|
MS-DRG 43.00: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC
|
Facility
|
IP
|
$53,759.82
|
|
|
Service Code
|
MSDRG 470
|
| Min. Negotiated Rate |
$27,745.67 |
| Max. Negotiated Rate |
$53,759.82 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$27,745.67
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$39,098.05
|
| Rate for Payer: Aetna Government |
$39,098.05
|
| Rate for Payer: Brighton Health Commercial |
$27,969.05
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$39,880.01
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$34,309.48
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$29,163.06
|
| Rate for Payer: Elderplan Medicare Advantage |
$37,143.15
|
| Rate for Payer: EmblemHealth Commercial |
$39,098.05
|
| Rate for Payer: Fidelis Medicare Advantage |
$39,098.05
|
| Rate for Payer: Group Health Inc Commercial |
$39,098.05
|
| Rate for Payer: Group Health Inc Medicare |
$39,098.05
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$39,098.05
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$39,098.05
|
| Rate for Payer: Healthfirst Medicare Advantage |
$36,361.19
|
| Rate for Payer: Humana Medicare |
$53,759.82
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$39,098.05
|
| Rate for Payer: United Healthcare Commercial |
$38,360.03
|
| Rate for Payer: United Healthcare Medicare Advantage |
$39,098.05
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$39,098.05
|
| Rate for Payer: Wellcare Medicare |
$37,143.15
|
|
|
MS-DRG 43.00: MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES
|
Facility
|
IP
|
$70,608.70
|
|
|
Service Code
|
MSDRG 483
|
| Min. Negotiated Rate |
$36,629.53 |
| Max. Negotiated Rate |
$70,608.70 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$36,629.53
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$51,351.78
|
| Rate for Payer: Aetna Government |
$51,351.78
|
| Rate for Payer: Brighton Health Commercial |
$40,192.55
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$52,378.82
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$49,303.98
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$41,908.38
|
| Rate for Payer: Elderplan Medicare Advantage |
$48,784.19
|
| Rate for Payer: EmblemHealth Commercial |
$51,351.78
|
| Rate for Payer: Fidelis Medicare Advantage |
$51,351.78
|
| Rate for Payer: Group Health Inc Commercial |
$51,351.78
|
| Rate for Payer: Group Health Inc Medicare |
$51,351.78
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$51,351.78
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$51,351.78
|
| Rate for Payer: Healthfirst Medicare Advantage |
$47,757.16
|
| Rate for Payer: Humana Medicare |
$70,608.70
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$51,351.78
|
| Rate for Payer: United Healthcare Commercial |
$55,124.78
|
| Rate for Payer: United Healthcare Medicare Advantage |
$51,351.78
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$51,351.78
|
| Rate for Payer: Wellcare Medicare |
$48,784.19
|
|
|
MS-DRG 43.00: MAJOR MALE PELVIC PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$55,186.89
|
|
|
Service Code
|
MSDRG 707
|
| Min. Negotiated Rate |
$28,928.22 |
| Max. Negotiated Rate |
$55,186.89 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$28,928.22
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$40,135.92
|
| Rate for Payer: Aetna Government |
$40,135.92
|
| Rate for Payer: Brighton Health Commercial |
$29,004.35
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$40,938.64
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$35,579.48
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$30,242.56
|
| Rate for Payer: Elderplan Medicare Advantage |
$38,129.12
|
| Rate for Payer: EmblemHealth Commercial |
$40,135.92
|
| Rate for Payer: Fidelis Medicare Advantage |
$40,135.92
|
| Rate for Payer: Group Health Inc Commercial |
$40,135.92
|
| Rate for Payer: Group Health Inc Medicare |
$40,135.92
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$40,135.92
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$40,135.92
|
| Rate for Payer: Healthfirst Medicare Advantage |
$37,326.41
|
| Rate for Payer: Humana Medicare |
$55,186.89
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$40,135.92
|
| Rate for Payer: United Healthcare Commercial |
$39,779.97
|
| Rate for Payer: United Healthcare Medicare Advantage |
$40,135.92
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$40,135.92
|
| Rate for Payer: Wellcare Medicare |
$38,129.12
|
|
|
MS-DRG 43.00: MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$45,871.06
|
|
|
Service Code
|
MSDRG 708
|
| Min. Negotiated Rate |
$21,505.58 |
