|
MS-DRG 43.00: MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$61,400.79
|
|
|
Service Code
|
MSDRG 827
|
| Min. Negotiated Rate |
$33,512.40 |
| Max. Negotiated Rate |
$61,400.79 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$34,167.11
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$44,655.12
|
| Rate for Payer: Aetna Government |
$44,655.12
|
| Rate for Payer: Brighton Health Commercial |
$33,512.40
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$45,548.22
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$41,109.48
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$34,943.06
|
| Rate for Payer: Elderplan Medicare Advantage |
$42,422.36
|
| Rate for Payer: EmblemHealth Commercial |
$44,655.12
|
| Rate for Payer: Fidelis Medicare Advantage |
$44,655.12
|
| Rate for Payer: Group Health Inc Commercial |
$44,655.12
|
| Rate for Payer: Group Health Inc Medicare |
$44,655.12
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$44,655.12
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$44,655.12
|
| Rate for Payer: Healthfirst Medicare Advantage |
$41,529.26
|
| Rate for Payer: Humana Medicare |
$61,400.79
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$44,655.12
|
| Rate for Payer: United Healthcare Commercial |
$45,962.83
|
| Rate for Payer: United Healthcare Medicare Advantage |
$44,655.12
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$44,655.12
|
| Rate for Payer: Wellcare Medicare |
$42,422.36
|
|
|
MS-DRG 43.00: MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$108,701.53
|
|
|
Service Code
|
MSDRG 826
|
| Min. Negotiated Rate |
$64,712.86 |
| Max. Negotiated Rate |
$108,701.53 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$64,712.86
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$79,055.66
|
| Rate for Payer: Aetna Government |
$79,055.66
|
| Rate for Payer: Brighton Health Commercial |
$67,828.10
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$80,636.77
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$83,204.36
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$70,723.70
|
| Rate for Payer: Elderplan Medicare Advantage |
$75,102.88
|
| Rate for Payer: EmblemHealth Commercial |
$79,055.66
|
| Rate for Payer: Fidelis Medicare Advantage |
$79,055.66
|
| Rate for Payer: Group Health Inc Commercial |
$79,055.66
|
| Rate for Payer: Group Health Inc Medicare |
$79,055.66
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$79,055.66
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$79,055.66
|
| Rate for Payer: Healthfirst Medicare Advantage |
$73,521.76
|
| Rate for Payer: Humana Medicare |
$108,701.53
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$79,055.66
|
| Rate for Payer: United Healthcare Commercial |
$93,027.41
|
| Rate for Payer: United Healthcare Medicare Advantage |
$79,055.66
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$79,055.66
|
| Rate for Payer: Wellcare Medicare |
$75,102.88
|
|
|
MS-DRG 43.00: MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$49,260.78
|
|
|
Service Code
|
MSDRG 828
|
| Min. Negotiated Rate |
$24,187.70 |
| Max. Negotiated Rate |
$49,260.78 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$24,187.70
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$35,826.02
|
| Rate for Payer: Aetna Government |
$35,826.02
|
| Rate for Payer: Brighton Health Commercial |
$24,705.10
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$36,542.54
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$30,305.61
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$25,759.77
|
| Rate for Payer: Elderplan Medicare Advantage |
$34,034.72
|
| Rate for Payer: EmblemHealth Commercial |
$35,826.02
|
| Rate for Payer: Fidelis Medicare Advantage |
$35,826.02
|
| Rate for Payer: Group Health Inc Commercial |
$35,826.02
|
| Rate for Payer: Group Health Inc Medicare |
$35,826.02
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$35,826.02
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$35,826.02
|
| Rate for Payer: Healthfirst Medicare Advantage |
$33,318.20
|
| Rate for Payer: Humana Medicare |
$49,260.78
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$35,826.02
|
| Rate for Payer: United Healthcare Commercial |
$33,883.47
|
| Rate for Payer: United Healthcare Medicare Advantage |
$35,826.02
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$35,826.02
|
| Rate for Payer: Wellcare Medicare |
$34,034.72
|
|
|
MS-DRG 43.00: MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$78,365.60
|
|
|
Service Code
|
MSDRG 829
|
| Min. Negotiated Rate |
$45,820.00 |
| Max. Negotiated Rate |
