|
MS-DRG 43.00: OTHER CIRCULATORY SYSTEM O.R. PROCEDURES
|
Facility
|
IP
|
$81,975.19
|
|
|
Service Code
|
MSDRG 264
|
| Min. Negotiated Rate |
$48,157.17 |
| Max. Negotiated Rate |
$81,975.19 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$48,157.17
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$59,618.32
|
| Rate for Payer: Aetna Government |
$59,618.32
|
| Rate for Payer: Brighton Health Commercial |
$48,438.70
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$60,810.69
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$59,419.49
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$50,506.56
|
| Rate for Payer: Elderplan Medicare Advantage |
$56,637.40
|
| Rate for Payer: EmblemHealth Commercial |
$59,618.32
|
| Rate for Payer: Fidelis Medicare Advantage |
$59,618.32
|
| Rate for Payer: Group Health Inc Commercial |
$59,618.32
|
| Rate for Payer: Group Health Inc Medicare |
$59,618.32
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$59,618.32
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$59,618.32
|
| Rate for Payer: Healthfirst Medicare Advantage |
$55,445.04
|
| Rate for Payer: Humana Medicare |
$81,975.19
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$59,618.32
|
| Rate for Payer: United Healthcare Commercial |
$66,434.51
|
| Rate for Payer: United Healthcare Medicare Advantage |
$59,618.32
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$59,618.32
|
| Rate for Payer: Wellcare Medicare |
$56,637.40
|
|
|
MS-DRG 43.00: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC
|
Facility
|
IP
|
$33,908.92
|
|
|
Service Code
|
MSDRG 394
|
| Min. Negotiated Rate |
$13,567.65 |
| Max. Negotiated Rate |
$33,908.92 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$13,814.59
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$24,661.03
|
| Rate for Payer: Aetna Government |
$24,661.03
|
| Rate for Payer: Brighton Health Commercial |
$13,567.65
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$25,154.25
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$16,643.36
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$14,146.86
|
| Rate for Payer: Elderplan Medicare Advantage |
$23,427.98
|
| Rate for Payer: EmblemHealth Commercial |
$24,661.03
|
| Rate for Payer: Fidelis Medicare Advantage |
$24,661.03
|
| Rate for Payer: Group Health Inc Commercial |
$24,661.03
|
| Rate for Payer: Group Health Inc Medicare |
$24,661.03
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$24,661.03
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$24,661.03
|
| Rate for Payer: Healthfirst Medicare Advantage |
$22,934.76
|
| Rate for Payer: Humana Medicare |
$33,908.92
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$24,661.03
|
| Rate for Payer: United Healthcare Commercial |
$18,608.27
|
| Rate for Payer: United Healthcare Medicare Advantage |
$24,661.03
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$24,661.03
|
| Rate for Payer: Wellcare Medicare |
$23,427.98
|
|
|
MS-DRG 43.00: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC
|
Facility
|
IP
|
$47,172.17
|
|
|
Service Code
|
MSDRG 393
|
| Min. Negotiated Rate |
$23,189.85 |
| Max. Negotiated Rate |
$47,172.17 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$23,881.00
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$34,307.03
|
| Rate for Payer: Aetna Government |
$34,307.03
|
| Rate for Payer: Brighton Health Commercial |
$23,189.85
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$34,993.17
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$28,446.86
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$24,179.83
|
| Rate for Payer: Elderplan Medicare Advantage |
$32,591.68
|
| Rate for Payer: EmblemHealth Commercial |
$34,307.03
|
| Rate for Payer: Fidelis Medicare Advantage |
$34,307.03
|
| Rate for Payer: Group Health Inc Commercial |
$34,307.03
|
| Rate for Payer: Group Health Inc Medicare |
$34,307.03
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$34,307.03
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$34,307.03
|
| Rate for Payer: Healthfirst Medicare Advantage |
$31,905.54
|
| Rate for Payer: Humana Medicare |
$47,172.17
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$34,307.03
|
| Rate for Payer: United Healthcare Commercial |
$31,805.28
|
| Rate for Payer: United Healthcare Medicare Advantage |
$34,307.03
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$34,307.03
|
| Rate for Payer: Wellcare Medicare |
$32,591.68
|
|
|
MS-DRG 43.00: OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$28,178.70
|
|
|
Service Code
|
MSDRG 395
|
| Min. Negotiated Rate |
$9,410.50 |
| Max. Negotiated Rate |