| Max. Negotiated Rate |
$45,871.06 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$21,505.58
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$33,360.77
|
| Rate for Payer: Aetna Government |
$33,360.77
|
| Rate for Payer: Brighton Health Commercial |
$22,245.90
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$34,027.99
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$27,288.92
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$23,195.59
|
| Rate for Payer: Elderplan Medicare Advantage |
$31,692.73
|
| Rate for Payer: EmblemHealth Commercial |
$33,360.77
|
| Rate for Payer: Fidelis Medicare Advantage |
$33,360.77
|
| Rate for Payer: Group Health Inc Commercial |
$33,360.77
|
| Rate for Payer: Group Health Inc Medicare |
$33,360.77
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$33,360.77
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$33,360.77
|
| Rate for Payer: Healthfirst Medicare Advantage |
$31,025.52
|
| Rate for Payer: Humana Medicare |
$45,871.06
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$33,360.77
|
| Rate for Payer: United Healthcare Commercial |
$30,510.64
|
| Rate for Payer: United Healthcare Medicare Advantage |
$33,360.77
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$33,360.77
|
| Rate for Payer: Wellcare Medicare |
$31,692.73
|
|
|
MS-DRG 43.00: MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$51,311.44
|
|
|
Service Code
|
MSDRG 507
|
| Min. Negotiated Rate |
$26,192.80 |
| Max. Negotiated Rate |
$51,311.44 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$31,431.92
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$37,317.41
|
| Rate for Payer: Aetna Government |
$37,317.41
|
| Rate for Payer: Brighton Health Commercial |
$26,192.80
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$38,063.76
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$32,130.56
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$27,310.98
|
| Rate for Payer: Elderplan Medicare Advantage |
$35,451.54
|
| Rate for Payer: EmblemHealth Commercial |
$37,317.41
|
| Rate for Payer: Fidelis Medicare Advantage |
$37,317.41
|
| Rate for Payer: Group Health Inc Commercial |
$37,317.41
|
| Rate for Payer: Group Health Inc Medicare |
$37,317.41
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$37,317.41
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$37,317.41
|
| Rate for Payer: Healthfirst Medicare Advantage |
$34,705.19
|
| Rate for Payer: Humana Medicare |
$51,311.44
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$37,317.41
|
| Rate for Payer: United Healthcare Commercial |
$35,923.88
|
| Rate for Payer: United Healthcare Medicare Advantage |
$37,317.41
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$37,317.41
|
| Rate for Payer: Wellcare Medicare |
$35,451.54
|
|
|
MS-DRG 43.00: MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$45,475.29
|
|
|
Service Code
|
MSDRG 508
|
| Min. Negotiated Rate |
$21,144.33 |
| Max. Negotiated Rate |
$45,475.29 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$21,144.33
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$33,072.94
|
| Rate for Payer: Aetna Government |
$33,072.94
|
| Rate for Payer: Brighton Health Commercial |
$21,958.80
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$33,734.40
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$26,936.74
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$22,896.23
|
| Rate for Payer: Elderplan Medicare Advantage |
$31,419.29
|
| Rate for Payer: EmblemHealth Commercial |
$33,072.94
|
| Rate for Payer: Fidelis Medicare Advantage |
$33,072.94
|
| Rate for Payer: Group Health Inc Commercial |
$33,072.94
|
| Rate for Payer: Group Health Inc Medicare |
$33,072.94
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$33,072.94
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$33,072.94
|
| Rate for Payer: Healthfirst Medicare Advantage |
$30,757.83
|
| Rate for Payer: Humana Medicare |
$45,475.29
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$33,072.94
|
| Rate for Payer: United Healthcare Commercial |
$30,116.87
|
| Rate for Payer: United Healthcare Medicare Advantage |
$33,072.94
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$33,072.94
|
| Rate for Payer: Wellcare Medicare |
$31,419.29
|
|
|
MS-DRG 43.00: MAJOR SKIN DISORDERS WITH MCC
|
Facility
|
IP
|
$57,593.29
|
|
|
Service Code
|
MSDRG 595
|
| Min. Negotiated Rate |
$30,750.15 |
| Max. Negotiated Rate |
$57,593.29 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$32,070.38
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$41,886.03
|
| Rate for Payer: Aetna Government |
$41,886.03
|
