|
MS-DRG 43.00: ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY
|
Facility
|
IP
|
$35,135.51
|
|
|
Service Code
|
MSDRG 884
|
| Min. Negotiated Rate |
$1,100.00 |
| Max. Negotiated Rate |
$35,135.51 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$1,859.00
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$34,446.58
|
| Rate for Payer: Aetna Government |
$34,446.58
|
| Rate for Payer: Brighton Health Commercial |
$23,329.05
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$35,135.51
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$28,617.62
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$24,324.98
|
| Rate for Payer: Elderplan Medicare Advantage |
$32,724.25
|
| Rate for Payer: EmblemHealth Commercial |
$1,100.00
|
| Rate for Payer: Fidelis Medicare Advantage |
$34,446.58
|
| Rate for Payer: Group Health Inc Commercial |
$34,446.58
|
| Rate for Payer: Group Health Inc Medicare |
$34,446.58
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$34,446.58
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$34,446.58
|
| Rate for Payer: Healthfirst Medicare Advantage |
$32,035.32
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$34,446.58
|
| Rate for Payer: United Healthcare Commercial |
$31,996.19
|
| Rate for Payer: United Healthcare Medicare Advantage |
$34,446.58
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$34,446.58
|
| Rate for Payer: Wellcare Medicare |
$32,724.25
|
|
|
MS-DRG 43.00: O.R. PROCEDURES FOR OBESITY WITH CC
|
Facility
|
IP
|
$47,192.17
|
|
|
Service Code
|
MSDRG 620
|
| Min. Negotiated Rate |
$23,204.35 |
| Max. Negotiated Rate |
$47,192.17 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$23,919.34
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$34,321.58
|
| Rate for Payer: Aetna Government |
$34,321.58
|
| Rate for Payer: Brighton Health Commercial |
$23,204.35
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$35,008.01
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$28,464.65
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$24,194.95
|
| Rate for Payer: Elderplan Medicare Advantage |
$32,605.50
|
| Rate for Payer: EmblemHealth Commercial |
$34,321.58
|
| Rate for Payer: Fidelis Medicare Advantage |
$34,321.58
|
| Rate for Payer: Group Health Inc Commercial |
$34,321.58
|
| Rate for Payer: Group Health Inc Medicare |
$34,321.58
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$34,321.58
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$34,321.58
|
| Rate for Payer: Healthfirst Medicare Advantage |
$31,919.07
|
| Rate for Payer: Humana Medicare |
$47,192.17
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$34,321.58
|
| Rate for Payer: United Healthcare Commercial |
$31,825.17
|
| Rate for Payer: United Healthcare Medicare Advantage |
$34,321.58
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$34,321.58
|
| Rate for Payer: Wellcare Medicare |
$32,605.50
|
|
|
MS-DRG 43.00: O.R. PROCEDURES FOR OBESITY WITH MCC
|
Facility
|
IP
|
$72,917.17
|
|
|
Service Code
|
MSDRG 619
|
| Min. Negotiated Rate |
$38,167.43 |
| Max. Negotiated Rate |
$72,917.17 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$38,167.43
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$53,030.67
|
| Rate for Payer: Aetna Government |
$53,030.67
|
| Rate for Payer: Brighton Health Commercial |
$41,867.30
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$54,091.28
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$51,358.39
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$43,654.63
|
| Rate for Payer: Elderplan Medicare Advantage |
$50,379.14
|
| Rate for Payer: EmblemHealth Commercial |
$53,030.67
|
| Rate for Payer: Fidelis Medicare Advantage |
$53,030.67
|
| Rate for Payer: Group Health Inc Commercial |
$53,030.67
|
| Rate for Payer: Group Health Inc Medicare |
$53,030.67
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$53,030.67
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$53,030.67
|
| Rate for Payer: Healthfirst Medicare Advantage |
$49,318.52
|
| Rate for Payer: Humana Medicare |
$72,917.17
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$53,030.67
|
| Rate for Payer: United Healthcare Commercial |
$57,421.72
|
| Rate for Payer: United Healthcare Medicare Advantage |
$53,030.67
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$53,030.67
|
| Rate for Payer: Wellcare Medicare |
$50,379.14
|
|
|
MS-DRG 43.00: O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC
|
Facility
|
IP
|
$45,355.36
|
|
|
Service Code
|
MSDRG 621
|
| Min. Negotiated Rate |
$21,871.80 |
| Max. Negotiated Rate |