$28,178.70 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$9,547.39
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$20,493.60
|
| Rate for Payer: Aetna Government |
$20,493.60
|
| Rate for Payer: Brighton Health Commercial |
$9,410.50
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$20,903.47
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$11,543.81
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$9,812.24
|
| Rate for Payer: Elderplan Medicare Advantage |
$19,468.92
|
| Rate for Payer: EmblemHealth Commercial |
$20,493.60
|
| Rate for Payer: Fidelis Medicare Advantage |
$20,493.60
|
| Rate for Payer: Group Health Inc Commercial |
$20,493.60
|
| Rate for Payer: Group Health Inc Medicare |
$20,493.60
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$20,493.60
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$20,493.60
|
| Rate for Payer: Healthfirst Medicare Advantage |
$19,059.05
|
| Rate for Payer: Humana Medicare |
$28,178.70
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$20,493.60
|
| Rate for Payer: United Healthcare Commercial |
$12,906.66
|
| Rate for Payer: United Healthcare Medicare Advantage |
$20,493.60
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$20,493.60
|
| Rate for Payer: Wellcare Medicare |
$19,468.92
|
|
|
MS-DRG 43.00: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$61,686.60
|
|
|
Service Code
|
MSDRG 357
|
| Min. Negotiated Rate |
$32,391.82 |
| Max. Negotiated Rate |
$61,686.60 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$32,391.82
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$44,862.98
|
| Rate for Payer: Aetna Government |
$44,862.98
|
| Rate for Payer: Brighton Health Commercial |
$33,719.75
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$45,760.24
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$41,363.83
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$35,159.26
|
| Rate for Payer: Elderplan Medicare Advantage |
$42,619.83
|
| Rate for Payer: EmblemHealth Commercial |
$44,862.98
|
| Rate for Payer: Fidelis Medicare Advantage |
$44,862.98
|
| Rate for Payer: Group Health Inc Commercial |
$44,862.98
|
| Rate for Payer: Group Health Inc Medicare |
$44,862.98
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$44,862.98
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$44,862.98
|
| Rate for Payer: Healthfirst Medicare Advantage |
$41,722.57
|
| Rate for Payer: Humana Medicare |
$61,686.60
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$44,862.98
|
| Rate for Payer: United Healthcare Commercial |
$46,247.22
|
| Rate for Payer: United Healthcare Medicare Advantage |
$44,862.98
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$44,862.98
|
| Rate for Payer: Wellcare Medicare |
$42,619.83
|
|
|
MS-DRG 43.00: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$103,005.31
|
|
|
Service Code
|
MSDRG 356
|
| Min. Negotiated Rate |
$63,089.43 |
| Max. Negotiated Rate |
$103,005.31 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$63,089.43
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$74,912.95
|
| Rate for Payer: Aetna Government |
$74,912.95
|
| Rate for Payer: Brighton Health Commercial |
$63,695.60
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$76,411.21
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$78,135.04
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$66,414.79
|
| Rate for Payer: Elderplan Medicare Advantage |
$71,167.30
|
| Rate for Payer: EmblemHealth Commercial |
$74,912.95
|
| Rate for Payer: Fidelis Medicare Advantage |
$74,912.95
|
| Rate for Payer: Group Health Inc Commercial |
$74,912.95
|
| Rate for Payer: Group Health Inc Medicare |
$74,912.95
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$74,912.95
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$74,912.95
|
| Rate for Payer: Healthfirst Medicare Advantage |
$69,669.04
|
| Rate for Payer: Humana Medicare |
$103,005.31
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$74,912.95
|
| Rate for Payer: United Healthcare Commercial |
$87,359.61
|
| Rate for Payer: United Healthcare Medicare Advantage |
$74,912.95
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$74,912.95
|
| Rate for Payer: Wellcare Medicare |
$71,167.30
|
|
|
MS-DRG 43.00: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$43,146.83
|
|
|
Service Code
|
MSDRG 358
|
| Min. Negotiated Rate |
$18,889.82 |
| Max. Negotiated Rate |
$43,146.83 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$18,889.82
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$31,379.51
|
| Rate for Payer: Aetna Government |
$31,379.51
|
