|
MS-DRG 43.00: OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$44,703.81
|
|
|
Service Code
|
MSDRG 750
|
| Min. Negotiated Rate |
$1,000.00 |
| Max. Negotiated Rate |
$44,703.81 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$20,053.20
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$32,511.86
|
| Rate for Payer: Aetna Government |
$32,511.86
|
| Rate for Payer: Brighton Health Commercial |
$21,399.10
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$33,162.10
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$26,250.16
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$22,312.63
|
| Rate for Payer: Elderplan Medicare Advantage |
$30,886.27
|
| Rate for Payer: EmblemHealth Commercial |
$32,511.86
|
| Rate for Payer: Fidelis Medicare Advantage |
$32,511.86
|
| Rate for Payer: Group Health Inc Commercial |
$1,000.00
|
| Rate for Payer: Group Health Inc Medicare |
$32,511.86
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$32,511.86
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$32,511.86
|
| Rate for Payer: Healthfirst Medicare Advantage |
$30,236.03
|
| Rate for Payer: Humana Medicare |
$44,703.81
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$32,511.86
|
| Rate for Payer: United Healthcare Commercial |
$29,349.23
|
| Rate for Payer: United Healthcare Medicare Advantage |
$32,511.86
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$32,511.86
|
| Rate for Payer: Wellcare Medicare |
$30,886.27
|
|
|
MS-DRG 43.00: OTHER HEART ASSIST SYSTEM IMPLANT
|
Facility
|
IP
|
$214,215.88
|
|
|
Service Code
|
MSDRG 215
|
| Min. Negotiated Rate |
$144,376.50 |
| Max. Negotiated Rate |
$214,215.88 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$150,617.23
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$155,793.37
|
| Rate for Payer: Aetna Government |
$155,793.37
|
| Rate for Payer: Brighton Health Commercial |
$144,376.50
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$158,909.24
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$177,105.86
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$150,539.98
|
| Rate for Payer: Elderplan Medicare Advantage |
$148,003.70
|
| Rate for Payer: EmblemHealth Commercial |
$155,793.37
|
| Rate for Payer: Fidelis Medicare Advantage |
$155,793.37
|
| Rate for Payer: Group Health Inc Commercial |
$155,793.37
|
| Rate for Payer: Group Health Inc Medicare |
$155,793.37
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$155,793.37
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$155,793.37
|
| Rate for Payer: Healthfirst Medicare Advantage |
$144,887.83
|
| Rate for Payer: Humana Medicare |
$214,215.88
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$155,793.37
|
| Rate for Payer: United Healthcare Commercial |
$198,014.86
|
| Rate for Payer: United Healthcare Medicare Advantage |
$155,793.37
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$155,793.37
|
| Rate for Payer: Wellcare Medicare |
$148,003.70
|
|
|
MS-DRG 43.00: OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$58,936.42
|
|
|
Service Code
|
MSDRG 424
|
| Min. Negotiated Rate |
$30,777.24 |
| Max. Negotiated Rate |
$58,936.42 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$30,777.24
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$42,862.85
|
| Rate for Payer: Aetna Government |
$42,862.85
|
| Rate for Payer: Brighton Health Commercial |
$31,724.55
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$43,720.11
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$38,916.33
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$33,078.88
|
| Rate for Payer: Elderplan Medicare Advantage |
$40,719.71
|
| Rate for Payer: EmblemHealth Commercial |
$42,862.85
|
| Rate for Payer: Fidelis Medicare Advantage |
$42,862.85
|
| Rate for Payer: Group Health Inc Commercial |
$42,862.85
|
| Rate for Payer: Group Health Inc Medicare |
$42,862.85
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$42,862.85
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$42,862.85
|
| Rate for Payer: Healthfirst Medicare Advantage |
$39,862.45
|
| Rate for Payer: Humana Medicare |
$58,936.42
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$42,862.85
|
| Rate for Payer: United Healthcare Commercial |
$43,510.77
|
| Rate for Payer: United Healthcare Medicare Advantage |
$42,862.85
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$42,862.85
|
| Rate for Payer: Wellcare Medicare |
$40,719.71
|
|
|
MS-DRG 43.00: OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$98,212.47
|
|
|
Service Code
|
MSDRG 423
|
| Min. Negotiated Rate |
$57,666.22 |
| Max. Negotiated Rate |