| Rate for Payer: Brighton Health Commercial |
$30,750.15
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$42,723.75
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$37,721.04
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$32,062.88
|
| Rate for Payer: Elderplan Medicare Advantage |
$39,791.73
|
| Rate for Payer: EmblemHealth Commercial |
$41,886.03
|
| Rate for Payer: Fidelis Medicare Advantage |
$41,886.03
|
| Rate for Payer: Group Health Inc Commercial |
$41,886.03
|
| Rate for Payer: Group Health Inc Medicare |
$41,886.03
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$41,886.03
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$41,886.03
|
| Rate for Payer: Healthfirst Medicare Advantage |
$38,954.01
|
| Rate for Payer: Humana Medicare |
$57,593.29
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$41,886.03
|
| Rate for Payer: United Healthcare Commercial |
$42,174.36
|
| Rate for Payer: United Healthcare Medicare Advantage |
$41,886.03
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$41,886.03
|
| Rate for Payer: Wellcare Medicare |
$39,791.73
|
|
|
MS-DRG 43.00: MAJOR SKIN DISORDERS WITHOUT MCC
|
Facility
|
IP
|
$36,843.00
|
|
|
Service Code
|
MSDRG 596
|
| Min. Negotiated Rate |
$14,877.71 |
| Max. Negotiated Rate |
$36,843.00 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$14,877.71
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$26,794.91
|
| Rate for Payer: Aetna Government |
$26,794.91
|
| Rate for Payer: Brighton Health Commercial |
$15,696.25
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$27,330.81
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$19,254.50
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$16,366.33
|
| Rate for Payer: Elderplan Medicare Advantage |
$25,455.16
|
| Rate for Payer: EmblemHealth Commercial |
$26,794.91
|
| Rate for Payer: Fidelis Medicare Advantage |
$26,794.91
|
| Rate for Payer: Group Health Inc Commercial |
$26,794.91
|
| Rate for Payer: Group Health Inc Medicare |
$26,794.91
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$26,794.91
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$26,794.91
|
| Rate for Payer: Healthfirst Medicare Advantage |
$24,919.27
|
| Rate for Payer: Humana Medicare |
$36,843.00
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$26,794.91
|
| Rate for Payer: United Healthcare Commercial |
$21,527.68
|
| Rate for Payer: United Healthcare Medicare Advantage |
$26,794.91
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$26,794.91
|
| Rate for Payer: Wellcare Medicare |
$25,455.16
|
|
|
MS-DRG 43.00: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC
|
Facility
|
IP
|
$63,119.61
|
|
|
Service Code
|
MSDRG 330
|
| Min. Negotiated Rate |
$34,759.40 |
| Max. Negotiated Rate |
$63,119.61 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$34,976.61
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$45,905.17
|
| Rate for Payer: Aetna Government |
$45,905.17
|
| Rate for Payer: Brighton Health Commercial |
$34,759.40
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$46,823.27
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$42,639.16
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$36,243.29
|
| Rate for Payer: Elderplan Medicare Advantage |
$43,609.91
|
| Rate for Payer: EmblemHealth Commercial |
$45,905.17
|
| Rate for Payer: Fidelis Medicare Advantage |
$45,905.17
|
| Rate for Payer: Group Health Inc Commercial |
$45,905.17
|
| Rate for Payer: Group Health Inc Medicare |
$45,905.17
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$45,905.17
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$45,905.17
|
| Rate for Payer: Healthfirst Medicare Advantage |
$42,691.81
|
| Rate for Payer: Humana Medicare |
$63,119.61
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$45,905.17
|
| Rate for Payer: United Healthcare Commercial |
$47,673.12
|
| Rate for Payer: United Healthcare Medicare Advantage |
$45,905.17
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$45,905.17
|
| Rate for Payer: Wellcare Medicare |
$43,609.91
|
|
|
MS-DRG 43.00: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC
|
Facility
|
IP
|
$107,076.60
|
|
|
Service Code
|
MSDRG 329
|
| Min. Negotiated Rate |
$66,600.22 |
| Max. Negotiated Rate |
$107,076.60 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$66,600.22
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$77,873.89
|
| Rate for Payer: Aetna Government |
$77,873.89
|
| Rate for Payer: Brighton Health Commercial |
$66,649.25
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$79,431.37
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$81,758.27