| Rate for Payer: Brighton Health Commercial |
$20,269.55
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$32,007.10
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$24,864.55
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$21,134.86
|
| Rate for Payer: Elderplan Medicare Advantage |
$29,810.53
|
| Rate for Payer: EmblemHealth Commercial |
$31,379.51
|
| Rate for Payer: Fidelis Medicare Advantage |
$31,379.51
|
| Rate for Payer: Group Health Inc Commercial |
$31,379.51
|
| Rate for Payer: Group Health Inc Medicare |
$31,379.51
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$31,379.51
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$31,379.51
|
| Rate for Payer: Healthfirst Medicare Advantage |
$29,182.94
|
| Rate for Payer: Humana Medicare |
$43,146.83
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$31,379.51
|
| Rate for Payer: United Healthcare Commercial |
$27,800.04
|
| Rate for Payer: United Healthcare Medicare Advantage |
$31,379.51
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$31,379.51
|
| Rate for Payer: Wellcare Medicare |
$29,810.53
|
|
|
MS-DRG 43.00: OTHER DISORDERS OF NERVOUS SYSTEM WITH CC
|
Facility
|
IP
|
$35,653.79
|
|
|
Service Code
|
MSDRG 092
|
| Min. Negotiated Rate |
$14,833.50 |
| Max. Negotiated Rate |
$35,653.79 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$15,129.84
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$25,930.03
|
| Rate for Payer: Aetna Government |
$25,930.03
|
| Rate for Payer: Brighton Health Commercial |
$14,833.50
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$26,448.63
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$18,196.17
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$15,466.75
|
| Rate for Payer: Elderplan Medicare Advantage |
$24,633.53
|
| Rate for Payer: EmblemHealth Commercial |
$25,930.03
|
| Rate for Payer: Fidelis Medicare Advantage |
$25,930.03
|
| Rate for Payer: Group Health Inc Commercial |
$25,930.03
|
| Rate for Payer: Group Health Inc Medicare |
$25,930.03
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$25,930.03
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$25,930.03
|
| Rate for Payer: Healthfirst Medicare Advantage |
$24,114.93
|
| Rate for Payer: Humana Medicare |
$35,653.79
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$25,930.03
|
| Rate for Payer: United Healthcare Commercial |
$20,344.40
|
| Rate for Payer: United Healthcare Medicare Advantage |
$25,930.03
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$25,930.03
|
| Rate for Payer: Wellcare Medicare |
$24,633.53
|
|
|
MS-DRG 43.00: OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC
|
Facility
|
IP
|
$50,308.11
|
|
|
Service Code
|
MSDRG 091
|
| Min. Negotiated Rate |
$25,464.90 |
| Max. Negotiated Rate |
$50,308.11 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$26,381.75
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$36,587.72
|
| Rate for Payer: Aetna Government |
$36,587.72
|
| Rate for Payer: Brighton Health Commercial |
$25,464.90
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$37,319.47
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$31,237.65
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$26,552.01
|
| Rate for Payer: Elderplan Medicare Advantage |
$34,758.33
|
| Rate for Payer: EmblemHealth Commercial |
$36,587.72
|
| Rate for Payer: Fidelis Medicare Advantage |
$36,587.72
|
| Rate for Payer: Group Health Inc Commercial |
$36,587.72
|
| Rate for Payer: Group Health Inc Medicare |
$36,587.72
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$36,587.72
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$36,587.72
|
| Rate for Payer: Healthfirst Medicare Advantage |
$34,026.58
|
| Rate for Payer: Humana Medicare |
$50,308.11
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$36,587.72
|
| Rate for Payer: United Healthcare Commercial |
$34,925.55
|
| Rate for Payer: United Healthcare Medicare Advantage |
$36,587.72
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$36,587.72
|
| Rate for Payer: Wellcare Medicare |
$34,758.33
|
|
|
MS-DRG 43.00: OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC
|
Facility
|
IP
|
$31,122.77
|
|
|
Service Code
|
MSDRG 093
|
| Min. Negotiated Rate |
$11,418.53 |
| Max. Negotiated Rate |
$31,122.77 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$11,418.53
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$22,634.74
|
| Rate for Payer: Aetna Government |
$22,634.74
|
| Rate for Payer: Brighton Health Commercial |
$11,546.35
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$23,087.43
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$14,163.84