$78,365.60 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$46,502.78
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$56,993.16
|
| Rate for Payer: Aetna Government |
$56,993.16
|
| Rate for Payer: Brighton Health Commercial |
$45,820.00
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$58,133.02
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$56,207.14
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$47,776.07
|
| Rate for Payer: Elderplan Medicare Advantage |
$54,143.50
|
| Rate for Payer: EmblemHealth Commercial |
$56,993.16
|
| Rate for Payer: Fidelis Medicare Advantage |
$56,993.16
|
| Rate for Payer: Group Health Inc Commercial |
$56,993.16
|
| Rate for Payer: Group Health Inc Medicare |
$56,993.16
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$56,993.16
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$56,993.16
|
| Rate for Payer: Healthfirst Medicare Advantage |
$53,003.64
|
| Rate for Payer: Humana Medicare |
$78,365.60
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$56,993.16
|
| Rate for Payer: United Healthcare Commercial |
$62,842.92
|
| Rate for Payer: United Healthcare Medicare Advantage |
$56,993.16
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$56,993.16
|
| Rate for Payer: Wellcare Medicare |
$54,143.50
|
|
|
MS-DRG 43.00: MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$45,287.41
|
|
|
Service Code
|
MSDRG 830
|
| Min. Negotiated Rate |
$21,822.50 |
| Max. Negotiated Rate |
$45,287.41 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$23,314.79
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$32,936.30
|
| Rate for Payer: Aetna Government |
$32,936.30
|
| Rate for Payer: Brighton Health Commercial |
$21,822.50
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$33,595.03
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$26,769.54
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$22,754.11
|
| Rate for Payer: Elderplan Medicare Advantage |
$31,289.49
|
| Rate for Payer: EmblemHealth Commercial |
$32,936.30
|
| Rate for Payer: Fidelis Medicare Advantage |
$32,936.30
|
| Rate for Payer: Group Health Inc Commercial |
$32,936.30
|
| Rate for Payer: Group Health Inc Medicare |
$32,936.30
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$32,936.30
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$32,936.30
|
| Rate for Payer: Healthfirst Medicare Advantage |
$30,630.76
|
| Rate for Payer: Humana Medicare |
$45,287.41
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$32,936.30
|
| Rate for Payer: United Healthcare Commercial |
$29,929.94
|
| Rate for Payer: United Healthcare Medicare Advantage |
$32,936.30
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$32,936.30
|
| Rate for Payer: Wellcare Medicare |
$31,289.49
|
|
|
MS-DRG 43.00: NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY
|
Facility
|
IP
|
$51,227.51
|
|
|
Service Code
|
MSDRG 789
|
| Min. Negotiated Rate |
$3,163.00 |
| Max. Negotiated Rate |
$51,227.51 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$26,827.05
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$37,256.37
|
| Rate for Payer: Aetna Government |
$37,256.37
|
| Rate for Payer: Brighton Health Commercial |
$26,131.90
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$38,001.50
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$32,055.86
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$27,247.48
|
| Rate for Payer: Elderplan Medicare Advantage |
$35,393.55
|
| Rate for Payer: EmblemHealth Commercial |
$37,256.37
|
| Rate for Payer: Fidelis Medicare Advantage |
$37,256.37
|
| Rate for Payer: Group Health Inc Commercial |
$7,000.00
|
| Rate for Payer: Group Health Inc Medicare |
$37,256.37
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$37,256.37
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$37,256.37
|
| Rate for Payer: Healthfirst Medicare Advantage |
$34,648.42
|
| Rate for Payer: Humana Medicare |
$51,227.51
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$37,256.37
|
| Rate for Payer: United Healthcare Commercial |
$3,163.00
|
| Rate for Payer: United Healthcare Medicare Advantage |
$37,256.37
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$37,256.37
|
| Rate for Payer: Wellcare Medicare |
$35,393.55
|
|
|
MS-DRG 43.00: NEONATE WITH OTHER SIGNIFICANT PROBLEMS
|
Facility
|
IP
|
$44,705.79
|
|
|
Service Code
|
MSDRG 794
|
| Min. Negotiated Rate |
$3,163.00 |
| Max. Negotiated Rate |
$44,705.79 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$21,968.58
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$32,513.30
|
| Rate for Payer: Aetna Government |
$32,513.30