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$69,494.53
|
| Rate for Payer: Elderplan Medicare Advantage |
$73,980.20
|
| Rate for Payer: EmblemHealth Commercial |
$77,873.89
|
| Rate for Payer: Fidelis Medicare Advantage |
$77,873.89
|
| Rate for Payer: Group Health Inc Commercial |
$77,873.89
|
| Rate for Payer: Group Health Inc Medicare |
$77,873.89
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$77,873.89
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$77,873.89
|
| Rate for Payer: Healthfirst Medicare Advantage |
$72,422.72
|
| Rate for Payer: Humana Medicare |
$107,076.60
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$77,873.89
|
| Rate for Payer: United Healthcare Commercial |
$91,410.60
|
| Rate for Payer: United Healthcare Medicare Advantage |
$77,873.89
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$77,873.89
|
| Rate for Payer: Wellcare Medicare |
$73,980.20
|
|
|
MS-DRG 43.00: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$48,843.05
|
|
|
Service Code
|
MSDRG 331
|
| Min. Negotiated Rate |
$24,402.05 |
| Max. Negotiated Rate |
$48,843.05 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$24,653.64
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$35,522.22
|
| Rate for Payer: Aetna Government |
$35,522.22
|
| Rate for Payer: Brighton Health Commercial |
$24,402.05
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$36,232.66
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$29,933.86
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$25,443.78
|
| Rate for Payer: Elderplan Medicare Advantage |
$33,746.11
|
| Rate for Payer: EmblemHealth Commercial |
$35,522.22
|
| Rate for Payer: Fidelis Medicare Advantage |
$35,522.22
|
| Rate for Payer: Group Health Inc Commercial |
$35,522.22
|
| Rate for Payer: Group Health Inc Medicare |
$35,522.22
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$35,522.22
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$35,522.22
|
| Rate for Payer: Healthfirst Medicare Advantage |
$33,035.66
|
| Rate for Payer: Humana Medicare |
$48,843.05
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$35,522.22
|
| Rate for Payer: United Healthcare Commercial |
$33,467.83
|
| Rate for Payer: United Healthcare Medicare Advantage |
$35,522.22
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$35,522.22
|
| Rate for Payer: Wellcare Medicare |
$33,746.11
|
|
|
MS-DRG 43.00: MAJOR THUMB OR JOINT PROCEDURES
|
Facility
|
IP
|
$42,173.49
|
|
|
Service Code
|
MSDRG 506
|
| Min. Negotiated Rate |
$17,394.20 |
| Max. Negotiated Rate |
$42,173.49 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$21,566.04
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$30,671.63
|
| Rate for Payer: Aetna Government |
$30,671.63
|
| Rate for Payer: Brighton Health Commercial |
$17,394.20
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$31,285.06
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$21,337.37
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$18,136.76
|
| Rate for Payer: Elderplan Medicare Advantage |
$29,138.05
|
| Rate for Payer: EmblemHealth Commercial |
$30,671.63
|
| Rate for Payer: Fidelis Medicare Advantage |
$30,671.63
|
| Rate for Payer: Group Health Inc Commercial |
$30,671.63
|
| Rate for Payer: Group Health Inc Medicare |
$30,671.63
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$30,671.63
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$30,671.63
|
| Rate for Payer: Healthfirst Medicare Advantage |
$28,524.62
|
| Rate for Payer: Humana Medicare |
$42,173.49
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$30,671.63
|
| Rate for Payer: United Healthcare Commercial |
$23,856.45
|
| Rate for Payer: United Healthcare Medicare Advantage |
$30,671.63
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$30,671.63
|
| Rate for Payer: Wellcare Medicare |
$29,138.05
|
|
|
MS-DRG 43.00: MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC
|
Facility
|
IP
|
$36,948.90
|
|
|
Service Code
|
MSDRG 755
|
| Min. Negotiated Rate |
$15,773.10 |
| Max. Negotiated Rate |
$36,948.90 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$15,993.90
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$26,871.93
|
| Rate for Payer: Aetna Government |
$26,871.93
|
| Rate for Payer: Brighton Health Commercial |
$15,773.10
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$27,409.37
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$19,348.77
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$16,446.46
|
| Rate for Payer: Elderplan Medicare Advantage |
$25,528.33
|
| Rate for Payer: EmblemHealth Commercial |
$26,871.93
|
| Rate for Payer: Fidelis Medicare Advantage |
