|
MS-DRG 43.00: MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC
|
Facility
|
IP
|
$49,672.54
|
|
|
Service Code
|
MSDRG 583
|
| Min. Negotiated Rate |
$22,440.42 |
| Max. Negotiated Rate |
$49,672.54 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$22,440.42
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$36,125.48
|
| Rate for Payer: Aetna Government |
$36,125.48
|
| Rate for Payer: Brighton Health Commercial |
$25,003.80
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$36,847.99
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$30,672.02
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$26,071.22
|
| Rate for Payer: Elderplan Medicare Advantage |
$34,319.21
|
| Rate for Payer: EmblemHealth Commercial |
$36,125.48
|
| Rate for Payer: Fidelis Medicare Advantage |
$36,125.48
|
| Rate for Payer: Group Health Inc Commercial |
$36,125.48
|
| Rate for Payer: Group Health Inc Medicare |
$36,125.48
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$36,125.48
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$36,125.48
|
| Rate for Payer: Healthfirst Medicare Advantage |
$33,596.70
|
| Rate for Payer: Humana Medicare |
$49,672.54
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$36,125.48
|
| Rate for Payer: United Healthcare Commercial |
$34,293.14
|
| Rate for Payer: United Healthcare Medicare Advantage |
$36,125.48
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$36,125.48
|
| Rate for Payer: Wellcare Medicare |
$34,319.21
|
|
|
MS-DRG 43.00: MEDICAL BACK PROBLEMS WITH MCC
|
Facility
|
IP
|
$48,707.13
|
|
|
Service Code
|
MSDRG 551
|
| Min. Negotiated Rate |
$24,303.45 |
| Max. Negotiated Rate |
$48,707.13 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$25,094.52
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$35,423.37
|
| Rate for Payer: Aetna Government |
$35,423.37
|
| Rate for Payer: Brighton Health Commercial |
$24,303.45
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$36,131.84
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$29,812.91
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$25,340.97
|
| Rate for Payer: Elderplan Medicare Advantage |
$33,652.20
|
| Rate for Payer: EmblemHealth Commercial |
$35,423.37
|
| Rate for Payer: Fidelis Medicare Advantage |
$35,423.37
|
| Rate for Payer: Group Health Inc Commercial |
$35,423.37
|
| Rate for Payer: Group Health Inc Medicare |
$35,423.37
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$35,423.37
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$35,423.37
|
| Rate for Payer: Healthfirst Medicare Advantage |
$32,943.73
|
| Rate for Payer: Humana Medicare |
$48,707.13
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$35,423.37
|
| Rate for Payer: United Healthcare Commercial |
$33,332.60
|
| Rate for Payer: United Healthcare Medicare Advantage |
$35,423.37
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$35,423.37
|
| Rate for Payer: Wellcare Medicare |
$33,652.20
|
|
|
MS-DRG 43.00: MEDICAL BACK PROBLEMS WITHOUT MCC
|
Facility
|
IP
|
$34,420.60
|
|
|
Service Code
|
MSDRG 552
|
| Min. Negotiated Rate |
$13,938.85 |
| Max. Negotiated Rate |
$34,420.60 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$14,248.09
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$25,033.16
|
| Rate for Payer: Aetna Government |
$25,033.16
|
| Rate for Payer: Brighton Health Commercial |
$13,938.85
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$25,533.82
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$17,098.71
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$14,533.90
|
| Rate for Payer: Elderplan Medicare Advantage |
$23,781.50
|
| Rate for Payer: EmblemHealth Commercial |
$25,033.16
|
| Rate for Payer: Fidelis Medicare Advantage |
$25,033.16
|
| Rate for Payer: Group Health Inc Commercial |
$25,033.16
|
| Rate for Payer: Group Health Inc Medicare |
$25,033.16
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$25,033.16
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$25,033.16
|
| Rate for Payer: Healthfirst Medicare Advantage |
$23,280.84
|
| Rate for Payer: Humana Medicare |
$34,420.60
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$25,033.16
|
| Rate for Payer: United Healthcare Commercial |
$19,117.37
|
| Rate for Payer: United Healthcare Medicare Advantage |
$25,033.16
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$25,033.16
|
| Rate for Payer: Wellcare Medicare |
$23,781.50
|
|
|
MS-DRG 43.00: MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC
|
Facility
|
IP
|
$35,343.99
|
|
|
Service Code
|
MSDRG 760
|
| Min. Negotiated Rate |
$14,608.75 |