|
| Rate for Payer: Brighton Health Commercial |
$21,400.55
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$33,163.57
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$26,251.94
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$22,314.15
|
| Rate for Payer: Elderplan Medicare Advantage |
$30,887.63
|
| Rate for Payer: EmblemHealth Commercial |
$32,513.30
|
| Rate for Payer: Fidelis Medicare Advantage |
$32,513.30
|
| Rate for Payer: Group Health Inc Commercial |
$7,000.00
|
| Rate for Payer: Group Health Inc Medicare |
$32,513.30
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$32,513.30
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$32,513.30
|
| Rate for Payer: Healthfirst Medicare Advantage |
$30,237.37
|
| Rate for Payer: Humana Medicare |
$44,705.79
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$32,513.30
|
| Rate for Payer: United Healthcare Commercial |
$3,163.00
|
| Rate for Payer: United Healthcare Medicare Advantage |
$32,513.30
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$32,513.30
|
| Rate for Payer: Wellcare Medicare |
$30,887.63
|
|
|
MS-DRG 43.00: NERVOUS SYSTEM NEOPLASMS WITH MCC
|
Facility
|
IP
|
$45,725.14
|
|
|
Service Code
|
MSDRG 054
|
| Min. Negotiated Rate |
$21,726.76 |
| Max. Negotiated Rate |
$45,725.14 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$21,726.76
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$33,254.65
|
| Rate for Payer: Aetna Government |
$33,254.65
|
| Rate for Payer: Brighton Health Commercial |
$22,140.05
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$33,919.74
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$27,159.08
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$23,085.22
|
| Rate for Payer: Elderplan Medicare Advantage |
$31,591.92
|
| Rate for Payer: EmblemHealth Commercial |
$33,254.65
|
| Rate for Payer: Fidelis Medicare Advantage |
$33,254.65
|
| Rate for Payer: Group Health Inc Commercial |
$33,254.65
|
| Rate for Payer: Group Health Inc Medicare |
$33,254.65
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$33,254.65
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$33,254.65
|
| Rate for Payer: Healthfirst Medicare Advantage |
$30,926.82
|
| Rate for Payer: Humana Medicare |
$45,725.14
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$33,254.65
|
| Rate for Payer: United Healthcare Commercial |
$30,365.46
|
| Rate for Payer: United Healthcare Medicare Advantage |
$33,254.65
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$33,254.65
|
| Rate for Payer: Wellcare Medicare |
$31,591.92
|
|
|
MS-DRG 43.00: NERVOUS SYSTEM NEOPLASMS WITHOUT MCC
|
Facility
|
IP
|
$35,585.81
|
|
|
Service Code
|
MSDRG 055
|
| Min. Negotiated Rate |
$14,784.20 |
| Max. Negotiated Rate |
$35,585.81 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$15,824.33
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$25,880.59
|
| Rate for Payer: Aetna Government |
$25,880.59
|
| Rate for Payer: Brighton Health Commercial |
$14,784.20
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$26,398.20
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$18,135.70
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$15,415.34
|
| Rate for Payer: Elderplan Medicare Advantage |
$24,586.56
|
| Rate for Payer: EmblemHealth Commercial |
$25,880.59
|
| Rate for Payer: Fidelis Medicare Advantage |
$25,880.59
|
| Rate for Payer: Group Health Inc Commercial |
$25,880.59
|
| Rate for Payer: Group Health Inc Medicare |
$25,880.59
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$25,880.59
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$25,880.59
|
| Rate for Payer: Healthfirst Medicare Advantage |
$24,068.95
|
| Rate for Payer: Humana Medicare |
$35,585.81
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$25,880.59
|
| Rate for Payer: United Healthcare Commercial |
$20,276.79
|
| Rate for Payer: United Healthcare Medicare Advantage |
$25,880.59
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$25,880.59
|
| Rate for Payer: Wellcare Medicare |
$24,586.56
|
|
|
MS-DRG 43.00: NEUROLOGICAL EYE DISORDERS
|
Facility
|
IP
|
$31,168.73
|
|
|
Service Code
|
MSDRG 123
|
| Min. Negotiated Rate |
$11,579.70 |
| Max. Negotiated Rate |
$31,168.73 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$11,854.98
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$22,668.17
|
| Rate for Payer: Aetna Government |
$22,668.17
|
| Rate for Payer: Brighton Health Commercial |
$11,579.70
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$23,121.53
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$14,204.75