$45,355.36 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$22,372.59
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$32,985.72
|
| Rate for Payer: Aetna Government |
$32,985.72
|
| Rate for Payer: Brighton Health Commercial |
$21,871.80
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$33,645.43
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$26,830.02
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$22,805.51
|
| Rate for Payer: Elderplan Medicare Advantage |
$31,336.43
|
| Rate for Payer: EmblemHealth Commercial |
$32,985.72
|
| Rate for Payer: Fidelis Medicare Advantage |
$32,985.72
|
| Rate for Payer: Group Health Inc Commercial |
$32,985.72
|
| Rate for Payer: Group Health Inc Medicare |
$32,985.72
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$32,985.72
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$32,985.72
|
| Rate for Payer: Healthfirst Medicare Advantage |
$30,676.72
|
| Rate for Payer: Humana Medicare |
$45,355.36
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$32,985.72
|
| Rate for Payer: United Healthcare Commercial |
$29,997.55
|
| Rate for Payer: United Healthcare Medicare Advantage |
$32,985.72
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$32,985.72
|
| Rate for Payer: Wellcare Medicare |
$31,336.43
|
|
|
MS-DRG 43.00: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC
|
Facility
|
IP
|
$61,914.46
|
|
|
Service Code
|
MSDRG 940
|
| Min. Negotiated Rate |
$31,946.52 |
| Max. Negotiated Rate |
$61,914.46 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$31,946.52
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$45,028.70
|
| Rate for Payer: Aetna Government |
$45,028.70
|
| Rate for Payer: Brighton Health Commercial |
$33,885.05
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$45,929.27
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$41,566.60
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$35,331.61
|
| Rate for Payer: Elderplan Medicare Advantage |
$42,777.26
|
| Rate for Payer: EmblemHealth Commercial |
$45,028.70
|
| Rate for Payer: Fidelis Medicare Advantage |
$45,028.70
|
| Rate for Payer: Group Health Inc Commercial |
$45,028.70
|
| Rate for Payer: Group Health Inc Medicare |
$45,028.70
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$45,028.70
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$45,028.70
|
| Rate for Payer: Healthfirst Medicare Advantage |
$41,876.69
|
| Rate for Payer: Humana Medicare |
$61,914.46
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$45,028.70
|
| Rate for Payer: United Healthcare Commercial |
$46,473.93
|
| Rate for Payer: United Healthcare Medicare Advantage |
$45,028.70
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$45,028.70
|
| Rate for Payer: Wellcare Medicare |
$42,777.26
|
|
|
MS-DRG 43.00: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC
|
Facility
|
IP
|
$87,729.40
|
|
|
Service Code
|
MSDRG 939
|
| Min. Negotiated Rate |
$47,409.60 |
| Max. Negotiated Rate |
$87,729.40 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$47,409.60
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$63,803.20
|
| Rate for Payer: Aetna Government |
$63,803.20
|
| Rate for Payer: Brighton Health Commercial |
$52,613.25
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$65,079.26
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$64,540.38
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$54,859.33
|
| Rate for Payer: Elderplan Medicare Advantage |
$60,613.04
|
| Rate for Payer: EmblemHealth Commercial |
$63,803.20
|
| Rate for Payer: Fidelis Medicare Advantage |
$63,803.20
|
| Rate for Payer: Group Health Inc Commercial |
$63,803.20
|
| Rate for Payer: Group Health Inc Medicare |
$63,803.20
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$63,803.20
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$63,803.20
|
| Rate for Payer: Healthfirst Medicare Advantage |
$59,336.98
|
| Rate for Payer: Humana Medicare |
$87,729.40
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$63,803.20
|
| Rate for Payer: United Healthcare Commercial |
$72,159.98
|
| Rate for Payer: United Healthcare Medicare Advantage |
$63,803.20
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$63,803.20
|
| Rate for Payer: Wellcare Medicare |
$60,613.04
|
|
|
MS-DRG 43.00: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC
|
Facility
|
IP
|
$55,734.54
|
|
|
Service Code
|
MSDRG 941
|
| Min. Negotiated Rate |
$27,366.72 |
| Max. Negotiated Rate |
$55,734.54 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$27,366.72
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$40,534.21
|
| Rate for Payer: Aetna Government |
