for Payer: Wellcare Medicare |
$32,489.50
|
|
|
MS-DRG 43.00: MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC
|
Facility
|
IP
|
$29,214.01
|
|
|
Service Code
|
MSDRG 370
|
| Min. Negotiated Rate |
$10,161.60 |
| Max. Negotiated Rate |
$29,214.01 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$10,965.86
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$21,246.55
|
| Rate for Payer: Aetna Government |
$21,246.55
|
| Rate for Payer: Brighton Health Commercial |
$10,161.60
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$21,671.48
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$12,465.18
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$10,595.40
|
| Rate for Payer: Elderplan Medicare Advantage |
$20,184.22
|
| Rate for Payer: EmblemHealth Commercial |
$21,246.55
|
| Rate for Payer: Fidelis Medicare Advantage |
$21,246.55
|
| Rate for Payer: Group Health Inc Commercial |
$21,246.55
|
| Rate for Payer: Group Health Inc Medicare |
$21,246.55
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$21,246.55
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$21,246.55
|
| Rate for Payer: Healthfirst Medicare Advantage |
$19,759.29
|
| Rate for Payer: Humana Medicare |
$29,214.01
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$21,246.55
|
| Rate for Payer: United Healthcare Commercial |
$13,936.81
|
| Rate for Payer: United Healthcare Medicare Advantage |
$21,246.55
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$21,246.55
|
| Rate for Payer: Wellcare Medicare |
$20,184.22
|
|
|
MS-DRG 43.00: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC
|
Facility
|
IP
|
$35,613.79
|
|
|
Service Code
|
MSDRG 372
|
| Min. Negotiated Rate |
$14,804.50 |
| Max. Negotiated Rate |
$35,613.79 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$15,368.71
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$25,900.94
|
| Rate for Payer: Aetna Government |
$25,900.94
|
| Rate for Payer: Brighton Health Commercial |
$14,804.50
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$26,418.96
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$18,160.60
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$15,436.51
|
| Rate for Payer: Elderplan Medicare Advantage |
$24,605.89
|
| Rate for Payer: EmblemHealth Commercial |
$25,900.94
|
| Rate for Payer: Fidelis Medicare Advantage |
$25,900.94
|
| Rate for Payer: Group Health Inc Commercial |
$25,900.94
|
| Rate for Payer: Group Health Inc Medicare |
$25,900.94
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$25,900.94
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$25,900.94
|
| Rate for Payer: Healthfirst Medicare Advantage |
$24,087.87
|
| Rate for Payer: Humana Medicare |
$35,613.79
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$25,900.94
|
| Rate for Payer: United Healthcare Commercial |
$20,304.63
|
| Rate for Payer: United Healthcare Medicare Advantage |
$25,900.94
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$25,900.94
|
| Rate for Payer: Wellcare Medicare |
$24,605.89
|
|
|
MS-DRG 43.00: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC
|
Facility
|
IP
|
$50,645.87
|
|
|
Service Code
|
MSDRG 371
|
| Min. Negotiated Rate |
$25,709.95 |
| Max. Negotiated Rate |
$50,645.87 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$25,769.84
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$36,833.36
|
| Rate for Payer: Aetna Government |
$36,833.36
|
| Rate for Payer: Brighton Health Commercial |
$25,709.95
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$37,570.03
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$31,538.25
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$26,807.52
|
| Rate for Payer: Elderplan Medicare Advantage |
$34,991.69
|
| Rate for Payer: EmblemHealth Commercial |
$36,833.36
|
| Rate for Payer: Fidelis Medicare Advantage |
$36,833.36
|
| Rate for Payer: Group Health Inc Commercial |
$36,833.36
|
| Rate for Payer: Group Health Inc Medicare |
$36,833.36
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$36,833.36
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$36,833.36
|
| Rate for Payer: Healthfirst Medicare Advantage |
$34,255.02
|
| Rate for Payer: Humana Medicare |
$50,645.87
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$36,833.36
|
| Rate for Payer: United Healthcare Commercial |
$35,261.64
|
| Rate for Payer: United Healthcare Medicare Advantage |
$36,833.36
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$36,833.36
|
| Rate for Payer: Wellcare Medicare |
$34,991.69
|
|
|
MS-DRG 43.00: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC
|
Facility
|
IP
|
$29,745.69
|
|
|
Service Code
|
MSDRG 373
|
| Min. Negotiated Rate |
$10,547.30 |
| Max. Negotiated Rate |
$29,745.69 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$10,564.79
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$21,633.23
|
| Rate for Payer: Aetna Government |
$21,633.23
|
| Rate for Payer: Brighton Health Commercial |
$10,547.30
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$22,065.89
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$12,938.31
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$10,997.57
|
| Rate for Payer: Elderplan Medicare Advantage |
$20,551.57
|
| Rate for Payer: EmblemHealth Commercial |
$21,633.23
|
| Rate for Payer: Fidelis Medicare Advantage |
$21,633.23
|
| Rate for Payer: Group Health Inc Commercial |
$21,633.23
|
| Rate for Payer: Group Health Inc Medicare |
$21,633.23