$98,212.47 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$57,666.22
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$71,427.25
|
| Rate for Payer: Aetna Government |
$71,427.25
|
| Rate for Payer: Brighton Health Commercial |
$60,218.50
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$72,855.79
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$73,869.70
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$62,789.25
|
| Rate for Payer: Elderplan Medicare Advantage |
$67,855.89
|
| Rate for Payer: EmblemHealth Commercial |
$71,427.25
|
| Rate for Payer: Fidelis Medicare Advantage |
$71,427.25
|
| Rate for Payer: Group Health Inc Commercial |
$71,427.25
|
| Rate for Payer: Group Health Inc Medicare |
$71,427.25
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$71,427.25
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$71,427.25
|
| Rate for Payer: Healthfirst Medicare Advantage |
$66,427.34
|
| Rate for Payer: Humana Medicare |
$98,212.47
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$71,427.25
|
| Rate for Payer: United Healthcare Commercial |
$82,590.71
|
| Rate for Payer: United Healthcare Medicare Advantage |
$71,427.25
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$71,427.25
|
| Rate for Payer: Wellcare Medicare |
$67,855.89
|
|
|
MS-DRG 43.00: OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$45,193.50
|
|
|
Service Code
|
MSDRG 425
|
| Min. Negotiated Rate |
$1,100.00 |
| Max. Negotiated Rate |
$45,193.50 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$23,620.02
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$32,868.00
|
| Rate for Payer: Aetna Government |
$32,868.00
|
| Rate for Payer: Brighton Health Commercial |
$21,754.35
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$33,525.36
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$26,685.94
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$22,683.05
|
| Rate for Payer: Elderplan Medicare Advantage |
$31,224.60
|
| Rate for Payer: EmblemHealth Commercial |
$32,868.00
|
| Rate for Payer: Fidelis Medicare Advantage |
$32,868.00
|
| Rate for Payer: Group Health Inc Commercial |
$1,100.00
|
| Rate for Payer: Group Health Inc Medicare |
$32,868.00
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$32,868.00
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$32,868.00
|
| Rate for Payer: Healthfirst Medicare Advantage |
$30,567.24
|
| Rate for Payer: Humana Medicare |
$45,193.50
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$32,868.00
|
| Rate for Payer: United Healthcare Commercial |
$29,836.47
|
| Rate for Payer: United Healthcare Medicare Advantage |
$32,868.00
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$32,868.00
|
| Rate for Payer: Wellcare Medicare |
$31,224.60
|
|
|
MS-DRG 43.00: OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC
|
Facility
|
IP
|
$35,815.70
|
|
|
Service Code
|
MSDRG 868
|
| Min. Negotiated Rate |
$14,950.95 |
| Max. Negotiated Rate |
$35,815.70 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$16,005.70
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$26,047.78
|
| Rate for Payer: Aetna Government |
$26,047.78
|
| Rate for Payer: Brighton Health Commercial |
$14,950.95
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$26,568.74
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$18,340.25
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$15,589.21
|
| Rate for Payer: Elderplan Medicare Advantage |
$24,745.39
|
| Rate for Payer: EmblemHealth Commercial |
$26,047.78
|
| Rate for Payer: Fidelis Medicare Advantage |
$26,047.78
|
| Rate for Payer: Group Health Inc Commercial |
$26,047.78
|
| Rate for Payer: Group Health Inc Medicare |
$26,047.78
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$26,047.78
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$26,047.78
|
| Rate for Payer: Healthfirst Medicare Advantage |
$24,224.44
|
| Rate for Payer: Humana Medicare |
$35,815.70
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$26,047.78
|
| Rate for Payer: United Healthcare Commercial |
$20,505.49
|
| Rate for Payer: United Healthcare Medicare Advantage |
$26,047.78
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$26,047.78
|
| Rate for Payer: Wellcare Medicare |
$24,745.39
|
|
|
MS-DRG 43.00: OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC
|
Facility
|
IP
|
$57,043.62
|
|
|
Service Code
|
MSDRG 867
|
| Min. Negotiated Rate |
$30,351.40 |
| Max. Negotiated Rate |
$57,043.62 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$30,850.96
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$41,486.27
|
| Rate for Payer: Aetna Government |
$41,486.27
|