| Max. Negotiated Rate |
$35,343.99 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$14,677.17
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$25,704.72
|
| Rate for Payer: Aetna Government |
$25,704.72
|
| Rate for Payer: Brighton Health Commercial |
$14,608.75
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$26,218.81
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$17,920.47
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$15,232.40
|
| Rate for Payer: Elderplan Medicare Advantage |
$24,419.48
|
| Rate for Payer: EmblemHealth Commercial |
$25,704.72
|
| Rate for Payer: Fidelis Medicare Advantage |
$25,704.72
|
| Rate for Payer: Group Health Inc Commercial |
$25,704.72
|
| Rate for Payer: Group Health Inc Medicare |
$25,704.72
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$25,704.72
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$25,704.72
|
| Rate for Payer: Healthfirst Medicare Advantage |
$23,905.39
|
| Rate for Payer: Humana Medicare |
$35,343.99
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$25,704.72
|
| Rate for Payer: United Healthcare Commercial |
$20,036.15
|
| Rate for Payer: United Healthcare Medicare Advantage |
$25,704.72
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$25,704.72
|
| Rate for Payer: Wellcare Medicare |
$24,419.48
|
|
|
MS-DRG 43.00: MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC
|
Facility
|
IP
|
$26,609.77
|
|
|
Service Code
|
MSDRG 761
|
| Min. Negotiated Rate |
$8,259.20 |
| Max. Negotiated Rate |
$26,609.77 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$8,929.57
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$19,352.56
|
| Rate for Payer: Aetna Government |
$19,352.56
|
| Rate for Payer: Brighton Health Commercial |
$8,259.20
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$19,739.61
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$10,131.52
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$8,611.79
|
| Rate for Payer: Elderplan Medicare Advantage |
$18,384.93
|
| Rate for Payer: EmblemHealth Commercial |
$19,352.56
|
| Rate for Payer: Fidelis Medicare Advantage |
$19,352.56
|
| Rate for Payer: Group Health Inc Commercial |
$19,352.56
|
| Rate for Payer: Group Health Inc Medicare |
$19,352.56
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$19,352.56
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$19,352.56
|
| Rate for Payer: Healthfirst Medicare Advantage |
$17,997.88
|
| Rate for Payer: Humana Medicare |
$26,609.77
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$19,352.56
|
| Rate for Payer: United Healthcare Commercial |
$11,327.64
|
| Rate for Payer: United Healthcare Medicare Advantage |
$19,352.56
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$19,352.56
|
| Rate for Payer: Wellcare Medicare |
$18,384.93
|
|
|
MS-DRG 43.00: MINOR BLADDER PROCEDURES WITH CC
|
Facility
|
IP
|
$45,591.19
|
|
|
Service Code
|
MSDRG 663
|
| Min. Negotiated Rate |
$21,512.96 |
| Max. Negotiated Rate |
$45,591.19 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$21,512.96
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$33,157.23
|
| Rate for Payer: Aetna Government |
$33,157.23
|
| Rate for Payer: Brighton Health Commercial |
$22,042.90
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$33,820.37
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$27,039.90
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$22,983.92
|
| Rate for Payer: Elderplan Medicare Advantage |
$31,499.37
|
| Rate for Payer: EmblemHealth Commercial |
$33,157.23
|
| Rate for Payer: Fidelis Medicare Advantage |
$33,157.23
|
| Rate for Payer: Group Health Inc Commercial |
$33,157.23
|
| Rate for Payer: Group Health Inc Medicare |
$33,157.23
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$33,157.23
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$33,157.23
|
| Rate for Payer: Healthfirst Medicare Advantage |
$30,836.22
|
| Rate for Payer: Humana Medicare |
$45,591.19
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$33,157.23
|
| Rate for Payer: United Healthcare Commercial |
$30,232.22
|
| Rate for Payer: United Healthcare Medicare Advantage |
$33,157.23
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$33,157.23
|
| Rate for Payer: Wellcare Medicare |
$31,499.37
|
|
|
MS-DRG 43.00: MINOR BLADDER PROCEDURES WITH MCC
|
Facility
|
IP
|
$76,396.86
|
|
|
Service Code
|
MSDRG 662
|
| Min. Negotiated Rate |
$44,186.34 |
| Max. Negotiated Rate |
$76,396.86 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$44,186.34
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$55,561.35
|