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$21,633.23
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$21,633.23
|
| Rate for Payer: Healthfirst Medicare Advantage |
$20,118.90
|
| Rate for Payer: Humana Medicare |
$29,745.69
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$21,633.23
|
| Rate for Payer: United Healthcare Commercial |
$14,465.80
|
| Rate for Payer: United Healthcare Medicare Advantage |
$21,633.23
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$21,633.23
|
| Rate for Payer: Wellcare Medicare |
$20,551.57
|
|
|
MS-DRG 43.00: MAJOR HEAD AND NECK PROCEDURES WITH CC
|
Facility
|
IP
|
$58,800.49
|
|
|
Service Code
|
MSDRG 141
|
| Min. Negotiated Rate |
$30,547.22 |
| Max. Negotiated Rate |
$58,800.49 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$30,547.22
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$42,763.99
|
| Rate for Payer: Aetna Government |
$42,763.99
|
| Rate for Payer: Brighton Health Commercial |
$31,625.95
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$43,619.27
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$38,795.38
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$32,976.07
|
| Rate for Payer: Elderplan Medicare Advantage |
$40,625.79
|
| Rate for Payer: EmblemHealth Commercial |
$42,763.99
|
| Rate for Payer: Fidelis Medicare Advantage |
$42,763.99
|
| Rate for Payer: Group Health Inc Commercial |
$42,763.99
|
| Rate for Payer: Group Health Inc Medicare |
$42,763.99
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$42,763.99
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$42,763.99
|
| Rate for Payer: Healthfirst Medicare Advantage |
$39,770.51
|
| Rate for Payer: Humana Medicare |
$58,800.49
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$42,763.99
|
| Rate for Payer: United Healthcare Commercial |
$43,375.54
|
| Rate for Payer: United Healthcare Medicare Advantage |
$42,763.99
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$42,763.99
|
| Rate for Payer: Wellcare Medicare |
$40,625.79
|
|
|
MS-DRG 43.00: MAJOR HEAD AND NECK PROCEDURES WITH MCC
|
Facility
|
IP
|
$100,457.01
|
|
|
Service Code
|
MSDRG 140
|
| Min. Negotiated Rate |
$55,708.08 |
| Max. Negotiated Rate |
$100,457.01 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$55,708.08
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$73,059.64
|
| Rate for Payer: Aetna Government |
$73,059.64
|
| Rate for Payer: Brighton Health Commercial |
$61,846.85
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$74,520.83
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$75,867.19
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$64,487.11
|
| Rate for Payer: Elderplan Medicare Advantage |
$69,406.66
|
| Rate for Payer: EmblemHealth Commercial |
$73,059.64
|
| Rate for Payer: Fidelis Medicare Advantage |
$73,059.64
|
| Rate for Payer: Group Health Inc Commercial |
$73,059.64
|
| Rate for Payer: Group Health Inc Medicare |
$73,059.64
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$73,059.64
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$73,059.64
|
| Rate for Payer: Healthfirst Medicare Advantage |
$67,945.47
|
| Rate for Payer: Humana Medicare |
$100,457.01
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$73,059.64
|
| Rate for Payer: United Healthcare Commercial |
$84,824.02
|
| Rate for Payer: United Healthcare Medicare Advantage |
$73,059.64
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$73,059.64
|
| Rate for Payer: Wellcare Medicare |
$69,406.66
|
|
|
MS-DRG 43.00: MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$47,114.22
|
|
|
Service Code
|
MSDRG 142
|
| Min. Negotiated Rate |
$22,781.03 |
| Max. Negotiated Rate |
$47,114.22 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$22,781.03
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$34,264.89
|
| Rate for Payer: Aetna Government |
$34,264.89
|
| Rate for Payer: Brighton Health Commercial |
$23,147.80
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$34,950.19
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$28,395.28
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$24,135.99
|
| Rate for Payer: Elderplan Medicare Advantage |
$32,551.65
|
| Rate for Payer: EmblemHealth Commercial |
$34,264.89
|
| Rate for Payer: Fidelis Medicare Advantage |
$34,264.89
|
| Rate for Payer: Group Health Inc Commercial |
$34,264.89
|
| Rate for Payer: Group Health Inc Medicare |
$34,264.89
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$34,264.89
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$34,264.89
|
| Rate for Payer: Healthfirst Medicare Advantage |
$31,866.35
|
| Rate for Payer: Humana Medicare |
$47,114.22
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$34,264.89
|
| Rate for Payer: United Healthcare Commercial |
$31,747.61
|
| Rate for Payer: United Healthcare Medicare Advantage |
$34,264.89
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$34,264.89
|
| Rate for Payer: Wellcare Medicare |
$32,551.65
|
|
|
MS-DRG 43.00: MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC
|
Facility
|
IP
|
$40,508.59
|
|
|
Service Code
|
MSDRG 809
|
| Min. Negotiated Rate |
$17,758.88 |
| Max. Negotiated Rate |
$40,508.59 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$17,758.88
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$29,460.79
|
| Rate for Payer: Aetna Government |
$29,460.79
|
| Rate for Payer: Brighton Health Commercial |
$18,355.55
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$30,050.01