| Rate for Payer: Brighton Health Commercial |
$30,351.40
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$42,316.00
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$37,231.89
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$31,647.11
|
| Rate for Payer: Elderplan Medicare Advantage |
$39,411.96
|
| Rate for Payer: EmblemHealth Commercial |
$41,486.27
|
| Rate for Payer: Fidelis Medicare Advantage |
$41,486.27
|
| Rate for Payer: Group Health Inc Commercial |
$41,486.27
|
| Rate for Payer: Group Health Inc Medicare |
$41,486.27
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$41,486.27
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$41,486.27
|
| Rate for Payer: Healthfirst Medicare Advantage |
$38,582.23
|
| Rate for Payer: Humana Medicare |
$57,043.62
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$41,486.27
|
| Rate for Payer: United Healthcare Commercial |
$41,627.47
|
| Rate for Payer: United Healthcare Medicare Advantage |
$41,486.27
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$41,486.27
|
| Rate for Payer: Wellcare Medicare |
$39,411.96
|
|
|
MS-DRG 43.00: OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$29,791.66
|
|
|
Service Code
|
MSDRG 869
|
| Min. Negotiated Rate |
$10,184.37 |
| Max. Negotiated Rate |
$29,791.66 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$10,184.37
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$21,666.66
|
| Rate for Payer: Aetna Government |
$21,666.66
|
| Rate for Payer: Brighton Health Commercial |
$10,580.65
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$22,099.99
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$12,979.22
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$11,032.34
|
| Rate for Payer: Elderplan Medicare Advantage |
$20,583.33
|
| Rate for Payer: EmblemHealth Commercial |
$21,666.66
|
| Rate for Payer: Fidelis Medicare Advantage |
$21,666.66
|
| Rate for Payer: Group Health Inc Commercial |
$21,666.66
|
| Rate for Payer: Group Health Inc Medicare |
$21,666.66
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$21,666.66
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$21,666.66
|
| Rate for Payer: Healthfirst Medicare Advantage |
$20,149.99
|
| Rate for Payer: Humana Medicare |
$29,791.66
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$21,666.66
|
| Rate for Payer: United Healthcare Commercial |
$14,511.54
|
| Rate for Payer: United Healthcare Medicare Advantage |
$21,666.66
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$21,666.66
|
| Rate for Payer: Wellcare Medicare |
$20,583.33
|
|
|
MS-DRG 43.00: OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC
|
Facility
|
IP
|
$50,172.18
|
|
|
Service Code
|
MSDRG 922
|
| Min. Negotiated Rate |
$25,366.30 |
| Max. Negotiated Rate |
$50,172.18 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$25,728.55
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$36,488.86
|
| Rate for Payer: Aetna Government |
$36,488.86
|
| Rate for Payer: Brighton Health Commercial |
$25,366.30
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$37,218.64
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$31,116.70
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$26,449.20
|
| Rate for Payer: Elderplan Medicare Advantage |
$34,664.42
|
| Rate for Payer: EmblemHealth Commercial |
$36,488.86
|
| Rate for Payer: Fidelis Medicare Advantage |
$36,488.86
|
| Rate for Payer: Group Health Inc Commercial |
$36,488.86
|
| Rate for Payer: Group Health Inc Medicare |
$36,488.86
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$36,488.86
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$36,488.86
|
| Rate for Payer: Healthfirst Medicare Advantage |
$33,934.64
|
| Rate for Payer: Humana Medicare |
$50,172.18
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$36,488.86
|
| Rate for Payer: United Healthcare Commercial |
$34,790.32
|
| Rate for Payer: United Healthcare Medicare Advantage |
$36,488.86
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$36,488.86
|
| Rate for Payer: Wellcare Medicare |
$34,664.42
|
|
|
MS-DRG 43.00: OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC
|
Facility
|
IP
|
$35,547.85
|
|
|
Service Code
|
MSDRG 923
|
| Min. Negotiated Rate |
$14,756.65 |
| Max. Negotiated Rate |
$35,547.85 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$14,913.09
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$25,852.98
|
| Rate for Payer: Aetna Government |
$25,852.98
|
| Rate for Payer: Brighton Health Commercial |
$14,756.65
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$26,370.04
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$18,101.90