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$12,039.27
|
| Rate for Payer: Elderplan Medicare Advantage |
$21,503.00
|
| Rate for Payer: EmblemHealth Commercial |
$22,634.74
|
| Rate for Payer: Fidelis Medicare Advantage |
$22,634.74
|
| Rate for Payer: Group Health Inc Commercial |
$22,634.74
|
| Rate for Payer: Group Health Inc Medicare |
$22,634.74
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$22,634.74
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$22,634.74
|
| Rate for Payer: Healthfirst Medicare Advantage |
$21,050.31
|
| Rate for Payer: Humana Medicare |
$31,122.77
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$22,634.74
|
| Rate for Payer: United Healthcare Commercial |
$15,836.02
|
| Rate for Payer: United Healthcare Medicare Advantage |
$22,634.74
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$22,634.74
|
| Rate for Payer: Wellcare Medicare |
$21,503.00
|
|
|
MS-DRG 43.00: OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT
|
Facility
|
IP
|
$41,651.82
|
|
|
Service Code
|
MSDRG 124
|
| Min. Negotiated Rate |
$19,184.95 |
| Max. Negotiated Rate |
$41,651.82 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$19,491.42
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$30,292.23
|
| Rate for Payer: Aetna Government |
$30,292.23
|
| Rate for Payer: Brighton Health Commercial |
$19,184.95
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$30,898.07
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$23,534.07
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$20,003.96
|
| Rate for Payer: Elderplan Medicare Advantage |
$28,777.62
|
| Rate for Payer: EmblemHealth Commercial |
$30,292.23
|
| Rate for Payer: Fidelis Medicare Advantage |
$30,292.23
|
| Rate for Payer: Group Health Inc Commercial |
$30,292.23
|
| Rate for Payer: Group Health Inc Medicare |
$30,292.23
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$30,292.23
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$30,292.23
|
| Rate for Payer: Healthfirst Medicare Advantage |
$28,171.77
|
| Rate for Payer: Humana Medicare |
$41,651.82
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$30,292.23
|
| Rate for Payer: United Healthcare Commercial |
$26,312.49
|
| Rate for Payer: United Healthcare Medicare Advantage |
$30,292.23
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$30,292.23
|
| Rate for Payer: Wellcare Medicare |
$28,777.62
|
|
|
MS-DRG 43.00: OTHER DISORDERS OF THE EYE WITHOUT MCC
|
Facility
|
IP
|
$30,553.15
|
|
|
Service Code
|
MSDRG 125
|
| Min. Negotiated Rate |
$11,133.10 |
| Max. Negotiated Rate |
$30,553.15 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$11,759.14
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$22,220.47
|
| Rate for Payer: Aetna Government |
$22,220.47
|
| Rate for Payer: Brighton Health Commercial |
$11,133.10
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$22,664.88
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$13,656.91
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$11,608.38
|
| Rate for Payer: Elderplan Medicare Advantage |
$21,109.45
|
| Rate for Payer: EmblemHealth Commercial |
$22,220.47
|
| Rate for Payer: Fidelis Medicare Advantage |
$22,220.47
|
| Rate for Payer: Group Health Inc Commercial |
$22,220.47
|
| Rate for Payer: Group Health Inc Medicare |
$22,220.47
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$22,220.47
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$22,220.47
|
| Rate for Payer: Healthfirst Medicare Advantage |
$20,665.04
|
| Rate for Payer: Humana Medicare |
$30,553.15
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$22,220.47
|
| Rate for Payer: United Healthcare Commercial |
$15,269.24
|
| Rate for Payer: United Healthcare Medicare Advantage |
$22,220.47
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$22,220.47
|
| Rate for Payer: Wellcare Medicare |
$21,109.45
|
|
|
MS-DRG 43.00: OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC
|
Facility
|
IP
|
$33,525.18
|
|
|
Service Code
|
MSDRG 155
|
| Min. Negotiated Rate |
$13,289.25 |
| Max. Negotiated Rate |
$33,525.18 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$13,957.62
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$24,381.95
|
| Rate for Payer: Aetna Government |
$24,381.95
|
| Rate for Payer: Brighton Health Commercial |
$13,289.25
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$24,869.59
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$16,301.85
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$13,856.57
|
| Rate for Payer: Elderplan Medicare Advantage |
$23,162.85
|