| Rate for Payer: Aetna Government |
$55,561.35
|
| Rate for Payer: Brighton Health Commercial |
$44,391.75
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$56,672.58
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$54,455.11
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$46,286.85
|
| Rate for Payer: Elderplan Medicare Advantage |
$52,783.28
|
| Rate for Payer: EmblemHealth Commercial |
$55,561.35
|
| Rate for Payer: Fidelis Medicare Advantage |
$55,561.35
|
| Rate for Payer: Group Health Inc Commercial |
$55,561.35
|
| Rate for Payer: Group Health Inc Medicare |
$55,561.35
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$55,561.35
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$55,561.35
|
| Rate for Payer: Healthfirst Medicare Advantage |
$51,672.06
|
| Rate for Payer: Humana Medicare |
$76,396.86
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$55,561.35
|
| Rate for Payer: United Healthcare Commercial |
$60,884.05
|
| Rate for Payer: United Healthcare Medicare Advantage |
$55,561.35
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$55,561.35
|
| Rate for Payer: Wellcare Medicare |
$52,783.28
|
|
|
MS-DRG 43.00: MINOR BLADDER PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$36,131.45
|
|
|
Service Code
|
MSDRG 664
|
| Min. Negotiated Rate |
$15,180.05 |
| Max. Negotiated Rate |
$36,131.45 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$15,653.29
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$26,277.42
|
| Rate for Payer: Aetna Government |
$26,277.42
|
| Rate for Payer: Brighton Health Commercial |
$15,180.05
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$26,802.97
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$18,621.28
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$15,828.09
|
| Rate for Payer: Elderplan Medicare Advantage |
$24,963.55
|
| Rate for Payer: EmblemHealth Commercial |
$26,277.42
|
| Rate for Payer: Fidelis Medicare Advantage |
$26,277.42
|
| Rate for Payer: Group Health Inc Commercial |
$26,277.42
|
| Rate for Payer: Group Health Inc Medicare |
$26,277.42
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$26,277.42
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$26,277.42
|
| Rate for Payer: Healthfirst Medicare Advantage |
$24,438.00
|
| Rate for Payer: Humana Medicare |
$36,131.45
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$26,277.42
|
| Rate for Payer: United Healthcare Commercial |
$20,819.70
|
| Rate for Payer: United Healthcare Medicare Advantage |
$26,277.42
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$26,277.42
|
| Rate for Payer: Wellcare Medicare |
$24,963.55
|
|
|
MS-DRG 43.00: MINOR SKIN DISORDERS WITH MCC
|
Facility
|
IP
|
$45,451.30
|
|
|
Service Code
|
MSDRG 606
|
| Min. Negotiated Rate |
$21,941.40 |
| Max. Negotiated Rate |
$45,451.30 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$23,382.62
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$33,055.49
|
| Rate for Payer: Aetna Government |
$33,055.49
|
| Rate for Payer: Brighton Health Commercial |
$21,941.40
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$33,716.60
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$26,915.39
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$22,878.09
|
| Rate for Payer: Elderplan Medicare Advantage |
$31,402.72
|
| Rate for Payer: EmblemHealth Commercial |
$33,055.49
|
| Rate for Payer: Fidelis Medicare Advantage |
$33,055.49
|
| Rate for Payer: Group Health Inc Commercial |
$33,055.49
|
| Rate for Payer: Group Health Inc Medicare |
$33,055.49
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$33,055.49
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$33,055.49
|
| Rate for Payer: Healthfirst Medicare Advantage |
$30,741.61
|
| Rate for Payer: Humana Medicare |
$45,451.30
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$33,055.49
|
| Rate for Payer: United Healthcare Commercial |
$30,093.01
|
| Rate for Payer: United Healthcare Medicare Advantage |
$33,055.49
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$33,055.49
|
| Rate for Payer: Wellcare Medicare |
$31,402.72
|
|
|
MS-DRG 43.00: MINOR SKIN DISORDERS WITHOUT MCC
|
Facility
|
IP
|
$33,323.35
|
|
|
Service Code
|
MSDRG 607
|
| Min. Negotiated Rate |
$13,142.80 |
| Max. Negotiated Rate |
$33,323.35 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$13,174.66
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$24,235.16
|
| Rate for Payer: Aetna Government |
$24,235.16
|
| Rate for Payer: Brighton Health Commercial |
$13,142.80
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$24,719.86