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$15,386.62
|
| Rate for Payer: Elderplan Medicare Advantage |
$24,560.33
|
| Rate for Payer: EmblemHealth Commercial |
$25,852.98
|
| Rate for Payer: Fidelis Medicare Advantage |
$25,852.98
|
| Rate for Payer: Group Health Inc Commercial |
$25,852.98
|
| Rate for Payer: Group Health Inc Medicare |
$25,852.98
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$25,852.98
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$25,852.98
|
| Rate for Payer: Healthfirst Medicare Advantage |
$24,043.27
|
| Rate for Payer: Humana Medicare |
$35,547.85
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$25,852.98
|
| Rate for Payer: United Healthcare Commercial |
$20,239.00
|
| Rate for Payer: United Healthcare Medicare Advantage |
$25,852.98
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$25,852.98
|
| Rate for Payer: Wellcare Medicare |
$24,560.33
|
|
|
MS-DRG 43.00: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC
|
Facility
|
IP
|
$35,493.86
|
|
|
Service Code
|
MSDRG 699
|
| Min. Negotiated Rate |
$14,717.50 |
| Max. Negotiated Rate |
$35,493.86 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$15,051.70
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$25,813.72
|
| Rate for Payer: Aetna Government |
$25,813.72
|
| Rate for Payer: Brighton Health Commercial |
$14,717.50
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$26,329.99
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$18,053.88
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$15,345.80
|
| Rate for Payer: Elderplan Medicare Advantage |
$24,523.03
|
| Rate for Payer: EmblemHealth Commercial |
$25,813.72
|
| Rate for Payer: Fidelis Medicare Advantage |
$25,813.72
|
| Rate for Payer: Group Health Inc Commercial |
$25,813.72
|
| Rate for Payer: Group Health Inc Medicare |
$25,813.72
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$25,813.72
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$25,813.72
|
| Rate for Payer: Healthfirst Medicare Advantage |
$24,006.76
|
| Rate for Payer: Humana Medicare |
$35,493.86
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$25,813.72
|
| Rate for Payer: United Healthcare Commercial |
$20,185.31
|
| Rate for Payer: United Healthcare Medicare Advantage |
$25,813.72
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$25,813.72
|
| Rate for Payer: Wellcare Medicare |
$24,523.03
|
|
|
MS-DRG 43.00: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC
|
Facility
|
IP
|
$48,273.46
|
|
|
Service Code
|
MSDRG 698
|
| Min. Negotiated Rate |
$23,988.80 |
| Max. Negotiated Rate |
$48,273.46 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$24,394.13
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$35,107.97
|
| Rate for Payer: Aetna Government |
$35,107.97
|
| Rate for Payer: Brighton Health Commercial |
$23,988.80
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$35,810.13
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$29,426.93
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$25,012.89
|
| Rate for Payer: Elderplan Medicare Advantage |
$33,352.57
|
| Rate for Payer: EmblemHealth Commercial |
$35,107.97
|
| Rate for Payer: Fidelis Medicare Advantage |
$35,107.97
|
| Rate for Payer: Group Health Inc Commercial |
$35,107.97
|
| Rate for Payer: Group Health Inc Medicare |
$35,107.97
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$35,107.97
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$35,107.97
|
| Rate for Payer: Healthfirst Medicare Advantage |
$32,650.41
|
| Rate for Payer: Humana Medicare |
$48,273.46
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$35,107.97
|
| Rate for Payer: United Healthcare Commercial |
$32,901.05
|
| Rate for Payer: United Healthcare Medicare Advantage |
$35,107.97
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$35,107.97
|
| Rate for Payer: Wellcare Medicare |
$33,352.57
|
|
|
MS-DRG 43.00: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$28,996.19
|
|
|
Service Code
|
MSDRG 700
|
| Min. Negotiated Rate |
$10,003.55 |
| Max. Negotiated Rate |
$28,996.19 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$10,443.88
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$21,088.14
|
| Rate for Payer: Aetna Government |
$21,088.14
|
| Rate for Payer: Brighton Health Commercial |
$10,003.55
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$21,509.90
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$12,271.30
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$10,430.60
|
| Rate for Payer: Elderplan Medicare Advantage |
$20,033.73
|
| Rate for Payer: EmblemHealth Commercial |
$21,088.14
|