| Rate for Payer: EmblemHealth Commercial |
$24,381.95
|
| Rate for Payer: Fidelis Medicare Advantage |
$24,381.95
|
| Rate for Payer: Group Health Inc Commercial |
$24,381.95
|
| Rate for Payer: Group Health Inc Medicare |
$24,381.95
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$24,381.95
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$24,381.95
|
| Rate for Payer: Healthfirst Medicare Advantage |
$22,675.21
|
| Rate for Payer: Humana Medicare |
$33,525.18
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$24,381.95
|
| Rate for Payer: United Healthcare Commercial |
$18,226.44
|
| Rate for Payer: United Healthcare Medicare Advantage |
$24,381.95
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$24,381.95
|
| Rate for Payer: Wellcare Medicare |
$23,162.85
|
|
|
MS-DRG 43.00: OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC
|
Facility
|
IP
|
$46,456.66
|
|
|
Service Code
|
MSDRG 154
|
| Min. Negotiated Rate |
$22,670.75 |
| Max. Negotiated Rate |
$46,456.66 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$22,680.76
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$33,786.66
|
| Rate for Payer: Aetna Government |
$33,786.66
|
| Rate for Payer: Brighton Health Commercial |
$22,670.75
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$34,462.39
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$27,810.08
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$23,638.57
|
| Rate for Payer: Elderplan Medicare Advantage |
$32,097.33
|
| Rate for Payer: EmblemHealth Commercial |
$33,786.66
|
| Rate for Payer: Fidelis Medicare Advantage |
$33,786.66
|
| Rate for Payer: Group Health Inc Commercial |
$33,786.66
|
| Rate for Payer: Group Health Inc Medicare |
$33,786.66
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$33,786.66
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$33,786.66
|
| Rate for Payer: Healthfirst Medicare Advantage |
$31,421.59
|
| Rate for Payer: Humana Medicare |
$46,456.66
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$33,786.66
|
| Rate for Payer: United Healthcare Commercial |
$31,093.32
|
| Rate for Payer: United Healthcare Medicare Advantage |
$33,786.66
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$33,786.66
|
| Rate for Payer: Wellcare Medicare |
$32,097.33
|
|
|
MS-DRG 43.00: OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$29,020.19
|
|
|
Service Code
|
MSDRG 156
|
| Min. Negotiated Rate |
$9,665.35 |
| Max. Negotiated Rate |
$29,020.19 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$9,665.35
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$21,105.59
|
| Rate for Payer: Aetna Government |
$21,105.59
|
| Rate for Payer: Brighton Health Commercial |
$10,020.95
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$21,527.70
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$12,292.64
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$10,448.75
|
| Rate for Payer: Elderplan Medicare Advantage |
$20,050.31
|
| Rate for Payer: EmblemHealth Commercial |
$21,105.59
|
| Rate for Payer: Fidelis Medicare Advantage |
$21,105.59
|
| Rate for Payer: Group Health Inc Commercial |
$21,105.59
|
| Rate for Payer: Group Health Inc Medicare |
$21,105.59
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$21,105.59
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$21,105.59
|
| Rate for Payer: Healthfirst Medicare Advantage |
$19,628.20
|
| Rate for Payer: Humana Medicare |
$29,020.19
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$21,105.59
|
| Rate for Payer: United Healthcare Commercial |
$13,743.91
|
| Rate for Payer: United Healthcare Medicare Advantage |
$21,105.59
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$21,105.59
|
| Rate for Payer: Wellcare Medicare |
$20,050.31
|
|
|
MS-DRG 43.00: OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$49,842.42
|
|
|
Service Code
|
MSDRG 144
|
| Min. Negotiated Rate |
$25,127.05 |
| Max. Negotiated Rate |
$49,842.42 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$25,516.22
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$36,249.03
|
| Rate for Payer: Aetna Government |
$36,249.03
|
| Rate for Payer: Brighton Health Commercial |
$25,127.05
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$36,974.01
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$30,823.21
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$26,199.73
|
| Rate for Payer: Elderplan Medicare Advantage |
$34,436.58
|
| Rate for Payer: EmblemHealth Commercial |
$36,249.03
|
| Rate for Payer: Fidelis Medicare Advantage |
$36,249.03
|
| Rate for Payer: Group Health Inc Commercial |
$36,249.03
|
| Rate for Payer: Group Health Inc Medicare |