$40,534.21
|
| Rate for Payer: Brighton Health Commercial |
$29,401.65
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$41,344.89
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$36,066.84
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$30,656.82
|
| Rate for Payer: Elderplan Medicare Advantage |
$38,507.50
|
| Rate for Payer: EmblemHealth Commercial |
$40,534.21
|
| Rate for Payer: Fidelis Medicare Advantage |
$40,534.21
|
| Rate for Payer: Group Health Inc Commercial |
$40,534.21
|
| Rate for Payer: Group Health Inc Medicare |
$40,534.21
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$40,534.21
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$40,534.21
|
| Rate for Payer: Healthfirst Medicare Advantage |
$37,696.82
|
| Rate for Payer: Humana Medicare |
$55,734.54
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$40,534.21
|
| Rate for Payer: United Healthcare Commercial |
$40,324.87
|
| Rate for Payer: United Healthcare Medicare Advantage |
$40,534.21
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$40,534.21
|
| Rate for Payer: Wellcare Medicare |
$38,507.50
|
|
|
MS-DRG 43.00: O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS
|
Facility
|
IP
|
$76,861.27
|
|
|
Service Code
|
MSDRG 876
|
| Min. Negotiated Rate |
$1,859.00 |
| Max. Negotiated Rate |
$76,861.27 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$1,859.00
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$67,239.45
|
| Rate for Payer: Aetna Government |
$67,239.45
|
| Rate for Payer: Brighton Health Commercial |
$56,041.05
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$68,584.24
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$68,745.25
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$58,433.46
|
| Rate for Payer: Elderplan Medicare Advantage |
$63,877.48
|
| Rate for Payer: EmblemHealth Commercial |
$67,239.45
|
| Rate for Payer: Fidelis Medicare Advantage |
$67,239.45
|
| Rate for Payer: Group Health Inc Commercial |
$67,239.45
|
| Rate for Payer: Group Health Inc Medicare |
$67,239.45
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$67,239.45
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$67,239.45
|
| Rate for Payer: Healthfirst Medicare Advantage |
$62,532.69
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$67,239.45
|
| Rate for Payer: United Healthcare Commercial |
$76,861.27
|
| Rate for Payer: United Healthcare Medicare Advantage |
$67,239.45
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$67,239.45
|
| Rate for Payer: Wellcare Medicare |
$63,877.48
|
|
|
MS-DRG 43.00: OSTEOMYELITIS WITH CC
|
Facility
|
IP
|
$41,116.18
|
|
|
Service Code
|
MSDRG 540
|
| Min. Negotiated Rate |
$18,796.35 |
| Max. Negotiated Rate |
$41,116.18 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$19,141.96
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$29,902.68
|
| Rate for Payer: Aetna Government |
$29,902.68
|
| Rate for Payer: Brighton Health Commercial |
$18,796.35
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$30,500.73
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$23,057.38
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$19,598.77
|
| Rate for Payer: Elderplan Medicare Advantage |
$28,407.55
|
| Rate for Payer: EmblemHealth Commercial |
$29,902.68
|
| Rate for Payer: Fidelis Medicare Advantage |
$29,902.68
|
| Rate for Payer: Group Health Inc Commercial |
$29,902.68
|
| Rate for Payer: Group Health Inc Medicare |
$29,902.68
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$29,902.68
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$29,902.68
|
| Rate for Payer: Healthfirst Medicare Advantage |
$27,809.49
|
| Rate for Payer: Humana Medicare |
$41,116.18
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$29,902.68
|
| Rate for Payer: United Healthcare Commercial |
$25,779.52
|
| Rate for Payer: United Healthcare Medicare Advantage |
$29,902.68
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$29,902.68
|
| Rate for Payer: Wellcare Medicare |
$28,407.55
|
|
|
MS-DRG 43.00: OSTEOMYELITIS WITH MCC
|
Facility
|
IP
|
$54,575.26
|
|
|
Service Code
|
MSDRG 539
|
| Min. Negotiated Rate |
$28,560.65 |
| Max. Negotiated Rate |
$54,575.26 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$29,259.98
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$39,691.10
|
| Rate for Payer: Aetna Government |
$39,691.10
|
| Rate for Payer: Brighton Health Commercial |
$28,560.65
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$40,484.92
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$35,035.19
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$29,779.91