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$16,122.20
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$13,703.87
|
| Rate for Payer: Elderplan Medicare Advantage |
$23,023.40
|
| Rate for Payer: EmblemHealth Commercial |
$24,235.16
|
| Rate for Payer: Fidelis Medicare Advantage |
$24,235.16
|
| Rate for Payer: Group Health Inc Commercial |
$24,235.16
|
| Rate for Payer: Group Health Inc Medicare |
$24,235.16
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$24,235.16
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$24,235.16
|
| Rate for Payer: Healthfirst Medicare Advantage |
$22,538.70
|
| Rate for Payer: Humana Medicare |
$33,323.35
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$24,235.16
|
| Rate for Payer: United Healthcare Commercial |
$18,025.58
|
| Rate for Payer: United Healthcare Medicare Advantage |
$24,235.16
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$24,235.16
|
| Rate for Payer: Wellcare Medicare |
$23,023.40
|
|
|
MS-DRG 43.00: MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC
|
Facility
|
IP
|
$45,281.42
|
|
|
Service Code
|
MSDRG 345
|
| Min. Negotiated Rate |
$21,818.15 |
| Max. Negotiated Rate |
$45,281.42 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$22,716.15
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$32,931.94
|
| Rate for Payer: Aetna Government |
$32,931.94
|
| Rate for Payer: Brighton Health Commercial |
$21,818.15
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$33,590.58
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$26,764.20
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$22,749.57
|
| Rate for Payer: Elderplan Medicare Advantage |
$31,285.34
|
| Rate for Payer: EmblemHealth Commercial |
$32,931.94
|
| Rate for Payer: Fidelis Medicare Advantage |
$32,931.94
|
| Rate for Payer: Group Health Inc Commercial |
$32,931.94
|
| Rate for Payer: Group Health Inc Medicare |
$32,931.94
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$32,931.94
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$32,931.94
|
| Rate for Payer: Healthfirst Medicare Advantage |
$30,626.70
|
| Rate for Payer: Humana Medicare |
$45,281.42
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$32,931.94
|
| Rate for Payer: United Healthcare Commercial |
$29,923.97
|
| Rate for Payer: United Healthcare Medicare Advantage |
$32,931.94
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$32,931.94
|
| Rate for Payer: Wellcare Medicare |
$31,285.34
|
|
|
MS-DRG 43.00: MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC
|
Facility
|
IP
|
$66,829.19
|
|
|
Service Code
|
MSDRG 344
|
| Min. Negotiated Rate |
$37,450.60 |
| Max. Negotiated Rate |
$66,829.19 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$40,407.20
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$48,603.05
|
| Rate for Payer: Aetna Government |
$48,603.05
|
| Rate for Payer: Brighton Health Commercial |
$37,450.60
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$49,575.11
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$45,940.44
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$39,049.38
|
| Rate for Payer: Elderplan Medicare Advantage |
$46,172.90
|
| Rate for Payer: EmblemHealth Commercial |
$48,603.05
|
| Rate for Payer: Fidelis Medicare Advantage |
$48,603.05
|
| Rate for Payer: Group Health Inc Commercial |
$48,603.05
|
| Rate for Payer: Group Health Inc Medicare |
$48,603.05
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$48,603.05
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$48,603.05
|
| Rate for Payer: Healthfirst Medicare Advantage |
$45,200.84
|
| Rate for Payer: Humana Medicare |
$66,829.19
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$48,603.05
|
| Rate for Payer: United Healthcare Commercial |
$51,364.14
|
| Rate for Payer: United Healthcare Medicare Advantage |
$48,603.05
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$48,603.05
|
| Rate for Payer: Wellcare Medicare |
$46,172.90
|
|
|
MS-DRG 43.00: MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$38,915.62
|
|
|
Service Code
|
MSDRG 346
|
| Min. Negotiated Rate |
$17,199.90 |
| Max. Negotiated Rate |
$38,915.62 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$18,988.61
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$28,302.27
|
| Rate for Payer: Aetna Government |
$28,302.27
|
| Rate for Payer: Brighton Health Commercial |
$17,199.90
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$28,868.32
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$21,099.02
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$17,934.17
|
| Rate for Payer: Elderplan Medicare Advantage |