$26,871.93
|
| Rate for Payer: Group Health Inc Commercial |
$26,871.93
|
| Rate for Payer: Group Health Inc Medicare |
$26,871.93
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$26,871.93
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$26,871.93
|
| Rate for Payer: Healthfirst Medicare Advantage |
$24,990.89
|
| Rate for Payer: Humana Medicare |
$36,948.90
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$26,871.93
|
| Rate for Payer: United Healthcare Commercial |
$21,633.08
|
| Rate for Payer: United Healthcare Medicare Advantage |
$26,871.93
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$26,871.93
|
| Rate for Payer: Wellcare Medicare |
$25,528.33
|
|
|
MS-DRG 43.00: MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC
|
Facility
|
IP
|
$52,016.98
|
|
|
Service Code
|
MSDRG 754
|
| Min. Negotiated Rate |
$26,704.65 |
| Max. Negotiated Rate |
$52,016.98 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$27,315.11
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$37,830.53
|
| Rate for Payer: Aetna Government |
$37,830.53
|
| Rate for Payer: Brighton Health Commercial |
$26,704.65
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$38,587.14
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$32,758.45
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$27,844.68
|
| Rate for Payer: Elderplan Medicare Advantage |
$35,939.00
|
| Rate for Payer: EmblemHealth Commercial |
$37,830.53
|
| Rate for Payer: Fidelis Medicare Advantage |
$37,830.53
|
| Rate for Payer: Group Health Inc Commercial |
$37,830.53
|
| Rate for Payer: Group Health Inc Medicare |
$37,830.53
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$37,830.53
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$37,830.53
|
| Rate for Payer: Healthfirst Medicare Advantage |
$35,182.39
|
| Rate for Payer: Humana Medicare |
$52,016.98
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$37,830.53
|
| Rate for Payer: United Healthcare Commercial |
$36,625.89
|
| Rate for Payer: United Healthcare Medicare Advantage |
$37,830.53
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$37,830.53
|
| Rate for Payer: Wellcare Medicare |
$35,939.00
|
|
|
MS-DRG 43.00: MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC
|
Facility
|
IP
|
$34,404.60
|
|
|
Service Code
|
MSDRG 756
|
| Min. Negotiated Rate |
$13,927.25 |
| Max. Negotiated Rate |
$34,404.60 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$14,593.13
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$25,021.53
|
| Rate for Payer: Aetna Government |
$25,021.53
|
| Rate for Payer: Brighton Health Commercial |
$13,927.25
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$25,521.96
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$17,084.48
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$14,521.81
|
| Rate for Payer: Elderplan Medicare Advantage |
$23,770.45
|
| Rate for Payer: EmblemHealth Commercial |
$25,021.53
|
| Rate for Payer: Fidelis Medicare Advantage |
$25,021.53
|
| Rate for Payer: Group Health Inc Commercial |
$25,021.53
|
| Rate for Payer: Group Health Inc Medicare |
$25,021.53
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$25,021.53
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$25,021.53
|
| Rate for Payer: Healthfirst Medicare Advantage |
$23,270.02
|
| Rate for Payer: Humana Medicare |
$34,404.60
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$25,021.53
|
| Rate for Payer: United Healthcare Commercial |
$19,101.46
|
| Rate for Payer: United Healthcare Medicare Advantage |
$25,021.53
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$25,021.53
|
| Rate for Payer: Wellcare Medicare |
$23,770.45
|
|
|
MS-DRG 43.00: MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC
|
Facility
|
IP
|
$38,046.19
|
|
|
Service Code
|
MSDRG 723
|
| Min. Negotiated Rate |
$16,430.35 |
| Max. Negotiated Rate |
$38,046.19 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$16,430.35
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$27,669.96
|
| Rate for Payer: Aetna Government |
$27,669.96
|
| Rate for Payer: Brighton Health Commercial |
$16,569.15
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$28,223.36
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$20,325.28
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$17,276.49
|
| Rate for Payer: Elderplan Medicare Advantage |
$26,286.46
|
| Rate for Payer: EmblemHealth Commercial |
$27,669.96
|
| Rate for Payer: Fidelis Medicare Advantage |
$27,669.96
|
| Rate for Payer: Group Health Inc Commercial |
$27,669.96
|
| Rate for Payer: Group Health Inc Medicare |
$27,669.96