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$12,074.04
|
| Rate for Payer: Elderplan Medicare Advantage |
$21,534.76
|
| Rate for Payer: EmblemHealth Commercial |
$22,668.17
|
| Rate for Payer: Fidelis Medicare Advantage |
$22,668.17
|
| Rate for Payer: Group Health Inc Commercial |
$22,668.17
|
| Rate for Payer: Group Health Inc Medicare |
$22,668.17
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$22,668.17
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$22,668.17
|
| Rate for Payer: Healthfirst Medicare Advantage |
$21,081.40
|
| Rate for Payer: Humana Medicare |
$31,168.73
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$22,668.17
|
| Rate for Payer: United Healthcare Commercial |
$15,881.76
|
| Rate for Payer: United Healthcare Medicare Advantage |
$22,668.17
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$22,668.17
|
| Rate for Payer: Wellcare Medicare |
$21,534.76
|
|
|
MS-DRG 43.00: NEUROSES EXCEPT DEPRESSIVE
|
Facility
|
IP
|
$27,201.81
|
|
|
Service Code
|
MSDRG 882
|
| Min. Negotiated Rate |
$1,100.00 |
| Max. Negotiated Rate |
$27,201.81 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$1,859.00
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$26,668.44
|
| Rate for Payer: Aetna Government |
$26,668.44
|
| Rate for Payer: Brighton Health Commercial |
$15,570.10
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$27,201.81
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$19,099.76
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$16,234.79
|
| Rate for Payer: Elderplan Medicare Advantage |
$25,335.02
|
| Rate for Payer: EmblemHealth Commercial |
$1,100.00
|
| Rate for Payer: Fidelis Medicare Advantage |
$26,668.44
|
| Rate for Payer: Group Health Inc Commercial |
$26,668.44
|
| Rate for Payer: Group Health Inc Medicare |
$26,668.44
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$26,668.44
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$26,668.44
|
| Rate for Payer: Healthfirst Medicare Advantage |
$24,801.65
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$26,668.44
|
| Rate for Payer: United Healthcare Commercial |
$21,354.66
|
| Rate for Payer: United Healthcare Medicare Advantage |
$26,668.44
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$26,668.44
|
| Rate for Payer: Wellcare Medicare |
$25,335.02
|
|
|
MS-DRG 43.00: NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC
|
Facility
|
IP
|
$61,075.01
|
|
|
Service Code
|
MSDRG 098
|
| Min. Negotiated Rate |
$31,768.10 |
| Max. Negotiated Rate |
$61,075.01 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$31,768.10
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$44,418.19
|
| Rate for Payer: Aetna Government |
$44,418.19
|
| Rate for Payer: Brighton Health Commercial |
$33,276.05
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$45,306.55
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$40,819.55
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$34,696.62
|
| Rate for Payer: Elderplan Medicare Advantage |
$42,197.28
|
| Rate for Payer: EmblemHealth Commercial |
$44,418.19
|
| Rate for Payer: Fidelis Medicare Advantage |
$44,418.19
|
| Rate for Payer: Group Health Inc Commercial |
$44,418.19
|
| Rate for Payer: Group Health Inc Medicare |
$44,418.19
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$44,418.19
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$44,418.19
|
| Rate for Payer: Healthfirst Medicare Advantage |
$41,308.92
|
| Rate for Payer: Humana Medicare |
$61,075.01
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$44,418.19
|
| Rate for Payer: United Healthcare Commercial |
$45,638.68
|
| Rate for Payer: United Healthcare Medicare Advantage |
$44,418.19
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$44,418.19
|
| Rate for Payer: Wellcare Medicare |
$42,197.28
|
|
|
MS-DRG 43.00: NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC
|
Facility
|
IP
|
$87,395.63
|
|
|
Service Code
|
MSDRG 097
|
| Min. Negotiated Rate |
$52,371.10 |
| Max. Negotiated Rate |
$87,395.63 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$53,626.09
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$63,560.46
|
| Rate for Payer: Aetna Government |
$63,560.46
|
| Rate for Payer: Brighton Health Commercial |
$52,371.10
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$64,831.67
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$64,243.34
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$54,606.84
|
| Rate for Payer: Elderplan Medicare Advantage |
$60,382.44
|
| Rate for Payer: EmblemHealth Commercial |
$63,560.46
|
| Rate for Payer: Fidelis Medicare Advantage |