$36,249.03
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$36,249.03
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$36,249.03
|
| Rate for Payer: Healthfirst Medicare Advantage |
$33,711.60
|
| Rate for Payer: Humana Medicare |
$49,842.42
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$36,249.03
|
| Rate for Payer: United Healthcare Commercial |
$34,462.18
|
| Rate for Payer: United Healthcare Medicare Advantage |
$36,249.03
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$36,249.03
|
| Rate for Payer: Wellcare Medicare |
$34,436.58
|
|
|
MS-DRG 43.00: OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$90,089.82
|
|
|
Service Code
|
MSDRG 143
|
| Min. Negotiated Rate |
$49,035.97 |
| Max. Negotiated Rate |
$90,089.82 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$49,035.97
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$65,519.87
|
| Rate for Payer: Aetna Government |
$65,519.87
|
| Rate for Payer: Brighton Health Commercial |
$54,325.70
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$66,830.27
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$66,641.04
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$56,644.88
|
| Rate for Payer: Elderplan Medicare Advantage |
$62,243.88
|
| Rate for Payer: EmblemHealth Commercial |
$65,519.87
|
| Rate for Payer: Fidelis Medicare Advantage |
$65,519.87
|
| Rate for Payer: Group Health Inc Commercial |
$65,519.87
|
| Rate for Payer: Group Health Inc Medicare |
$65,519.87
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$65,519.87
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$65,519.87
|
| Rate for Payer: Healthfirst Medicare Advantage |
$60,933.48
|
| Rate for Payer: Humana Medicare |
$90,089.82
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$65,519.87
|
| Rate for Payer: United Healthcare Commercial |
$74,508.63
|
| Rate for Payer: United Healthcare Medicare Advantage |
$65,519.87
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$65,519.87
|
| Rate for Payer: Wellcare Medicare |
$62,243.88
|
|
|
MS-DRG 43.00: OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$39,237.43
|
|
|
Service Code
|
MSDRG 145
|
| Min. Negotiated Rate |
$17,433.35 |
| Max. Negotiated Rate |
$39,237.43 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$18,005.12
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$28,536.31
|
| Rate for Payer: Aetna Government |
$28,536.31
|
| Rate for Payer: Brighton Health Commercial |
$17,433.35
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$29,107.04
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$21,385.39
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$18,177.59
|
| Rate for Payer: Elderplan Medicare Advantage |
$27,109.49
|
| Rate for Payer: EmblemHealth Commercial |
$28,536.31
|
| Rate for Payer: Fidelis Medicare Advantage |
$28,536.31
|
| Rate for Payer: Group Health Inc Commercial |
$28,536.31
|
| Rate for Payer: Group Health Inc Medicare |
$28,536.31
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$28,536.31
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$28,536.31
|
| Rate for Payer: Healthfirst Medicare Advantage |
$26,538.77
|
| Rate for Payer: Humana Medicare |
$39,237.43
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$28,536.31
|
| Rate for Payer: United Healthcare Commercial |
$23,910.14
|
| Rate for Payer: United Healthcare Medicare Advantage |
$28,536.31
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$28,536.31
|
| Rate for Payer: Wellcare Medicare |
$27,109.49
|
|
|
MS-DRG 43.00: OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$58,754.55
|
|
|
Service Code
|
MSDRG 629
|
| Min. Negotiated Rate |
$31,592.60 |
| Max. Negotiated Rate |
$58,754.55 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$33,364.99
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$42,730.58
|
| Rate for Payer: Aetna Government |
$42,730.58
|
| Rate for Payer: Brighton Health Commercial |
$31,592.60
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$43,585.19
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$38,754.47
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$32,941.30
|
| Rate for Payer: Elderplan Medicare Advantage |
$40,594.05
|
| Rate for Payer: EmblemHealth Commercial |
$42,730.58
|
| Rate for Payer: Fidelis Medicare Advantage |
$42,730.58
|
| Rate for Payer: Group Health Inc Commercial |
$42,730.58
|
| Rate for Payer: Group Health Inc Medicare |
$42,730.58
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$42,730.58
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$42,730.58
|
| Rate for Payer: Healthfirst Medicare Advantage |