| Rate for Payer: Fidelis Medicare Advantage |
$21,088.14
|
| Rate for Payer: Group Health Inc Commercial |
$21,088.14
|
| Rate for Payer: Group Health Inc Medicare |
$21,088.14
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$21,088.14
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$21,088.14
|
| Rate for Payer: Healthfirst Medicare Advantage |
$19,611.97
|
| Rate for Payer: Humana Medicare |
$28,996.19
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$21,088.14
|
| Rate for Payer: United Healthcare Commercial |
$13,720.04
|
| Rate for Payer: United Healthcare Medicare Advantage |
$21,088.14
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$21,088.14
|
| Rate for Payer: Wellcare Medicare |
$20,033.73
|
|
|
MS-DRG 43.00: OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC
|
Facility
|
IP
|
$61,948.41
|
|
|
Service Code
|
MSDRG 674
|
| Min. Negotiated Rate |
$33,909.70 |
| Max. Negotiated Rate |
$61,948.41 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$35,125.54
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$45,053.39
|
| Rate for Payer: Aetna Government |
$45,053.39
|
| Rate for Payer: Brighton Health Commercial |
$33,909.70
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$45,954.46
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$41,596.84
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$35,357.32
|
| Rate for Payer: Elderplan Medicare Advantage |
$42,800.72
|
| Rate for Payer: EmblemHealth Commercial |
$45,053.39
|
| Rate for Payer: Fidelis Medicare Advantage |
$45,053.39
|
| Rate for Payer: Group Health Inc Commercial |
$45,053.39
|
| Rate for Payer: Group Health Inc Medicare |
$45,053.39
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$45,053.39
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$45,053.39
|
| Rate for Payer: Healthfirst Medicare Advantage |
$41,899.65
|
| Rate for Payer: Humana Medicare |
$61,948.41
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$45,053.39
|
| Rate for Payer: United Healthcare Commercial |
$46,507.74
|
| Rate for Payer: United Healthcare Medicare Advantage |
$45,053.39
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$45,053.39
|
| Rate for Payer: Wellcare Medicare |
$42,800.72
|
|
|
MS-DRG 43.00: OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC
|
Facility
|
IP
|
$99,183.84
|
|
|
Service Code
|
MSDRG 673
|
| Min. Negotiated Rate |
$54,527.01 |
| Max. Negotiated Rate |
$99,183.84 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$54,527.01
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$72,133.70
|
| Rate for Payer: Aetna Government |
$72,133.70
|
| Rate for Payer: Brighton Health Commercial |
$60,923.20
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$73,576.37
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$74,734.15
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$63,524.03
|
| Rate for Payer: Elderplan Medicare Advantage |
$68,527.01
|
| Rate for Payer: EmblemHealth Commercial |
$72,133.70
|
| Rate for Payer: Fidelis Medicare Advantage |
$72,133.70
|
| Rate for Payer: Group Health Inc Commercial |
$72,133.70
|
| Rate for Payer: Group Health Inc Medicare |
$72,133.70
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$72,133.70
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$72,133.70
|
| Rate for Payer: Healthfirst Medicare Advantage |
$67,084.34
|
| Rate for Payer: Humana Medicare |
$99,183.84
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$72,133.70
|
| Rate for Payer: United Healthcare Commercial |
$83,557.22
|
| Rate for Payer: United Healthcare Medicare Advantage |
$72,133.70
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$72,133.70
|
| Rate for Payer: Wellcare Medicare |
$68,527.01
|
|
|
MS-DRG 43.00: OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$48,013.62
|
|
|
Service Code
|
MSDRG 675
|
| Min. Negotiated Rate |
$23,392.94 |
| Max. Negotiated Rate |
$48,013.62 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$23,392.94
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$34,919.00
|
| Rate for Payer: Aetna Government |
$34,919.00
|
| Rate for Payer: Brighton Health Commercial |
$23,800.30
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$35,617.38
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$29,195.70
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$24,816.34
|
| Rate for Payer: Elderplan Medicare Advantage |
$33,173.05
|
| Rate for Payer: EmblemHealth Commercial |
$34,919.00
|
| Rate for Payer: Fidelis Medicare Advantage |
$34,919.00
|
| Rate for Payer: Group Health Inc Commercial |
$34,919.00
|
| Rate for Payer: Group Health Inc Medicare |
$34,919.00