$63,560.46
|
| Rate for Payer: Group Health Inc Commercial |
$63,560.46
|
| Rate for Payer: Group Health Inc Medicare |
$63,560.46
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$63,560.46
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$63,560.46
|
| Rate for Payer: Healthfirst Medicare Advantage |
$59,111.23
|
| Rate for Payer: Humana Medicare |
$87,395.63
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$63,560.46
|
| Rate for Payer: United Healthcare Commercial |
$71,827.87
|
| Rate for Payer: United Healthcare Medicare Advantage |
$63,560.46
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$63,560.46
|
| Rate for Payer: Wellcare Medicare |
$60,382.44
|
|
|
MS-DRG 43.00: NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC
|
Facility
|
IP
|
$42,437.30
|
|
|
Service Code
|
MSDRG 099
|
| Min. Negotiated Rate |
$19,466.35 |
| Max. Negotiated Rate |
$42,437.30 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$19,466.35
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$30,863.49
|
| Rate for Payer: Aetna Government |
$30,863.49
|
| Rate for Payer: Brighton Health Commercial |
$19,754.80
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$31,480.76
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$24,233.10
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$20,598.14
|
| Rate for Payer: Elderplan Medicare Advantage |
$29,320.32
|
| Rate for Payer: EmblemHealth Commercial |
$30,863.49
|
| Rate for Payer: Fidelis Medicare Advantage |
$30,863.49
|
| Rate for Payer: Group Health Inc Commercial |
$30,863.49
|
| Rate for Payer: Group Health Inc Medicare |
$30,863.49
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$30,863.49
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$30,863.49
|
| Rate for Payer: Healthfirst Medicare Advantage |
$28,703.05
|
| Rate for Payer: Humana Medicare |
$42,437.30
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$30,863.49
|
| Rate for Payer: United Healthcare Commercial |
$27,094.05
|
| Rate for Payer: United Healthcare Medicare Advantage |
$30,863.49
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$30,863.49
|
| Rate for Payer: Wellcare Medicare |
$29,320.32
|
|
|
MS-DRG 43.00: NON-EXTENSIVE BURNS
|
Facility
|
IP
|
$56,380.09
|
|
|
Service Code
|
MSDRG 935
|
| Min. Negotiated Rate |
$29,870.00 |
| Max. Negotiated Rate |
$56,380.09 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$30,096.02
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$41,003.70
|
| Rate for Payer: Aetna Government |
$41,003.70
|
| Rate for Payer: Brighton Health Commercial |
$29,870.00
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$41,823.77
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$36,641.36
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$31,145.16
|
| Rate for Payer: Elderplan Medicare Advantage |
$38,953.51
|
| Rate for Payer: EmblemHealth Commercial |
$41,003.70
|
| Rate for Payer: Fidelis Medicare Advantage |
$41,003.70
|
| Rate for Payer: Group Health Inc Commercial |
$41,003.70
|
| Rate for Payer: Group Health Inc Medicare |
$41,003.70
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$41,003.70
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$41,003.70
|
| Rate for Payer: Healthfirst Medicare Advantage |
$38,133.44
|
| Rate for Payer: Humana Medicare |
$56,380.09
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$41,003.70
|
| Rate for Payer: United Healthcare Commercial |
$40,967.22
|
| Rate for Payer: United Healthcare Medicare Advantage |
$41,003.70
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$41,003.70
|
| Rate for Payer: Wellcare Medicare |
$38,953.51
|
|
|
MS-DRG 43.00: NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC
|
Facility
|
IP
|
$48,057.60
|
|
|
Service Code
|
MSDRG 988
|
| Min. Negotiated Rate |
$23,832.20 |
| Max. Negotiated Rate |
$48,057.60 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$25,022.27
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$34,950.98
|
| Rate for Payer: Aetna Government |
$34,950.98
|
| Rate for Payer: Brighton Health Commercial |
$23,832.20
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$35,650.00
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$29,234.83
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$24,849.60
|
| Rate for Payer: Elderplan Medicare Advantage |
$33,203.43
|
| Rate for Payer: EmblemHealth Commercial |
$34,950.98
|
| Rate for Payer: Fidelis Medicare Advantage |
$34,950.98
|
| Rate for Payer: Group Health Inc Commercial |
$34,950.98
|
| Rate for Payer: Group Health Inc Medicare |
$34,950.98
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$34,950.98