$26,887.16
|
| Rate for Payer: EmblemHealth Commercial |
$28,302.27
|
| Rate for Payer: Fidelis Medicare Advantage |
$28,302.27
|
| Rate for Payer: Group Health Inc Commercial |
$28,302.27
|
| Rate for Payer: Group Health Inc Medicare |
$28,302.27
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$28,302.27
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$28,302.27
|
| Rate for Payer: Healthfirst Medicare Advantage |
$26,321.11
|
| Rate for Payer: Humana Medicare |
$38,915.62
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$28,302.27
|
| Rate for Payer: United Healthcare Commercial |
$23,589.96
|
| Rate for Payer: United Healthcare Medicare Advantage |
$28,302.27
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$28,302.27
|
| Rate for Payer: Wellcare Medicare |
$26,887.16
|
|
|
MS-DRG 43.00: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC
|
Facility
|
IP
|
$41,901.65
|
|
|
Service Code
|
MSDRG 640
|
| Min. Negotiated Rate |
$19,366.20 |
| Max. Negotiated Rate |
$41,901.65 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$19,392.62
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$30,473.93
|
| Rate for Payer: Aetna Government |
$30,473.93
|
| Rate for Payer: Brighton Health Commercial |
$19,366.20
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$31,083.41
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$23,756.41
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$20,192.95
|
| Rate for Payer: Elderplan Medicare Advantage |
$28,950.23
|
| Rate for Payer: EmblemHealth Commercial |
$30,473.93
|
| Rate for Payer: Fidelis Medicare Advantage |
$30,473.93
|
| Rate for Payer: Group Health Inc Commercial |
$30,473.93
|
| Rate for Payer: Group Health Inc Medicare |
$30,473.93
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$30,473.93
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$30,473.93
|
| Rate for Payer: Healthfirst Medicare Advantage |
$28,340.75
|
| Rate for Payer: Humana Medicare |
$41,901.65
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$30,473.93
|
| Rate for Payer: United Healthcare Commercial |
$26,561.08
|
| Rate for Payer: United Healthcare Medicare Advantage |
$30,473.93
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$30,473.93
|
| Rate for Payer: Wellcare Medicare |
$28,950.23
|
|
|
MS-DRG 43.00: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC
|
Facility
|
IP
|
$30,760.99
|
|
|
Service Code
|
MSDRG 641
|
| Min. Negotiated Rate |
$11,283.90 |
| Max. Negotiated Rate |
$30,760.99 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$11,521.74
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$22,371.63
|
| Rate for Payer: Aetna Government |
$22,371.63
|
| Rate for Payer: Brighton Health Commercial |
$11,283.90
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$22,819.06
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$13,841.90
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$11,765.61
|
| Rate for Payer: Elderplan Medicare Advantage |
$21,253.05
|
| Rate for Payer: EmblemHealth Commercial |
$22,371.63
|
| Rate for Payer: Fidelis Medicare Advantage |
$22,371.63
|
| Rate for Payer: Group Health Inc Commercial |
$22,371.63
|
| Rate for Payer: Group Health Inc Medicare |
$22,371.63
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$22,371.63
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$22,371.63
|
| Rate for Payer: Healthfirst Medicare Advantage |
$20,805.62
|
| Rate for Payer: Humana Medicare |
$30,760.99
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$22,371.63
|
| Rate for Payer: United Healthcare Commercial |
$15,476.06
|
| Rate for Payer: United Healthcare Medicare Advantage |
$22,371.63
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$22,371.63
|
| Rate for Payer: Wellcare Medicare |
$21,253.05
|
|
|
MS-DRG 43.00: MOUTH PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$45,051.59
|
|
|
Service Code
|
MSDRG 137
|
| Min. Negotiated Rate |
$21,651.40 |
| Max. Negotiated Rate |
$45,051.59 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$22,186.80
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$32,764.79
|
| Rate for Payer: Aetna Government |
$32,764.79
|
| Rate for Payer: Brighton Health Commercial |
$21,651.40
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$33,420.09
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$26,559.65
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$22,575.71
|
| Rate for Payer: Elderplan Medicare Advantage |
$31,126.55
|
| Rate for Payer: EmblemHealth Commercial |
$32,764.79
|
| Rate for Payer: Fidelis Medicare Advantage |
$32,764.79
|