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$34,919.00
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$34,919.00
|
| Rate for Payer: Healthfirst Medicare Advantage |
$32,474.67
|
| Rate for Payer: Humana Medicare |
$48,013.62
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$34,919.00
|
| Rate for Payer: United Healthcare Commercial |
$32,642.52
|
| Rate for Payer: United Healthcare Medicare Advantage |
$34,919.00
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$34,919.00
|
| Rate for Payer: Wellcare Medicare |
$33,173.05
|
|
|
MS-DRG 43.00: OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC
|
Facility
|
IP
|
$86,286.35
|
|
|
Service Code
|
MSDRG 271
|
| Min. Negotiated Rate |
$50,961.67 |
| Max. Negotiated Rate |
$86,286.35 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$50,961.67
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$62,753.71
|
| Rate for Payer: Aetna Government |
$62,753.71
|
| Rate for Payer: Brighton Health Commercial |
$51,566.35
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$64,008.78
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$63,256.16
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$53,767.74
|
| Rate for Payer: Elderplan Medicare Advantage |
$59,616.02
|
| Rate for Payer: EmblemHealth Commercial |
$62,753.71
|
| Rate for Payer: Fidelis Medicare Advantage |
$62,753.71
|
| Rate for Payer: Group Health Inc Commercial |
$62,753.71
|
| Rate for Payer: Group Health Inc Medicare |
$62,753.71
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$62,753.71
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$62,753.71
|
| Rate for Payer: Healthfirst Medicare Advantage |
$58,360.95
|
| Rate for Payer: Humana Medicare |
$86,286.35
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$62,753.71
|
| Rate for Payer: United Healthcare Commercial |
$70,724.14
|
| Rate for Payer: United Healthcare Medicare Advantage |
$62,753.71
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$62,753.71
|
| Rate for Payer: Wellcare Medicare |
$59,616.02
|
|
|
MS-DRG 43.00: OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC
|
Facility
|
IP
|
$120,663.63
|
|
|
Service Code
|
MSDRG 270
|
| Min. Negotiated Rate |
$74,563.99 |
| Max. Negotiated Rate |
$120,663.63 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$74,563.99
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$87,755.37
|
| Rate for Payer: Aetna Government |
$87,755.37
|
| Rate for Payer: Brighton Health Commercial |
$76,506.35
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$89,510.48
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$93,849.92
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$79,772.43
|
| Rate for Payer: Elderplan Medicare Advantage |
$83,367.60
|
| Rate for Payer: EmblemHealth Commercial |
$87,755.37
|
| Rate for Payer: Fidelis Medicare Advantage |
$87,755.37
|
| Rate for Payer: Group Health Inc Commercial |
$87,755.37
|
| Rate for Payer: Group Health Inc Medicare |
$87,755.37
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$87,755.37
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$87,755.37
|
| Rate for Payer: Healthfirst Medicare Advantage |
$81,612.49
|
| Rate for Payer: Humana Medicare |
$120,663.63
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$87,755.37
|
| Rate for Payer: United Healthcare Commercial |
$104,929.78
|
| Rate for Payer: United Healthcare Medicare Advantage |
$87,755.37
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$87,755.37
|
| Rate for Payer: Wellcare Medicare |
$83,367.60
|
|
|
MS-DRG 43.00: OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$66,233.57
|
|
|
Service Code
|
MSDRG 272
|
| Min. Negotiated Rate |
$35,970.43 |
| Max. Negotiated Rate |
$66,233.57 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$35,970.43
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$48,169.87
|
| Rate for Payer: Aetna Government |
$48,169.87
|
| Rate for Payer: Brighton Health Commercial |
$37,018.50
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$49,133.27
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$45,410.39
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$38,598.83
|
| Rate for Payer: Elderplan Medicare Advantage |
$45,761.38
|
| Rate for Payer: EmblemHealth Commercial |
$48,169.87
|
| Rate for Payer: Fidelis Medicare Advantage |
$48,169.87
|
| Rate for Payer: Group Health Inc Commercial |
$48,169.87
|
| Rate for Payer: Group Health Inc Medicare |
$48,169.87
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$48,169.87
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$48,169.87
|
| Rate for Payer: Healthfirst Medicare Advantage |
$44,797.98
|