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$34,950.98
|
| Rate for Payer: Healthfirst Medicare Advantage |
$32,504.41
|
| Rate for Payer: Humana Medicare |
$48,057.60
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$34,950.98
|
| Rate for Payer: United Healthcare Commercial |
$32,686.27
|
| Rate for Payer: United Healthcare Medicare Advantage |
$34,950.98
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$34,950.98
|
| Rate for Payer: Wellcare Medicare |
$33,203.43
|
|
|
MS-DRG 43.00: NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC
|
Facility
|
IP
|
$83,730.03
|
|
|
Service Code
|
MSDRG 987
|
| Min. Negotiated Rate |
$49,711.80 |
| Max. Negotiated Rate |
$83,730.03 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$49,789.44
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$60,894.57
|
| Rate for Payer: Aetna Government |
$60,894.57
|
| Rate for Payer: Brighton Health Commercial |
$49,711.80
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$62,112.46
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$60,981.19
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$51,834.01
|
| Rate for Payer: Elderplan Medicare Advantage |
$57,849.84
|
| Rate for Payer: EmblemHealth Commercial |
$60,894.57
|
| Rate for Payer: Fidelis Medicare Advantage |
$60,894.57
|
| Rate for Payer: Group Health Inc Commercial |
$60,894.57
|
| Rate for Payer: Group Health Inc Medicare |
$60,894.57
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$60,894.57
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$60,894.57
|
| Rate for Payer: Healthfirst Medicare Advantage |
$56,631.95
|
| Rate for Payer: Humana Medicare |
$83,730.03
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$60,894.57
|
| Rate for Payer: United Healthcare Commercial |
$68,180.59
|
| Rate for Payer: United Healthcare Medicare Advantage |
$60,894.57
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$60,894.57
|
| Rate for Payer: Wellcare Medicare |
$57,849.84
|
|
|
MS-DRG 43.00: NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC
|
Facility
|
IP
|
$39,175.46
|
|
|
Service Code
|
MSDRG 989
|
| Min. Negotiated Rate |
$15,929.02 |
| Max. Negotiated Rate |
$39,175.46 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$15,929.02
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$28,491.24
|
| Rate for Payer: Aetna Government |
$28,491.24
|
| Rate for Payer: Brighton Health Commercial |
$17,388.40
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$29,061.06
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$21,330.25
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$18,130.72
|
| Rate for Payer: Elderplan Medicare Advantage |
$27,066.68
|
| Rate for Payer: EmblemHealth Commercial |
$28,491.24
|
| Rate for Payer: Fidelis Medicare Advantage |
$28,491.24
|
| Rate for Payer: Group Health Inc Commercial |
$28,491.24
|
| Rate for Payer: Group Health Inc Medicare |
$28,491.24
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$28,491.24
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$28,491.24
|
| Rate for Payer: Healthfirst Medicare Advantage |
$26,496.85
|
| Rate for Payer: Humana Medicare |
$39,175.46
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$28,491.24
|
| Rate for Payer: United Healthcare Commercial |
$23,848.49
|
| Rate for Payer: United Healthcare Medicare Advantage |
$28,491.24
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$28,491.24
|
| Rate for Payer: Wellcare Medicare |
$27,066.68
|
|
|
MS-DRG 43.00: NON-MALIGNANT BREAST DISORDERS WITH CC/MCC
|
Facility
|
IP
|
$36,025.55
|
|
|
Service Code
|
MSDRG 600
|
| Min. Negotiated Rate |
$15,103.20 |
| Max. Negotiated Rate |
$36,025.55 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$15,121.00
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$26,200.40
|
| Rate for Payer: Aetna Government |
$26,200.40
|
| Rate for Payer: Brighton Health Commercial |
$15,103.20
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$26,724.41
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$18,527.01
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$15,747.96
|
| Rate for Payer: Elderplan Medicare Advantage |
$24,890.38
|
| Rate for Payer: EmblemHealth Commercial |
$26,200.40
|
| Rate for Payer: Fidelis Medicare Advantage |
$26,200.40
|
| Rate for Payer: Group Health Inc Commercial |
$26,200.40
|
| Rate for Payer: Group Health Inc Medicare |
$26,200.40
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$26,200.40
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$26,200.40
|
| Rate for Payer: Healthfirst Medicare Advantage |