| Rate for Payer: Group Health Inc Commercial |
$32,764.79
|
| Rate for Payer: Group Health Inc Medicare |
$32,764.79
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$32,764.79
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$32,764.79
|
| Rate for Payer: Healthfirst Medicare Advantage |
$30,471.25
|
| Rate for Payer: Humana Medicare |
$45,051.59
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$32,764.79
|
| Rate for Payer: United Healthcare Commercial |
$29,695.27
|
| Rate for Payer: United Healthcare Medicare Advantage |
$32,764.79
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$32,764.79
|
| Rate for Payer: Wellcare Medicare |
$31,126.55
|
|
|
MS-DRG 43.00: MOUTH PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$32,919.58
|
|
|
Service Code
|
MSDRG 138
|
| Min. Negotiated Rate |
$12,764.75 |
| Max. Negotiated Rate |
$32,919.58 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$12,764.75
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$23,941.51
|
| Rate for Payer: Aetna Government |
$23,941.51
|
| Rate for Payer: Brighton Health Commercial |
$12,849.90
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$24,420.34
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$15,762.90
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$13,398.47
|
| Rate for Payer: Elderplan Medicare Advantage |
$22,744.43
|
| Rate for Payer: EmblemHealth Commercial |
$23,941.51
|
| Rate for Payer: Fidelis Medicare Advantage |
$23,941.51
|
| Rate for Payer: Group Health Inc Commercial |
$23,941.51
|
| Rate for Payer: Group Health Inc Medicare |
$23,941.51
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$23,941.51
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$23,941.51
|
| Rate for Payer: Healthfirst Medicare Advantage |
$22,265.60
|
| Rate for Payer: Humana Medicare |
$32,919.58
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$23,941.51
|
| Rate for Payer: United Healthcare Commercial |
$17,623.86
|
| Rate for Payer: United Healthcare Medicare Advantage |
$23,941.51
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$23,941.51
|
| Rate for Payer: Wellcare Medicare |
$22,744.43
|
|
|
MS-DRG 43.00: MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC
|
Facility
|
IP
|
$159,483.99
|
|
|
Service Code
|
MSDRG 427
|
| Min. Negotiated Rate |
$1,100.00 |
| Max. Negotiated Rate |
$159,483.99 |
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$115,988.36
|
| Rate for Payer: Aetna Government |
$115,988.36
|
| Rate for Payer: Brighton Health Commercial |
$104,669.70
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$118,308.13
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$128,397.74
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$109,138.09
|
| Rate for Payer: Elderplan Medicare Advantage |
$110,188.94
|
| Rate for Payer: EmblemHealth Commercial |
$115,988.36
|
| Rate for Payer: Fidelis Medicare Advantage |
$115,988.36
|
| Rate for Payer: Group Health Inc Commercial |
$1,100.00
|
| Rate for Payer: Group Health Inc Medicare |
$115,988.36
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$115,988.36
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$115,988.36
|
| Rate for Payer: Healthfirst Medicare Advantage |
$107,869.17
|
| Rate for Payer: Humana Medicare |
$159,483.99
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$115,988.36
|
| Rate for Payer: United Healthcare Commercial |
$143,556.30
|
| Rate for Payer: United Healthcare Medicare Advantage |
$115,988.36
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$115,988.36
|
| Rate for Payer: Wellcare Medicare |
$110,188.94
|
|
|
MS-DRG 43.00: MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE
|
Facility
|
IP
|
$235,485.83
|
|
|
Service Code
|
MSDRG 426
|
| Min. Negotiated Rate |
$1,100.00 |
| Max. Negotiated Rate |
$235,485.83 |
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$171,262.42
|
| Rate for Payer: Aetna Government |
$171,262.42
|
| Rate for Payer: Brighton Health Commercial |
$159,807.40
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$174,687.67
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$196,034.86
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$166,629.63
|
| Rate for Payer: Elderplan Medicare Advantage |
$162,699.30
|
| Rate for Payer: EmblemHealth Commercial |
$171,262.42
|
| Rate for Payer: Fidelis Medicare Advantage |
$171,262.42
|
| Rate for Payer: Group Health Inc Commercial |
$1,100.00
|
| Rate for Payer: Group Health Inc Medicare |
$171,262.42
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$171,262.42
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$171,262.42
|