| Rate for Payer: Humana Medicare |
$66,233.57
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$48,169.87
|
| Rate for Payer: United Healthcare Commercial |
$50,771.51
|
| Rate for Payer: United Healthcare Medicare Advantage |
$48,169.87
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$48,169.87
|
| Rate for Payer: Wellcare Medicare |
$45,761.38
|
|
|
MS-DRG 43.00: OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC
|
Facility
|
IP
|
$36,367.28
|
|
|
Service Code
|
MSDRG 729
|
| Min. Negotiated Rate |
$14,802.51 |
| Max. Negotiated Rate |
$36,367.28 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$14,802.51
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$26,448.93
|
| Rate for Payer: Aetna Government |
$26,448.93
|
| Rate for Payer: Brighton Health Commercial |
$15,351.15
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$26,977.91
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$18,831.17
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$16,006.50
|
| Rate for Payer: Elderplan Medicare Advantage |
$25,126.48
|
| Rate for Payer: EmblemHealth Commercial |
$26,448.93
|
| Rate for Payer: Fidelis Medicare Advantage |
$26,448.93
|
| Rate for Payer: Group Health Inc Commercial |
$26,448.93
|
| Rate for Payer: Group Health Inc Medicare |
$26,448.93
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$26,448.93
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$26,448.93
|
| Rate for Payer: Healthfirst Medicare Advantage |
$24,597.50
|
| Rate for Payer: Humana Medicare |
$36,367.28
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$26,448.93
|
| Rate for Payer: United Healthcare Commercial |
$21,054.37
|
| Rate for Payer: United Healthcare Medicare Advantage |
$26,448.93
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$26,448.93
|
| Rate for Payer: Wellcare Medicare |
$25,126.48
|
|
|
MS-DRG 43.00: OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$28,638.42
|
|
|
Service Code
|
MSDRG 730
|
| Min. Negotiated Rate |
$9,165.49 |
| Max. Negotiated Rate |
$28,638.42 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$9,165.49
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$20,827.94
|
| Rate for Payer: Aetna Government |
$20,827.94
|
| Rate for Payer: Brighton Health Commercial |
$9,744.00
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$21,244.50
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$11,952.91
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$10,159.97
|
| Rate for Payer: Elderplan Medicare Advantage |
$19,786.54
|
| Rate for Payer: EmblemHealth Commercial |
$20,827.94
|
| Rate for Payer: Fidelis Medicare Advantage |
$20,827.94
|
| Rate for Payer: Group Health Inc Commercial |
$20,827.94
|
| Rate for Payer: Group Health Inc Medicare |
$20,827.94
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$20,827.94
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$20,827.94
|
| Rate for Payer: Healthfirst Medicare Advantage |
$19,369.98
|
| Rate for Payer: Humana Medicare |
$28,638.42
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$20,827.94
|
| Rate for Payer: United Healthcare Commercial |
$13,364.06
|
| Rate for Payer: United Healthcare Medicare Advantage |
$20,827.94
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$20,827.94
|
| Rate for Payer: Wellcare Medicare |
$19,786.54
|
|
|
MS-DRG 43.00: OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC
|
Facility
|
IP
|
$52,992.33
|
|
|
Service Code
|
MSDRG 717
|
| Min. Negotiated Rate |
$26,743.01 |
| Max. Negotiated Rate |
$52,992.33 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$26,743.01
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$38,539.88
|
| Rate for Payer: Aetna Government |
$38,539.88
|
| Rate for Payer: Brighton Health Commercial |
$27,412.25
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$39,310.68
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$33,626.46
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$28,582.49
|
| Rate for Payer: Elderplan Medicare Advantage |
$36,612.89
|
| Rate for Payer: EmblemHealth Commercial |
$38,539.88
|
| Rate for Payer: Fidelis Medicare Advantage |
$38,539.88
|
| Rate for Payer: Group Health Inc Commercial |
$38,539.88
|
| Rate for Payer: Group Health Inc Medicare |
$38,539.88
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$38,539.88
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$38,539.88
|
| Rate for Payer: Healthfirst Medicare Advantage |
$35,842.09
|
| Rate for Payer: Humana Medicare |
$52,992.33
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$38,539.88
|
| Rate for Payer: United Healthcare Commercial |
$37,596.37
|