$24,366.37
|
| Rate for Payer: Humana Medicare |
$36,025.55
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$26,200.40
|
| Rate for Payer: United Healthcare Commercial |
$20,714.30
|
| Rate for Payer: United Healthcare Medicare Advantage |
$26,200.40
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$26,200.40
|
| Rate for Payer: Wellcare Medicare |
$24,890.38
|
|
|
MS-DRG 43.00: NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC
|
Facility
|
IP
|
$27,299.31
|
|
|
Service Code
|
MSDRG 601
|
| Min. Negotiated Rate |
$8,772.50 |
| Max. Negotiated Rate |
$27,299.31 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$9,180.24
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$19,854.04
|
| Rate for Payer: Aetna Government |
$19,854.04
|
| Rate for Payer: Brighton Health Commercial |
$8,772.50
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$20,251.12
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$10,761.18
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$9,147.00
|
| Rate for Payer: Elderplan Medicare Advantage |
$18,861.34
|
| Rate for Payer: EmblemHealth Commercial |
$19,854.04
|
| Rate for Payer: Fidelis Medicare Advantage |
$19,854.04
|
| Rate for Payer: Group Health Inc Commercial |
$19,854.04
|
| Rate for Payer: Group Health Inc Medicare |
$19,854.04
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$19,854.04
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$19,854.04
|
| Rate for Payer: Healthfirst Medicare Advantage |
$18,464.26
|
| Rate for Payer: Humana Medicare |
$27,299.31
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$19,854.04
|
| Rate for Payer: United Healthcare Commercial |
$12,031.64
|
| Rate for Payer: United Healthcare Medicare Advantage |
$19,854.04
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$19,854.04
|
| Rate for Payer: Wellcare Medicare |
$18,861.34
|
|
|
MS-DRG 43.00: NONTRAUMATIC STUPOR AND COMA WITH MCC
|
Facility
|
IP
|
$51,383.41
|
|
|
Service Code
|
MSDRG 080
|
| Min. Negotiated Rate |
$26,245.00 |
| Max. Negotiated Rate |
$51,383.41 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$32,567.28
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$37,369.75
|
| Rate for Payer: Aetna Government |
$37,369.75
|
| Rate for Payer: Brighton Health Commercial |
$26,245.00
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$38,117.14
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$32,194.60
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$27,365.41
|
| Rate for Payer: Elderplan Medicare Advantage |
$35,501.26
|
| Rate for Payer: EmblemHealth Commercial |
$37,369.75
|
| Rate for Payer: Fidelis Medicare Advantage |
$37,369.75
|
| Rate for Payer: Group Health Inc Commercial |
$37,369.75
|
| Rate for Payer: Group Health Inc Medicare |
$37,369.75
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$37,369.75
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$37,369.75
|
| Rate for Payer: Healthfirst Medicare Advantage |
$34,753.87
|
| Rate for Payer: Humana Medicare |
$51,383.41
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$37,369.75
|
| Rate for Payer: United Healthcare Commercial |
$35,995.47
|
| Rate for Payer: United Healthcare Medicare Advantage |
$37,369.75
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$37,369.75
|
| Rate for Payer: Wellcare Medicare |
$35,501.26
|
|
|
MS-DRG 43.00: NONTRAUMATIC STUPOR AND COMA WITHOUT MCC
|
Facility
|
IP
|
$33,107.43
|
|
|
Service Code
|
MSDRG 081
|
| Min. Negotiated Rate |
$12,986.20 |
| Max. Negotiated Rate |
$33,107.43 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$13,410.58
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$24,078.13
|
| Rate for Payer: Aetna Government |
$24,078.13
|
| Rate for Payer: Brighton Health Commercial |
$12,986.20
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$24,559.69
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$15,930.10
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$13,540.59
|
| Rate for Payer: Elderplan Medicare Advantage |
$22,874.22
|
| Rate for Payer: EmblemHealth Commercial |
$24,078.13
|
| Rate for Payer: Fidelis Medicare Advantage |
$24,078.13
|
| Rate for Payer: Group Health Inc Commercial |
$24,078.13
|
| Rate for Payer: Group Health Inc Medicare |
$24,078.13
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$24,078.13
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$24,078.13
|
| Rate for Payer: Healthfirst Medicare Advantage |
$22,392.66
|
| Rate for Payer: Humana Medicare |
$33,107.43
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$24,078.13
|
| Rate for Payer: United Healthcare Commercial |