| Rate for Payer: Healthfirst Medicare Advantage |
$159,274.05
|
| Rate for Payer: Humana Medicare |
$235,485.83
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$171,262.42
|
| Rate for Payer: United Healthcare Commercial |
$219,178.60
|
| Rate for Payer: United Healthcare Medicare Advantage |
$171,262.42
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$171,262.42
|
| Rate for Payer: Wellcare Medicare |
$162,699.30
|
|
|
MS-DRG 43.00: MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC
|
Facility
|
IP
|
$127,573.09
|
|
|
Service Code
|
MSDRG 428
|
| Min. Negotiated Rate |
$1,100.00 |
| Max. Negotiated Rate |
$127,573.09 |
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$92,780.43
|
| Rate for Payer: Aetna Government |
$92,780.43
|
| Rate for Payer: Brighton Health Commercial |
$81,519.00
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$94,636.04
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$99,998.91
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$84,999.07
|
| Rate for Payer: Elderplan Medicare Advantage |
$88,141.41
|
| Rate for Payer: EmblemHealth Commercial |
$92,780.43
|
| Rate for Payer: Fidelis Medicare Advantage |
$92,780.43
|
| Rate for Payer: Group Health Inc Commercial |
$1,100.00
|
| Rate for Payer: Group Health Inc Medicare |
$92,780.43
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$92,780.43
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$92,780.43
|
| Rate for Payer: Healthfirst Medicare Advantage |
$86,285.80
|
| Rate for Payer: Humana Medicare |
$127,573.09
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$92,780.43
|
| Rate for Payer: United Healthcare Commercial |
$111,804.71
|
| Rate for Payer: United Healthcare Medicare Advantage |
$92,780.43
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$92,780.43
|
| Rate for Payer: Wellcare Medicare |
$88,141.41
|
|
|
MS-DRG 43.00: MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE
|
Facility
|
IP
|
$148,751.09
|
|
|
Service Code
|
MSDRG 447
|
| Min. Negotiated Rate |
$96,883.20 |
| Max. Negotiated Rate |
$148,751.09 |
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$108,182.61
|
| Rate for Payer: Aetna Government |
$108,182.61
|
| Rate for Payer: Brighton Health Commercial |
$96,883.20
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$110,346.26
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$118,846.09
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$101,019.18
|
| Rate for Payer: Elderplan Medicare Advantage |
$102,773.48
|
| Rate for Payer: EmblemHealth Commercial |
$108,182.61
|
| Rate for Payer: Fidelis Medicare Advantage |
$108,182.61
|
| Rate for Payer: Group Health Inc Commercial |
$108,182.61
|
| Rate for Payer: Group Health Inc Medicare |
$108,182.61
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$108,182.61
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$108,182.61
|
| Rate for Payer: Healthfirst Medicare Advantage |
$100,609.83
|
| Rate for Payer: Humana Medicare |
$148,751.09
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$108,182.61
|
| Rate for Payer: United Healthcare Commercial |
$132,876.98
|
| Rate for Payer: United Healthcare Medicare Advantage |
$108,182.61
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$108,182.61
|
| Rate for Payer: Wellcare Medicare |
$102,773.48
|
|
|
MS-DRG 43.00: MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC
|
Facility
|
IP
|
$99,967.31
|
|
|
Service Code
|
MSDRG 448
|
| Min. Negotiated Rate |
$61,491.60 |
| Max. Negotiated Rate |
$99,967.31 |
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$72,703.50
|
| Rate for Payer: Aetna Government |
$72,703.50
|
| Rate for Payer: Brighton Health Commercial |
$61,491.60
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$74,157.57
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$75,431.41
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$64,116.70
|
| Rate for Payer: Elderplan Medicare Advantage |
$69,068.32
|
| Rate for Payer: EmblemHealth Commercial |
$72,703.50
|
| Rate for Payer: Fidelis Medicare Advantage |
$72,703.50
|
| Rate for Payer: Group Health Inc Commercial |
$72,703.50
|
| Rate for Payer: Group Health Inc Medicare |
$72,703.50
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$72,703.50
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$72,703.50
|
| Rate for Payer: Healthfirst Medicare Advantage |
$67,614.26
|
| Rate for Payer: Humana Medicare |
$99,967.31
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$72,703.50
|
| Rate for Payer: United Healthcare Commercial |
$84,336.79
|
| Rate for Payer: United Healthcare Medicare Advantage |