|
| Rate for Payer: Elderplan Medicare Advantage |
$37,706.54
|
| Rate for Payer: EmblemHealth Commercial |
$39,691.10
|
| Rate for Payer: Fidelis Medicare Advantage |
$39,691.10
|
| Rate for Payer: Group Health Inc Commercial |
$39,691.10
|
| Rate for Payer: Group Health Inc Medicare |
$39,691.10
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$39,691.10
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$39,691.10
|
| Rate for Payer: Healthfirst Medicare Advantage |
$36,912.72
|
| Rate for Payer: Humana Medicare |
$54,575.26
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$39,691.10
|
| Rate for Payer: United Healthcare Commercial |
$39,171.42
|
| Rate for Payer: United Healthcare Medicare Advantage |
$39,691.10
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$39,691.10
|
| Rate for Payer: Wellcare Medicare |
$37,706.54
|
|
|
MS-DRG 43.00: OSTEOMYELITIS WITHOUT CC/MCC
|
Facility
|
IP
|
$30,944.90
|
|
|
Service Code
|
MSDRG 541
|
| Min. Negotiated Rate |
$11,186.75 |
| Max. Negotiated Rate |
$30,944.90 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$12,649.74
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$22,505.38
|
| Rate for Payer: Aetna Government |
$22,505.38
|
| Rate for Payer: Brighton Health Commercial |
$11,186.75
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$22,955.49
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$13,722.72
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$11,664.32
|
| Rate for Payer: Elderplan Medicare Advantage |
$21,380.11
|
| Rate for Payer: EmblemHealth Commercial |
$22,505.38
|
| Rate for Payer: Fidelis Medicare Advantage |
$22,505.38
|
| Rate for Payer: Group Health Inc Commercial |
$22,505.38
|
| Rate for Payer: Group Health Inc Medicare |
$22,505.38
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$22,505.38
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$22,505.38
|
| Rate for Payer: Healthfirst Medicare Advantage |
$20,930.00
|
| Rate for Payer: Humana Medicare |
$30,944.90
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$22,505.38
|
| Rate for Payer: United Healthcare Commercial |
$15,342.82
|
| Rate for Payer: United Healthcare Medicare Advantage |
$22,505.38
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$22,505.38
|
| Rate for Payer: Wellcare Medicare |
$21,380.11
|
|
|
MS-DRG 43.00: OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$38,375.99
|
|
|
Service Code
|
MSDRG 818
|
| Min. Negotiated Rate |
$15,285.90 |
| Max. Negotiated Rate |
$38,375.99 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$17,297.36
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$27,909.81
|
| Rate for Payer: Aetna Government |
$27,909.81
|
| Rate for Payer: Brighton Health Commercial |
$15,285.90
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$28,468.01
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$18,751.13
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$15,938.46
|
| Rate for Payer: Elderplan Medicare Advantage |
$26,514.32
|
| Rate for Payer: EmblemHealth Commercial |
$27,909.81
|
| Rate for Payer: Fidelis Medicare Advantage |
$27,909.81
|
| Rate for Payer: Group Health Inc Commercial |
$27,909.81
|
| Rate for Payer: Group Health Inc Medicare |
$27,909.81
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$27,909.81
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$27,909.81
|
| Rate for Payer: Healthfirst Medicare Advantage |
$25,956.12
|
| Rate for Payer: Humana Medicare |
$38,375.99
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$27,909.81
|
| Rate for Payer: United Healthcare Commercial |
$20,964.88
|
| Rate for Payer: United Healthcare Medicare Advantage |
$27,909.81
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$27,909.81
|
| Rate for Payer: Wellcare Medicare |
$26,514.32
|
|
|
MS-DRG 43.00: OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$60,809.18
|
|
|
Service Code
|
MSDRG 817
|
| Min. Negotiated Rate |
$24,476.00 |
| Max. Negotiated Rate |
$60,809.18 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$33,249.98
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$44,224.86
|
| Rate for Payer: Aetna Government |
$44,224.86
|
| Rate for Payer: Brighton Health Commercial |
$24,476.00
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$45,109.36
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$30,024.57
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$25,520.89
|
| Rate for Payer: Elderplan Medicare Advantage |
$42,013.62
|
| Rate for Payer: EmblemHealth Commercial |
$44,224.86
|
| Rate for Payer: Fidelis Medicare Advantage |