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$22,516.65
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$19,139.15
|
| Rate for Payer: Elderplan Medicare Advantage |
$27,987.75
|
| Rate for Payer: EmblemHealth Commercial |
$29,460.79
|
| Rate for Payer: Fidelis Medicare Advantage |
$29,460.79
|
| Rate for Payer: Group Health Inc Commercial |
$29,460.79
|
| Rate for Payer: Group Health Inc Medicare |
$29,460.79
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$29,460.79
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$29,460.79
|
| Rate for Payer: Healthfirst Medicare Advantage |
$27,398.53
|
| Rate for Payer: Humana Medicare |
$40,508.59
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$29,460.79
|
| Rate for Payer: United Healthcare Commercial |
$25,174.95
|
| Rate for Payer: United Healthcare Medicare Advantage |
$29,460.79
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$29,460.79
|
| Rate for Payer: Wellcare Medicare |
$27,987.75
|
|
|
MS-DRG 43.00: MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC
|
Facility
|
IP
|
$59,336.14
|
|
|
Service Code
|
MSDRG 808
|
| Min. Negotiated Rate |
$32,014.55 |
| Max. Negotiated Rate |
$59,336.14 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$32,293.02
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$43,153.56
|
| Rate for Payer: Aetna Government |
$43,153.56
|
| Rate for Payer: Brighton Health Commercial |
$32,014.55
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$44,016.63
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$39,272.07
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$33,381.26
|
| Rate for Payer: Elderplan Medicare Advantage |
$40,995.88
|
| Rate for Payer: EmblemHealth Commercial |
$43,153.56
|
| Rate for Payer: Fidelis Medicare Advantage |
$43,153.56
|
| Rate for Payer: Group Health Inc Commercial |
$43,153.56
|
| Rate for Payer: Group Health Inc Medicare |
$43,153.56
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$43,153.56
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$43,153.56
|
| Rate for Payer: Healthfirst Medicare Advantage |
$40,132.81
|
| Rate for Payer: Humana Medicare |
$59,336.14
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$43,153.56
|
| Rate for Payer: United Healthcare Commercial |
$43,908.51
|
| Rate for Payer: United Healthcare Medicare Advantage |
$43,153.56
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$43,153.56
|
| Rate for Payer: Wellcare Medicare |
$40,995.88
|
|
|
MS-DRG 43.00: MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC
|
Facility
|
IP
|
$36,125.49
|
|
|
Service Code
|
MSDRG 810
|
| Min. Negotiated Rate |
$14,811.35 |
| Max. Negotiated Rate |
$36,125.49 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$14,811.35
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$26,273.08
|
| Rate for Payer: Aetna Government |
$26,273.08
|
| Rate for Payer: Brighton Health Commercial |
$15,175.70
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$26,798.54
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$18,615.95
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$15,823.56
|
| Rate for Payer: Elderplan Medicare Advantage |
$24,959.43
|
| Rate for Payer: EmblemHealth Commercial |
$26,273.08
|
| Rate for Payer: Fidelis Medicare Advantage |
$26,273.08
|
| Rate for Payer: Group Health Inc Commercial |
$26,273.08
|
| Rate for Payer: Group Health Inc Medicare |
$26,273.08
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$26,273.08
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$26,273.08
|
| Rate for Payer: Healthfirst Medicare Advantage |
$24,433.96
|
| Rate for Payer: Humana Medicare |
$36,125.49
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$26,273.08
|
| Rate for Payer: United Healthcare Commercial |
$20,813.73
|
| Rate for Payer: United Healthcare Medicare Advantage |
$26,273.08
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$26,273.08
|
| Rate for Payer: Wellcare Medicare |
$24,959.43
|
|
|
MS-DRG 43.00: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT
|
Facility
|
IP
|
$75,831.26
|
|
|
Service Code
|
MSDRG 469
|
| Min. Negotiated Rate |
$43,981.40 |
| Max. Negotiated Rate |
$75,831.26 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$49,097.90
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$55,150.01
|
| Rate for Payer: Aetna Government |
$55,150.01
|
| Rate for Payer: Brighton Health Commercial |
$43,981.40
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$56,253.01
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$53,951.74
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$45,858.98
|
| Rate for Payer: Elderplan Medicare Advantage |
$52,392.51
|
| Rate for Payer: EmblemHealth Commercial |
$55,150.01
|
| Rate for Payer: Fidelis Medicare Advantage |
$55,150.01
|
| Rate for Payer: Group Health Inc Commercial |
$55,150.01
|
| Rate for Payer: Group Health Inc Medicare |
$55,150.01
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$55,150.01
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$55,150.01
|
| Rate for Payer: Healthfirst Medicare Advantage |
$51,289.51
|
| Rate for Payer: Humana Medicare |
$75,831.26
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$55,150.01
|
| Rate for Payer: United Healthcare Commercial |
$60,321.25
|
| Rate for Payer: United Healthcare Medicare Advantage |
$55,150.01
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$55,150.01
|
| Rate for Payer: Wellcare Medicare |
$52,392.51
|
|