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$27,669.96
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$27,669.96
|
| Rate for Payer: Healthfirst Medicare Advantage |
$25,733.06
|
| Rate for Payer: Humana Medicare |
$38,046.19
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$27,669.96
|
| Rate for Payer: United Healthcare Commercial |
$22,724.87
|
| Rate for Payer: United Healthcare Medicare Advantage |
$27,669.96
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$27,669.96
|
| Rate for Payer: Wellcare Medicare |
$26,286.46
|
|
|
MS-DRG 43.00: MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC
|
Facility
|
IP
|
$51,377.38
|
|
|
Service Code
|
MSDRG 722
|
| Min. Negotiated Rate |
$26,240.65 |
| Max. Negotiated Rate |
$51,377.38 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$27,643.93
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$37,365.37
|
| Rate for Payer: Aetna Government |
$37,365.37
|
| Rate for Payer: Brighton Health Commercial |
$26,240.65
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$38,112.68
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$32,189.26
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$27,360.87
|
| Rate for Payer: Elderplan Medicare Advantage |
$35,497.10
|
| Rate for Payer: EmblemHealth Commercial |
$37,365.37
|
| Rate for Payer: Fidelis Medicare Advantage |
$37,365.37
|
| Rate for Payer: Group Health Inc Commercial |
$37,365.37
|
| Rate for Payer: Group Health Inc Medicare |
$37,365.37
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$37,365.37
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$37,365.37
|
| Rate for Payer: Healthfirst Medicare Advantage |
$34,749.79
|
| Rate for Payer: Humana Medicare |
$51,377.38
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$37,365.37
|
| Rate for Payer: United Healthcare Commercial |
$35,989.50
|
| Rate for Payer: United Healthcare Medicare Advantage |
$37,365.37
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$37,365.37
|
| Rate for Payer: Wellcare Medicare |
$35,497.10
|
|
|
MS-DRG 43.00: MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC
|
Facility
|
IP
|
$28,312.61
|
|
|
Service Code
|
MSDRG 724
|
| Min. Negotiated Rate |
$8,869.65 |
| Max. Negotiated Rate |
$28,312.61 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$11,936.08
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$20,590.99
|
| Rate for Payer: Aetna Government |
$20,590.99
|
| Rate for Payer: Brighton Health Commercial |
$8,869.65
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$21,002.81
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$10,880.35
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$9,248.30
|
| Rate for Payer: Elderplan Medicare Advantage |
$19,561.44
|
| Rate for Payer: EmblemHealth Commercial |
$20,590.99
|
| Rate for Payer: Fidelis Medicare Advantage |
$20,590.99
|
| Rate for Payer: Group Health Inc Commercial |
$20,590.99
|
| Rate for Payer: Group Health Inc Medicare |
$20,590.99
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$20,590.99
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$20,590.99
|
| Rate for Payer: Healthfirst Medicare Advantage |
$19,149.62
|
| Rate for Payer: Humana Medicare |
$28,312.61
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$20,590.99
|
| Rate for Payer: United Healthcare Commercial |
$12,164.88
|
| Rate for Payer: United Healthcare Medicare Advantage |
$20,590.99
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$20,590.99
|
| Rate for Payer: Wellcare Medicare |
$19,561.44
|
|
|
MS-DRG 43.00: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC
|
Facility
|
IP
|
$37,814.34
|
|
|
Service Code
|
MSDRG 436
|
| Min. Negotiated Rate |
$16,229.82 |
| Max. Negotiated Rate |
$37,814.34 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$16,229.82
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$27,501.34
|
| Rate for Payer: Aetna Government |
$27,501.34
|
| Rate for Payer: Brighton Health Commercial |
$16,400.95
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$28,051.37
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$20,118.95
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$17,101.11
|
| Rate for Payer: Elderplan Medicare Advantage |
$26,126.27
|
| Rate for Payer: EmblemHealth Commercial |
$27,501.34
|
| Rate for Payer: Fidelis Medicare Advantage |
$27,501.34
|
| Rate for Payer: Group Health Inc Commercial |
$27,501.34
|
| Rate for Payer: Group Health Inc Medicare |
$27,501.34
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$27,501.34
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$27,501.34
|
| Rate for Payer: Healthfirst Medicare Advantage |