$44,224.86
|
| Rate for Payer: Group Health Inc Commercial |
$44,224.86
|
| Rate for Payer: Group Health Inc Medicare |
$44,224.86
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$44,224.86
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$44,224.86
|
| Rate for Payer: Healthfirst Medicare Advantage |
$41,129.12
|
| Rate for Payer: Humana Medicare |
$60,809.18
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$44,224.86
|
| Rate for Payer: United Healthcare Commercial |
$33,569.26
|
| Rate for Payer: United Healthcare Medicare Advantage |
$44,224.86
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$44,224.86
|
| Rate for Payer: Wellcare Medicare |
$42,013.62
|
|
|
MS-DRG 43.00: OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$32,393.93
|
|
|
Service Code
|
MSDRG 819
|
| Min. Negotiated Rate |
$12,468.55 |
| Max. Negotiated Rate |
$32,393.93 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$13,376.66
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$23,559.22
|
| Rate for Payer: Aetna Government |
$23,559.22
|
| Rate for Payer: Brighton Health Commercial |
$12,468.55
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$24,030.40
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$15,295.10
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$13,000.84
|
| Rate for Payer: Elderplan Medicare Advantage |
$22,381.26
|
| Rate for Payer: EmblemHealth Commercial |
$23,559.22
|
| Rate for Payer: Fidelis Medicare Advantage |
$23,559.22
|
| Rate for Payer: Group Health Inc Commercial |
$23,559.22
|
| Rate for Payer: Group Health Inc Medicare |
$23,559.22
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$23,559.22
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$23,559.22
|
| Rate for Payer: Healthfirst Medicare Advantage |
$21,910.07
|
| Rate for Payer: Humana Medicare |
$32,393.93
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$23,559.22
|
| Rate for Payer: United Healthcare Commercial |
$17,100.83
|
| Rate for Payer: United Healthcare Medicare Advantage |
$23,559.22
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$23,559.22
|
| Rate for Payer: Wellcare Medicare |
$22,381.26
|
|
|
MS-DRG 43.00: OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$29,629.76
|
|
|
Service Code
|
MSDRG 832
|
| Min. Negotiated Rate |
$10,463.20 |
| Max. Negotiated Rate |
$29,629.76 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$10,877.39
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$21,548.92
|
| Rate for Payer: Aetna Government |
$21,548.92
|
| Rate for Payer: Brighton Health Commercial |
$10,463.20
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$21,979.90
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$12,835.15
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$10,909.88
|
| Rate for Payer: Elderplan Medicare Advantage |
$20,471.47
|
| Rate for Payer: EmblemHealth Commercial |
$21,548.92
|
| Rate for Payer: Fidelis Medicare Advantage |
$21,548.92
|
| Rate for Payer: Group Health Inc Commercial |
$21,548.92
|
| Rate for Payer: Group Health Inc Medicare |
$21,548.92
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$21,548.92
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$21,548.92
|
| Rate for Payer: Healthfirst Medicare Advantage |
$20,040.50
|
| Rate for Payer: Humana Medicare |
$29,629.76
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$21,548.92
|
| Rate for Payer: United Healthcare Commercial |
$14,350.46
|
| Rate for Payer: United Healthcare Medicare Advantage |
$21,548.92
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$21,548.92
|
| Rate for Payer: Wellcare Medicare |
$20,471.47
|
|
|
MS-DRG 43.00: OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$39,241.41
|
|
|
Service Code
|
MSDRG 831
|
| Min. Negotiated Rate |
$14,889.50 |
| Max. Negotiated Rate |
$39,241.41 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$14,889.50
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$28,539.21
|
| Rate for Payer: Aetna Government |
$28,539.21
|
| Rate for Payer: Brighton Health Commercial |
$17,436.25
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$29,109.99
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$21,388.95
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$18,180.61
|
| Rate for Payer: Elderplan Medicare Advantage |
$27,112.25
|
| Rate for Payer: EmblemHealth Commercial |
$28,539.21
|
| Rate for Payer: Fidelis Medicare Advantage |
$28,539.21
|
| Rate for Payer: Group Health Inc Commercial |
$28,539.21
|
| Rate for Payer: Group Health Inc Medicare |
$28,539.21
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$28,539.21