$72,703.50
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$72,703.50
|
| Rate for Payer: Wellcare Medicare |
$69,068.32
|
|
|
MS-DRG 43.00: MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC
|
Facility
|
IP
|
$40,008.90
|
|
|
Service Code
|
MSDRG 059
|
| Min. Negotiated Rate |
$17,505.26 |
| Max. Negotiated Rate |
$40,008.90 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$17,505.26
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$29,097.38
|
| Rate for Payer: Aetna Government |
$29,097.38
|
| Rate for Payer: Brighton Health Commercial |
$17,993.05
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$29,679.33
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$22,071.98
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$18,761.18
|
| Rate for Payer: Elderplan Medicare Advantage |
$27,642.51
|
| Rate for Payer: EmblemHealth Commercial |
$29,097.38
|
| Rate for Payer: Fidelis Medicare Advantage |
$29,097.38
|
| Rate for Payer: Group Health Inc Commercial |
$29,097.38
|
| Rate for Payer: Group Health Inc Medicare |
$29,097.38
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$29,097.38
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$29,097.38
|
| Rate for Payer: Healthfirst Medicare Advantage |
$27,060.56
|
| Rate for Payer: Humana Medicare |
$40,008.90
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$29,097.38
|
| Rate for Payer: United Healthcare Commercial |
$24,677.78
|
| Rate for Payer: United Healthcare Medicare Advantage |
$29,097.38
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$29,097.38
|
| Rate for Payer: Wellcare Medicare |
$27,642.51
|
|
|
MS-DRG 43.00: MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC
|
Facility
|
IP
|
$49,374.72
|
|
|
Service Code
|
MSDRG 058
|
| Min. Negotiated Rate |
$24,787.75 |
| Max. Negotiated Rate |
$49,374.72 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$25,477.89
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$35,908.89
|
| Rate for Payer: Aetna Government |
$35,908.89
|
| Rate for Payer: Brighton Health Commercial |
$24,787.75
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$36,627.07
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$30,407.00
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$25,845.95
|
| Rate for Payer: Elderplan Medicare Advantage |
$34,113.45
|
| Rate for Payer: EmblemHealth Commercial |
$35,908.89
|
| Rate for Payer: Fidelis Medicare Advantage |
$35,908.89
|
| Rate for Payer: Group Health Inc Commercial |
$35,908.89
|
| Rate for Payer: Group Health Inc Medicare |
$35,908.89
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$35,908.89
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$35,908.89
|
| Rate for Payer: Healthfirst Medicare Advantage |
$33,395.27
|
| Rate for Payer: Humana Medicare |
$49,374.72
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$35,908.89
|
| Rate for Payer: United Healthcare Commercial |
$33,996.83
|
| Rate for Payer: United Healthcare Medicare Advantage |
$35,908.89
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$35,908.89
|
| Rate for Payer: Wellcare Medicare |
$34,113.45
|
|
|
MS-DRG 43.00: MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC
|
Facility
|
IP
|
$33,591.15
|
|
|
Service Code
|
MSDRG 060
|
| Min. Negotiated Rate |
$13,232.16 |
| Max. Negotiated Rate |
$33,591.15 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$13,232.16
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$24,429.93
|
| Rate for Payer: Aetna Government |
$24,429.93
|
| Rate for Payer: Brighton Health Commercial |
$13,337.10
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$24,918.53
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$16,360.55
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$13,906.47
|
| Rate for Payer: Elderplan Medicare Advantage |
$23,208.43
|
| Rate for Payer: EmblemHealth Commercial |
$24,429.93
|
| Rate for Payer: Fidelis Medicare Advantage |
$24,429.93
|
| Rate for Payer: Group Health Inc Commercial |
$24,429.93
|
| Rate for Payer: Group Health Inc Medicare |
$24,429.93
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$24,429.93
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$24,429.93
|
| Rate for Payer: Healthfirst Medicare Advantage |
$22,719.83
|
| Rate for Payer: Humana Medicare |
$33,591.15
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$24,429.93
|
| Rate for Payer: United Healthcare Commercial |
$18,292.06
|
| Rate for Payer: United Healthcare Medicare Advantage |
$24,429.93
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$24,429.93
|
| Rate for Payer: Wellcare Medicare |
$23,208.43
|
|