$17,810.80
|
| Rate for Payer: United Healthcare Medicare Advantage |
$24,078.13
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$24,078.13
|
| Rate for Payer: Wellcare Medicare |
$22,874.22
|
|
|
MS-DRG 43.00: NORMAL NEWBORN
|
Facility
|
IP
|
$19,200.64
|
|
|
Service Code
|
MSDRG 795
|
| Min. Negotiated Rate |
$2,897.10 |
| Max. Negotiated Rate |
$19,200.64 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$2,974.07
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$13,964.10
|
| Rate for Payer: Aetna Government |
$13,964.10
|
| Rate for Payer: Brighton Health Commercial |
$2,897.10
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$14,243.38
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$3,553.86
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$3,020.78
|
| Rate for Payer: Elderplan Medicare Advantage |
$13,265.90
|
| Rate for Payer: EmblemHealth Commercial |
$13,964.10
|
| Rate for Payer: Fidelis Medicare Advantage |
$13,964.10
|
| Rate for Payer: Group Health Inc Commercial |
$7,000.00
|
| Rate for Payer: Group Health Inc Medicare |
$13,964.10
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$13,964.10
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$13,964.10
|
| Rate for Payer: Healthfirst Medicare Advantage |
$12,986.61
|
| Rate for Payer: Humana Medicare |
$19,200.64
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$13,964.10
|
| Rate for Payer: United Healthcare Commercial |
$3,163.00
|
| Rate for Payer: United Healthcare Medicare Advantage |
$13,964.10
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$13,964.10
|
| Rate for Payer: Wellcare Medicare |
$13,265.90
|
|
|
MS-DRG 43.00: ORBITAL PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$62,198.26
|
|
|
Service Code
|
MSDRG 113
|
| Min. Negotiated Rate |
$34,090.95 |
| Max. Negotiated Rate |
$62,198.26 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$36,970.14
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$45,235.10
|
| Rate for Payer: Aetna Government |
$45,235.10
|
| Rate for Payer: Brighton Health Commercial |
$34,090.95
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$46,139.80
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$41,819.18
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$35,546.30
|
| Rate for Payer: Elderplan Medicare Advantage |
$42,973.35
|
| Rate for Payer: EmblemHealth Commercial |
$45,235.10
|
| Rate for Payer: Fidelis Medicare Advantage |
$45,235.10
|
| Rate for Payer: Group Health Inc Commercial |
$45,235.10
|
| Rate for Payer: Group Health Inc Medicare |
$45,235.10
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$45,235.10
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$45,235.10
|
| Rate for Payer: Healthfirst Medicare Advantage |
$42,068.64
|
| Rate for Payer: Humana Medicare |
$62,198.26
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$45,235.10
|
| Rate for Payer: United Healthcare Commercial |
$46,756.33
|
| Rate for Payer: United Healthcare Medicare Advantage |
$45,235.10
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$45,235.10
|
| Rate for Payer: Wellcare Medicare |
$42,973.35
|
|
|
MS-DRG 43.00: ORBITAL PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$42,249.42
|
|
|
Service Code
|
MSDRG 114
|
| Min. Negotiated Rate |
$18,162.89 |
| Max. Negotiated Rate |
$42,249.42 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$18,162.89
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$30,726.85
|
| Rate for Payer: Aetna Government |
$30,726.85
|
| Rate for Payer: Brighton Health Commercial |
$19,618.50
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$31,341.39
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$24,065.91
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$20,456.02
|
| Rate for Payer: Elderplan Medicare Advantage |
$29,190.51
|
| Rate for Payer: EmblemHealth Commercial |
$30,726.85
|
| Rate for Payer: Fidelis Medicare Advantage |
$30,726.85
|
| Rate for Payer: Group Health Inc Commercial |
$30,726.85
|
| Rate for Payer: Group Health Inc Medicare |
$30,726.85
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$30,726.85
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$30,726.85
|
| Rate for Payer: Healthfirst Medicare Advantage |
$28,575.97
|
| Rate for Payer: Humana Medicare |
$42,249.42
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$30,726.85
|
| Rate for Payer: United Healthcare Commercial |
$26,907.11
|
| Rate for Payer: United Healthcare Medicare Advantage |
$30,726.85
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$30,726.85
|
| Rate for Payer: Wellcare Medicare |
$29,190.51
|
|