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$28,539.21
|
| Rate for Payer: Healthfirst Medicare Advantage |
$26,541.47
|
| Rate for Payer: Humana Medicare |
$39,241.41
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$28,539.21
|
| Rate for Payer: United Healthcare Commercial |
$23,914.12
|
| Rate for Payer: United Healthcare Medicare Advantage |
$28,539.21
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$28,539.21
|
| Rate for Payer: Wellcare Medicare |
$27,112.25
|
|
|
MS-DRG 43.00: OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$25,658.39
|
|
|
Service Code
|
MSDRG 833
|
| Min. Negotiated Rate |
$7,546.49 |
| Max. Negotiated Rate |
$25,658.39 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$7,546.49
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$18,660.65
|
| Rate for Payer: Aetna Government |
$18,660.65
|
| Rate for Payer: Brighton Health Commercial |
$7,582.05
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$19,033.86
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$9,300.86
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$7,905.73
|
| Rate for Payer: Elderplan Medicare Advantage |
$17,727.62
|
| Rate for Payer: EmblemHealth Commercial |
$18,660.65
|
| Rate for Payer: Fidelis Medicare Advantage |
$18,660.65
|
| Rate for Payer: Group Health Inc Commercial |
$18,660.65
|
| Rate for Payer: Group Health Inc Medicare |
$18,660.65
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$18,660.65
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$18,660.65
|
| Rate for Payer: Healthfirst Medicare Advantage |
$17,354.40
|
| Rate for Payer: Humana Medicare |
$25,658.39
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$18,660.65
|
| Rate for Payer: United Healthcare Commercial |
$10,398.91
|
| Rate for Payer: United Healthcare Medicare Advantage |
$18,660.65
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$18,660.65
|
| Rate for Payer: Wellcare Medicare |
$17,727.62
|
|
|
MS-DRG 43.00: OTHER CARDIOTHORACIC PROCEDURES WITH MCC
|
Facility
|
IP
|
$114,089.99
|
|
|
Service Code
|
MSDRG 228
|
| Min. Negotiated Rate |
$71,737.30 |
| Max. Negotiated Rate |
$114,089.99 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$74,295.63
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$82,974.54
|
| Rate for Payer: Aetna Government |
$82,974.54
|
| Rate for Payer: Brighton Health Commercial |
$71,737.30
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$84,634.03
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$87,999.75
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$74,799.79
|
| Rate for Payer: Elderplan Medicare Advantage |
$78,825.81
|
| Rate for Payer: EmblemHealth Commercial |
$82,974.54
|
| Rate for Payer: Fidelis Medicare Advantage |
$82,974.54
|
| Rate for Payer: Group Health Inc Commercial |
$82,974.54
|
| Rate for Payer: Group Health Inc Medicare |
$82,974.54
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$82,974.54
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$82,974.54
|
| Rate for Payer: Healthfirst Medicare Advantage |
$77,166.32
|
| Rate for Payer: Humana Medicare |
$114,089.99
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$82,974.54
|
| Rate for Payer: United Healthcare Commercial |
$98,388.94
|
| Rate for Payer: United Healthcare Medicare Advantage |
$82,974.54
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$82,974.54
|
| Rate for Payer: Wellcare Medicare |
$78,825.81
|
|
|
MS-DRG 43.00: OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC
|
Facility
|
IP
|
$78,155.73
|
|
|
Service Code
|
MSDRG 229
|
| Min. Negotiated Rate |
$45,667.75 |
| Max. Negotiated Rate |
$78,155.73 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$46,883.20
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$56,840.53
|
| Rate for Payer: Aetna Government |
$56,840.53
|
| Rate for Payer: Brighton Health Commercial |
$45,667.75
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$57,977.34
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$56,020.38
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$47,617.32
|
| Rate for Payer: Elderplan Medicare Advantage |
$53,998.50
|
| Rate for Payer: EmblemHealth Commercial |
$56,840.53
|
| Rate for Payer: Fidelis Medicare Advantage |
$56,840.53
|
| Rate for Payer: Group Health Inc Commercial |
$56,840.53
|
| Rate for Payer: Group Health Inc Medicare |
$56,840.53
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$56,840.53
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$56,840.53
|
| Rate for Payer: Healthfirst Medicare Advantage |
$52,861.69
|
| Rate for Payer: Humana Medicare |