$39,739.44
|
| Rate for Payer: Humana Medicare |
$58,754.55
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$42,730.58
|
| Rate for Payer: United Healthcare Commercial |
$43,329.80
|
| Rate for Payer: United Healthcare Medicare Advantage |
$42,730.58
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$42,730.58
|
| Rate for Payer: Wellcare Medicare |
$40,594.05
|
|
|
MS-DRG 43.00: OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$89,694.11
|
|
|
Service Code
|
MSDRG 628
|
| Min. Negotiated Rate |
$54,038.60 |
| Max. Negotiated Rate |
$89,694.11 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$59,193.80
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$65,232.08
|
| Rate for Payer: Aetna Government |
$65,232.08
|
| Rate for Payer: Brighton Health Commercial |
$54,038.60
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$66,536.72
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$66,288.85
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$56,345.53
|
| Rate for Payer: Elderplan Medicare Advantage |
$61,970.48
|
| Rate for Payer: EmblemHealth Commercial |
$65,232.08
|
| Rate for Payer: Fidelis Medicare Advantage |
$65,232.08
|
| Rate for Payer: Group Health Inc Commercial |
$65,232.08
|
| Rate for Payer: Group Health Inc Medicare |
$65,232.08
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$65,232.08
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$65,232.08
|
| Rate for Payer: Healthfirst Medicare Advantage |
$60,665.83
|
| Rate for Payer: Humana Medicare |
$89,694.11
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$65,232.08
|
| Rate for Payer: United Healthcare Commercial |
$74,114.87
|
| Rate for Payer: United Healthcare Medicare Advantage |
$65,232.08
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$65,232.08
|
| Rate for Payer: Wellcare Medicare |
$61,970.48
|
|
|
MS-DRG 43.00: OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$44,378.03
|
|
|
Service Code
|
MSDRG 630
|
| Min. Negotiated Rate |
$20,588.44 |
| Max. Negotiated Rate |
$44,378.03 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$20,588.44
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$32,274.93
|
| Rate for Payer: Aetna Government |
$32,274.93
|
| Rate for Payer: Brighton Health Commercial |
$21,162.75
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$32,920.43
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$25,960.23
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$22,066.20
|
| Rate for Payer: Elderplan Medicare Advantage |
$30,661.18
|
| Rate for Payer: EmblemHealth Commercial |
$32,274.93
|
| Rate for Payer: Fidelis Medicare Advantage |
$32,274.93
|
| Rate for Payer: Group Health Inc Commercial |
$32,274.93
|
| Rate for Payer: Group Health Inc Medicare |
$32,274.93
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$32,274.93
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$32,274.93
|
| Rate for Payer: Healthfirst Medicare Advantage |
$30,015.68
|
| Rate for Payer: Humana Medicare |
$44,378.03
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$32,274.93
|
| Rate for Payer: United Healthcare Commercial |
$29,025.08
|
| Rate for Payer: United Healthcare Medicare Advantage |
$32,274.93
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$32,274.93
|
| Rate for Payer: Wellcare Medicare |
$30,661.18
|
|
|
MS-DRG 43.00: OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC
|
Facility
|
IP
|
$104,406.40
|
|
|
Service Code
|
MSDRG 319
|
| Min. Negotiated Rate |
$64,316.22 |
| Max. Negotiated Rate |
$104,406.40 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$64,316.22
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$75,931.93
|
| Rate for Payer: Aetna Government |
$75,931.93
|
| Rate for Payer: Brighton Health Commercial |
$64,712.05
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$77,450.57
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$79,381.91
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$67,474.63
|
| Rate for Payer: Elderplan Medicare Advantage |
$72,135.33
|
| Rate for Payer: EmblemHealth Commercial |
$75,931.93
|
| Rate for Payer: Fidelis Medicare Advantage |
$75,931.93
|
| Rate for Payer: Group Health Inc Commercial |
$75,931.93
|
| Rate for Payer: Group Health Inc Medicare |
$75,931.93
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$75,931.93
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$75,931.93
|
| Rate for Payer: Healthfirst Medicare Advantage |
$70,616.69
|
| Rate for Payer: Humana Medicare |
$104,406.40
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$75,931.93
|
| Rate for Payer: United Healthcare Commercial |
$88,753.69