$25,576.25
|
| Rate for Payer: Humana Medicare |
$37,814.34
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$27,501.34
|
| Rate for Payer: United Healthcare Commercial |
$22,494.19
|
| Rate for Payer: United Healthcare Medicare Advantage |
$27,501.34
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$27,501.34
|
| Rate for Payer: Wellcare Medicare |
$26,126.27
|
|
|
MS-DRG 43.00: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC
|
Facility
|
IP
|
$51,917.04
|
|
|
Service Code
|
MSDRG 435
|
| Min. Negotiated Rate |
$25,949.73 |
| Max. Negotiated Rate |
$51,917.04 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$25,949.73
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$37,757.85
|
| Rate for Payer: Aetna Government |
$37,757.85
|
| Rate for Payer: Brighton Health Commercial |
$26,632.15
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$38,513.01
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$32,669.51
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$27,769.09
|
| Rate for Payer: Elderplan Medicare Advantage |
$35,869.96
|
| Rate for Payer: EmblemHealth Commercial |
$37,757.85
|
| Rate for Payer: Fidelis Medicare Advantage |
$37,757.85
|
| Rate for Payer: Group Health Inc Commercial |
$37,757.85
|
| Rate for Payer: Group Health Inc Medicare |
$37,757.85
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$37,757.85
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$37,757.85
|
| Rate for Payer: Healthfirst Medicare Advantage |
$35,114.80
|
| Rate for Payer: Humana Medicare |
$51,917.04
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$37,757.85
|
| Rate for Payer: United Healthcare Commercial |
$36,526.45
|
| Rate for Payer: United Healthcare Medicare Advantage |
$37,757.85
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$37,757.85
|
| Rate for Payer: Wellcare Medicare |
$35,869.96
|
|
|
MS-DRG 43.00: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC
|
Facility
|
IP
|
$32,262.01
|
|
|
Service Code
|
MSDRG 437
|
| Min. Negotiated Rate |
$12,254.57 |
| Max. Negotiated Rate |
$32,262.01 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$12,254.57
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$23,463.28
|
| Rate for Payer: Aetna Government |
$23,463.28
|
| Rate for Payer: Brighton Health Commercial |
$12,372.85
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$23,932.55
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$15,177.71
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$12,901.05
|
| Rate for Payer: Elderplan Medicare Advantage |
$22,290.12
|
| Rate for Payer: EmblemHealth Commercial |
$23,463.28
|
| Rate for Payer: Fidelis Medicare Advantage |
$23,463.28
|
| Rate for Payer: Group Health Inc Commercial |
$23,463.28
|
| Rate for Payer: Group Health Inc Medicare |
$23,463.28
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$23,463.28
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$23,463.28
|
| Rate for Payer: Healthfirst Medicare Advantage |
$21,820.85
|
| Rate for Payer: Humana Medicare |
$32,262.01
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$23,463.28
|
| Rate for Payer: United Healthcare Commercial |
$16,969.58
|
| Rate for Payer: United Healthcare Medicare Advantage |
$23,463.28
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$23,463.28
|
| Rate for Payer: Wellcare Medicare |
$22,290.12
|
|
|
MS-DRG 43.00: MALIGNANT BREAST DISORDERS WITH CC
|
Facility
|
IP
|
$37,818.36
|
|
|
Service Code
|
MSDRG 598
|
| Min. Negotiated Rate |
$16,403.85 |
| Max. Negotiated Rate |
$37,818.36 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$17,676.31
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$27,504.26
|
| Rate for Payer: Aetna Government |
$27,504.26
|
| Rate for Payer: Brighton Health Commercial |
$16,403.85
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$28,054.35
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$20,122.51
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$17,104.14
|
| Rate for Payer: Elderplan Medicare Advantage |
$26,129.05
|
| Rate for Payer: EmblemHealth Commercial |
$27,504.26
|
| Rate for Payer: Fidelis Medicare Advantage |
$27,504.26
|
| Rate for Payer: Group Health Inc Commercial |
$27,504.26
|
| Rate for Payer: Group Health Inc Medicare |
$27,504.26
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$27,504.26
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$27,504.26
|
| Rate for Payer: Healthfirst Medicare Advantage |
$25,578.96
|
| Rate for Payer: Humana Medicare |
$37,818.36
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$27,504.26
|
| Rate for Payer: United Healthcare Commercial |