$78,155.73
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$56,840.53
|
| Rate for Payer: United Healthcare Commercial |
$62,634.11
|
| Rate for Payer: United Healthcare Medicare Advantage |
$56,840.53
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$56,840.53
|
| Rate for Payer: Wellcare Medicare |
$53,998.50
|
|
|
MS-DRG 43.00: OTHER CEREBROVASCULAR DISORDERS WITH CC
|
Facility
|
IP
|
$35,713.75
|
|
|
Service Code
|
MSDRG 071
|
| Min. Negotiated Rate |
$14,877.00 |
| Max. Negotiated Rate |
$35,713.75 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$15,656.24
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$25,973.64
|
| Rate for Payer: Aetna Government |
$25,973.64
|
| Rate for Payer: Brighton Health Commercial |
$14,877.00
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$26,493.11
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$18,249.53
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$15,512.10
|
| Rate for Payer: Elderplan Medicare Advantage |
$24,674.96
|
| Rate for Payer: EmblemHealth Commercial |
$25,973.64
|
| Rate for Payer: Fidelis Medicare Advantage |
$25,973.64
|
| Rate for Payer: Group Health Inc Commercial |
$25,973.64
|
| Rate for Payer: Group Health Inc Medicare |
$25,973.64
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$25,973.64
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$25,973.64
|
| Rate for Payer: Healthfirst Medicare Advantage |
$24,155.49
|
| Rate for Payer: Humana Medicare |
$35,713.75
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$25,973.64
|
| Rate for Payer: United Healthcare Commercial |
$20,404.06
|
| Rate for Payer: United Healthcare Medicare Advantage |
$25,973.64
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$25,973.64
|
| Rate for Payer: Wellcare Medicare |
$24,674.96
|
|
|
MS-DRG 43.00: OTHER CEREBROVASCULAR DISORDERS WITH MCC
|
Facility
|
IP
|
$48,481.32
|
|
|
Service Code
|
MSDRG 070
|
| Min. Negotiated Rate |
$24,139.60 |
| Max. Negotiated Rate |
$48,481.32 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$26,386.18
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$35,259.14
|
| Rate for Payer: Aetna Government |
$35,259.14
|
| Rate for Payer: Brighton Health Commercial |
$24,139.60
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$35,964.32
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$29,611.91
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$25,170.13
|
| Rate for Payer: Elderplan Medicare Advantage |
$33,496.18
|
| Rate for Payer: EmblemHealth Commercial |
$35,259.14
|
| Rate for Payer: Fidelis Medicare Advantage |
$35,259.14
|
| Rate for Payer: Group Health Inc Commercial |
$35,259.14
|
| Rate for Payer: Group Health Inc Medicare |
$35,259.14
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$35,259.14
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$35,259.14
|
| Rate for Payer: Healthfirst Medicare Advantage |
$32,791.00
|
| Rate for Payer: Humana Medicare |
$48,481.32
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$35,259.14
|
| Rate for Payer: United Healthcare Commercial |
$33,107.88
|
| Rate for Payer: United Healthcare Medicare Advantage |
$35,259.14
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$35,259.14
|
| Rate for Payer: Wellcare Medicare |
$33,496.18
|
|
|
MS-DRG 43.00: OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC
|
Facility
|
IP
|
$30,321.31
|
|
|
Service Code
|
MSDRG 072
|
| Min. Negotiated Rate |
$10,964.90 |
| Max. Negotiated Rate |
$30,321.31 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$11,545.34
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$22,051.86
|
| Rate for Payer: Aetna Government |
$22,051.86
|
| Rate for Payer: Brighton Health Commercial |
$10,964.90
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$22,492.90
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$13,450.58
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$11,433.00
|
| Rate for Payer: Elderplan Medicare Advantage |
$20,949.27
|
| Rate for Payer: EmblemHealth Commercial |
$22,051.86
|
| Rate for Payer: Fidelis Medicare Advantage |
$22,051.86
|
| Rate for Payer: Group Health Inc Commercial |
$22,051.86
|
| Rate for Payer: Group Health Inc Medicare |
$22,051.86
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$22,051.86
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$22,051.86
|
| Rate for Payer: Healthfirst Medicare Advantage |
$20,508.23
|
| Rate for Payer: Humana Medicare |
$30,321.31
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$22,051.86
|
| Rate for Payer: United Healthcare Commercial |
$15,038.55
|
| Rate for Payer: United Healthcare Medicare Advantage |