| Rate for Payer: United Healthcare Medicare Advantage |
$38,539.88
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$38,539.88
|
| Rate for Payer: Wellcare Medicare |
$36,612.89
|
|
|
MS-DRG 43.00: OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC
|
Facility
|
IP
|
$42,051.56
|
|
|
Service Code
|
MSDRG 718
|
| Min. Negotiated Rate |
$17,337.17 |
| Max. Negotiated Rate |
$42,051.56 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$17,337.17
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$30,582.95
|
| Rate for Payer: Aetna Government |
$30,582.95
|
| Rate for Payer: Brighton Health Commercial |
$19,474.95
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$31,194.61
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$23,889.81
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$20,306.34
|
| Rate for Payer: Elderplan Medicare Advantage |
$29,053.80
|
| Rate for Payer: EmblemHealth Commercial |
$30,582.95
|
| Rate for Payer: Fidelis Medicare Advantage |
$30,582.95
|
| Rate for Payer: Group Health Inc Commercial |
$30,582.95
|
| Rate for Payer: Group Health Inc Medicare |
$30,582.95
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$30,582.95
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$30,582.95
|
| Rate for Payer: Healthfirst Medicare Advantage |
$28,442.14
|
| Rate for Payer: Humana Medicare |
$42,051.56
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$30,582.95
|
| Rate for Payer: United Healthcare Commercial |
$26,710.23
|
| Rate for Payer: United Healthcare Medicare Advantage |
$30,582.95
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$30,582.95
|
| Rate for Payer: Wellcare Medicare |
$29,053.80
|
|
|
MS-DRG 43.00: OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC
|
Facility
|
IP
|
$59,923.74
|
|
|
Service Code
|
MSDRG 715
|
| Min. Negotiated Rate |
$32,440.85 |
| Max. Negotiated Rate |
$59,923.74 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$32,549.59
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$43,580.90
|
| Rate for Payer: Aetna Government |
$43,580.90
|
| Rate for Payer: Brighton Health Commercial |
$32,440.85
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$44,452.52
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$39,795.01
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$33,825.76
|
| Rate for Payer: Elderplan Medicare Advantage |
$41,401.86
|
| Rate for Payer: EmblemHealth Commercial |
$43,580.90
|
| Rate for Payer: Fidelis Medicare Advantage |
$43,580.90
|
| Rate for Payer: Group Health Inc Commercial |
$43,580.90
|
| Rate for Payer: Group Health Inc Medicare |
$43,580.90
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$43,580.90
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$43,580.90
|
| Rate for Payer: Healthfirst Medicare Advantage |
$40,530.24
|
| Rate for Payer: Humana Medicare |
$59,923.74
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$43,580.90
|
| Rate for Payer: United Healthcare Commercial |
$44,493.19
|
| Rate for Payer: United Healthcare Medicare Advantage |
$43,580.90
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$43,580.90
|
| Rate for Payer: Wellcare Medicare |
$41,401.86
|
|
|
MS-DRG 43.00: OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC
|
Facility
|
IP
|
$44,607.87
|
|
|
Service Code
|
MSDRG 716
|
| Min. Negotiated Rate |
$20,970.34 |
| Max. Negotiated Rate |
$44,607.87 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$20,970.34
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$32,442.09
|
| Rate for Payer: Aetna Government |
$32,442.09
|
| Rate for Payer: Brighton Health Commercial |
$21,329.50
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$33,090.93
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$26,164.78
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$22,240.06
|
| Rate for Payer: Elderplan Medicare Advantage |
$30,819.99
|
| Rate for Payer: EmblemHealth Commercial |
$32,442.09
|
| Rate for Payer: Fidelis Medicare Advantage |
$32,442.09
|
| Rate for Payer: Group Health Inc Commercial |
$32,442.09
|
| Rate for Payer: Group Health Inc Medicare |
$32,442.09
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$32,442.09
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$32,442.09
|
| Rate for Payer: Healthfirst Medicare Advantage |
$30,171.14
|
| Rate for Payer: Humana Medicare |
$44,607.87
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$32,442.09
|
| Rate for Payer: United Healthcare Commercial |
$29,253.78
|
| Rate for Payer: United Healthcare Medicare Advantage |
$32,442.09
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$32,442.09
|
| Rate for Payer: Wellcare Medicare |
$30,819.99
|
|