$22,498.16
|
| Rate for Payer: United Healthcare Medicare Advantage |
$27,504.26
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$27,504.26
|
| Rate for Payer: Wellcare Medicare |
$26,129.05
|
|
|
MS-DRG 43.00: MALIGNANT BREAST DISORDERS WITH MCC
|
Facility
|
IP
|
$48,527.27
|
|
|
Service Code
|
MSDRG 597
|
| Min. Negotiated Rate |
$23,599.37 |
| Max. Negotiated Rate |
$48,527.27 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$23,599.37
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$35,292.56
|
| Rate for Payer: Aetna Government |
$35,292.56
|
| Rate for Payer: Brighton Health Commercial |
$24,172.95
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$35,998.41
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$29,652.82
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$25,204.90
|
| Rate for Payer: Elderplan Medicare Advantage |
$33,527.93
|
| Rate for Payer: EmblemHealth Commercial |
$35,292.56
|
| Rate for Payer: Fidelis Medicare Advantage |
$35,292.56
|
| Rate for Payer: Group Health Inc Commercial |
$35,292.56
|
| Rate for Payer: Group Health Inc Medicare |
$35,292.56
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$35,292.56
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$35,292.56
|
| Rate for Payer: Healthfirst Medicare Advantage |
$32,822.08
|
| Rate for Payer: Humana Medicare |
$48,527.27
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$35,292.56
|
| Rate for Payer: United Healthcare Commercial |
$33,153.62
|
| Rate for Payer: United Healthcare Medicare Advantage |
$35,292.56
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$35,292.56
|
| Rate for Payer: Wellcare Medicare |
$33,527.93
|
|
|
MS-DRG 43.00: MALIGNANT BREAST DISORDERS WITHOUT CC/MCC
|
Facility
|
IP
|
$30,585.13
|
|
|
Service Code
|
MSDRG 599
|
| Min. Negotiated Rate |
$9,162.54 |
| Max. Negotiated Rate |
$30,585.13 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$9,162.54
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$22,243.73
|
| Rate for Payer: Aetna Government |
$22,243.73
|
| Rate for Payer: Brighton Health Commercial |
$10,631.40
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$22,688.60
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$13,041.48
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$11,085.26
|
| Rate for Payer: Elderplan Medicare Advantage |
$21,131.54
|
| Rate for Payer: EmblemHealth Commercial |
$22,243.73
|
| Rate for Payer: Fidelis Medicare Advantage |
$22,243.73
|
| Rate for Payer: Group Health Inc Commercial |
$22,243.73
|
| Rate for Payer: Group Health Inc Medicare |
$22,243.73
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$22,243.73
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$22,243.73
|
| Rate for Payer: Healthfirst Medicare Advantage |
$20,686.67
|
| Rate for Payer: Humana Medicare |
$30,585.13
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$22,243.73
|
| Rate for Payer: United Healthcare Commercial |
$14,581.15
|
| Rate for Payer: United Healthcare Medicare Advantage |
$22,243.73
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$22,243.73
|
| Rate for Payer: Wellcare Medicare |
$21,131.54
|
|
|
MS-DRG 43.00: MASTECTOMY FOR MALIGNANCY WITH CC/MCC
|
Facility
|
IP
|
$53,713.87
|
|
|
Service Code
|
MSDRG 582
|
| Min. Negotiated Rate |
$24,581.39 |
| Max. Negotiated Rate |
$53,713.87 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$24,581.39
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$39,064.63
|
| Rate for Payer: Aetna Government |
$39,064.63
|
| Rate for Payer: Brighton Health Commercial |
$27,935.70
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$39,845.92
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$34,268.57
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$29,128.28
|
| Rate for Payer: Elderplan Medicare Advantage |
$37,111.40
|
| Rate for Payer: EmblemHealth Commercial |
$39,064.63
|
| Rate for Payer: Fidelis Medicare Advantage |
$39,064.63
|
| Rate for Payer: Group Health Inc Commercial |
$39,064.63
|
| Rate for Payer: Group Health Inc Medicare |
$39,064.63
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$39,064.63
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$39,064.63
|
| Rate for Payer: Healthfirst Medicare Advantage |
$36,330.11
|
| Rate for Payer: Humana Medicare |
$53,713.87
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$39,064.63
|
| Rate for Payer: United Healthcare Commercial |
$38,314.29
|
| Rate for Payer: United Healthcare Medicare Advantage |
$39,064.63
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$39,064.63
|
| Rate for Payer: Wellcare Medicare |
$37,111.40
|
|