$22,051.86
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$22,051.86
|
| Rate for Payer: Wellcare Medicare |
$20,949.27
|
|
|
MS-DRG 43.00: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC
|
Facility
|
IP
|
$34,460.57
|
|
|
Service Code
|
MSDRG 315
|
| Min. Negotiated Rate |
$13,967.85 |
| Max. Negotiated Rate |
$34,460.57 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$14,262.84
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$25,062.23
|
| Rate for Payer: Aetna Government |
$25,062.23
|
| Rate for Payer: Brighton Health Commercial |
$13,967.85
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$25,563.47
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$17,134.28
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$14,564.14
|
| Rate for Payer: Elderplan Medicare Advantage |
$23,809.12
|
| Rate for Payer: EmblemHealth Commercial |
$25,062.23
|
| Rate for Payer: Fidelis Medicare Advantage |
$25,062.23
|
| Rate for Payer: Group Health Inc Commercial |
$25,062.23
|
| Rate for Payer: Group Health Inc Medicare |
$25,062.23
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$25,062.23
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$25,062.23
|
| Rate for Payer: Healthfirst Medicare Advantage |
$23,307.87
|
| Rate for Payer: Humana Medicare |
$34,460.57
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$25,062.23
|
| Rate for Payer: United Healthcare Commercial |
$19,157.15
|
| Rate for Payer: United Healthcare Medicare Advantage |
$25,062.23
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$25,062.23
|
| Rate for Payer: Wellcare Medicare |
$23,809.12
|
|
|
MS-DRG 43.00: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC
|
Facility
|
IP
|
$56,883.75
|
|
|
Service Code
|
MSDRG 314
|
| Min. Negotiated Rate |
$30,235.40 |
| Max. Negotiated Rate |
$56,883.75 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$30,868.66
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$41,370.00
|
| Rate for Payer: Aetna Government |
$41,370.00
|
| Rate for Payer: Brighton Health Commercial |
$30,235.40
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$42,197.40
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$37,089.60
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$31,526.16
|
| Rate for Payer: Elderplan Medicare Advantage |
$39,301.50
|
| Rate for Payer: EmblemHealth Commercial |
$41,370.00
|
| Rate for Payer: Fidelis Medicare Advantage |
$41,370.00
|
| Rate for Payer: Group Health Inc Commercial |
$41,370.00
|
| Rate for Payer: Group Health Inc Medicare |
$41,370.00
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$41,370.00
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$41,370.00
|
| Rate for Payer: Healthfirst Medicare Advantage |
$38,474.10
|
| Rate for Payer: Humana Medicare |
$56,883.75
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$41,370.00
|
| Rate for Payer: United Healthcare Commercial |
$41,468.37
|
| Rate for Payer: United Healthcare Medicare Advantage |
$41,370.00
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$41,370.00
|
| Rate for Payer: Wellcare Medicare |
$39,301.50
|
|
|
MS-DRG 43.00: OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$28,840.29
|
|
|
Service Code
|
MSDRG 316
|
| Min. Negotiated Rate |
$9,890.45 |
| Max. Negotiated Rate |
$28,840.29 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$10,213.86
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$20,974.76
|
| Rate for Payer: Aetna Government |
$20,974.76
|
| Rate for Payer: Brighton Health Commercial |
$9,890.45
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$21,394.26
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$12,132.56
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$10,312.68
|
| Rate for Payer: Elderplan Medicare Advantage |
$19,926.02
|
| Rate for Payer: EmblemHealth Commercial |
$20,974.76
|
| Rate for Payer: Fidelis Medicare Advantage |
$20,974.76
|
| Rate for Payer: Group Health Inc Commercial |
$20,974.76
|
| Rate for Payer: Group Health Inc Medicare |
$20,974.76
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$20,974.76
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$20,974.76
|
| Rate for Payer: Healthfirst Medicare Advantage |
$19,506.53
|
| Rate for Payer: Humana Medicare |
$28,840.29
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$20,974.76
|
| Rate for Payer: United Healthcare Commercial |
$13,564.92
|
| Rate for Payer: United Healthcare Medicare Advantage |
$20,974.76
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$20,974.76
|
| Rate for Payer: Wellcare Medicare |
$19,926.02
|
|