|
| Rate for Payer: United Healthcare Medicare Advantage |
$75,931.93
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$75,931.93
|
| Rate for Payer: Wellcare Medicare |
$72,135.33
|
|
|
MS-DRG 43.00: OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC
|
Facility
|
IP
|
$63,281.53
|
|
|
Service Code
|
MSDRG 320
|
| Min. Negotiated Rate |
$32,822.37 |
| Max. Negotiated Rate |
$63,281.53 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$32,822.37
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$46,022.93
|
| Rate for Payer: Aetna Government |
$46,022.93
|
| Rate for Payer: Brighton Health Commercial |
$34,876.85
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$46,943.39
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$42,783.24
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$36,365.75
|
| Rate for Payer: Elderplan Medicare Advantage |
$43,721.78
|
| Rate for Payer: EmblemHealth Commercial |
$46,022.93
|
| Rate for Payer: Fidelis Medicare Advantage |
$46,022.93
|
| Rate for Payer: Group Health Inc Commercial |
$46,022.93
|
| Rate for Payer: Group Health Inc Medicare |
$46,022.93
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$46,022.93
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$46,022.93
|
| Rate for Payer: Healthfirst Medicare Advantage |
$42,801.32
|
| Rate for Payer: Humana Medicare |
$63,281.53
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$46,022.93
|
| Rate for Payer: United Healthcare Commercial |
$47,834.20
|
| Rate for Payer: United Healthcare Medicare Advantage |
$46,022.93
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$46,022.93
|
| Rate for Payer: Wellcare Medicare |
$43,721.78
|
|
|
MS-DRG 43.00: OTHER FACTORS INFLUENCING HEALTH STATUS
|
Facility
|
IP
|
$26,319.93
|
|
|
Service Code
|
MSDRG 951
|
| Min. Negotiated Rate |
$8,062.00 |
| Max. Negotiated Rate |
$26,319.93 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$8,699.55
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$19,141.77
|
| Rate for Payer: Aetna Government |
$19,141.77
|
| Rate for Payer: Brighton Health Commercial |
$8,062.00
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$19,524.61
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$9,889.61
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$8,406.17
|
| Rate for Payer: Elderplan Medicare Advantage |
$18,184.68
|
| Rate for Payer: EmblemHealth Commercial |
$19,141.77
|
| Rate for Payer: Fidelis Medicare Advantage |
$19,141.77
|
| Rate for Payer: Group Health Inc Commercial |
$19,141.77
|
| Rate for Payer: Group Health Inc Medicare |
$19,141.77
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$19,141.77
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$19,141.77
|
| Rate for Payer: Healthfirst Medicare Advantage |
$17,801.85
|
| Rate for Payer: Humana Medicare |
$26,319.93
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$19,141.77
|
| Rate for Payer: United Healthcare Commercial |
$11,057.17
|
| Rate for Payer: United Healthcare Medicare Advantage |
$19,141.77
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$19,141.77
|
| Rate for Payer: Wellcare Medicare |
$18,184.68
|
|
|
MS-DRG 43.00: OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$66,525.39
|
|
|
Service Code
|
MSDRG 749
|
| Min. Negotiated Rate |
$1,000.00 |
| Max. Negotiated Rate |
$66,525.39 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$37,116.11
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$48,382.10
|
| Rate for Payer: Aetna Government |
$48,382.10
|
| Rate for Payer: Brighton Health Commercial |
$37,230.20
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$49,349.74
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$45,670.08
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$38,819.57
|
| Rate for Payer: Elderplan Medicare Advantage |
$45,963.00
|
| Rate for Payer: EmblemHealth Commercial |
$48,382.10
|
| Rate for Payer: Fidelis Medicare Advantage |
$48,382.10
|
| Rate for Payer: Group Health Inc Commercial |
$1,000.00
|
| Rate for Payer: Group Health Inc Medicare |
$48,382.10
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$48,382.10
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$48,382.10
|
| Rate for Payer: Healthfirst Medicare Advantage |
$44,995.35
|
| Rate for Payer: Humana Medicare |
$66,525.39
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$48,382.10
|
| Rate for Payer: United Healthcare Commercial |
$51,061.86
|
| Rate for Payer: United Healthcare Medicare Advantage |
$48,382.10
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$48,382.10
|
| Rate for Payer: Wellcare Medicare |
$45,963.00
|
|
