|
MS-DRG 43.00: OTHER MENTAL DISORDER DIAGNOSES
|
Facility
|
IP
|
$27,158.83
|
|
|
Service Code
|
MSDRG 887
|
| Min. Negotiated Rate |
$1,100.00 |
| Max. Negotiated Rate |
$27,158.83 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$1,859.00
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$26,626.30
|
| Rate for Payer: Aetna Government |
$26,626.30
|
| Rate for Payer: Brighton Health Commercial |
$15,528.05
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$27,158.83
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$19,048.17
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$16,190.95
|
| Rate for Payer: Elderplan Medicare Advantage |
$25,294.99
|
| Rate for Payer: EmblemHealth Commercial |
$1,100.00
|
| Rate for Payer: Fidelis Medicare Advantage |
$26,626.30
|
| Rate for Payer: Group Health Inc Commercial |
$26,626.30
|
| Rate for Payer: Group Health Inc Medicare |
$26,626.30
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$26,626.30
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$26,626.30
|
| Rate for Payer: Healthfirst Medicare Advantage |
$24,762.46
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$26,626.30
|
| Rate for Payer: United Healthcare Commercial |
$21,296.99
|
| Rate for Payer: United Healthcare Medicare Advantage |
$26,626.30
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$26,626.30
|
| Rate for Payer: Wellcare Medicare |
$25,294.99
|
|
|
MS-DRG 43.00: OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC
|
Facility
|
IP
|
$45,839.08
|
|
|
Service Code
|
MSDRG 964
|
| Min. Negotiated Rate |
$22,132.25 |
| Max. Negotiated Rate |
$45,839.08 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$22,132.25
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$33,337.51
|
| Rate for Payer: Aetna Government |
$33,337.51
|
| Rate for Payer: Brighton Health Commercial |
$22,222.70
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$34,004.26
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$27,260.46
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$23,171.39
|
| Rate for Payer: Elderplan Medicare Advantage |
$31,670.63
|
| Rate for Payer: EmblemHealth Commercial |
$33,337.51
|
| Rate for Payer: Fidelis Medicare Advantage |
$33,337.51
|
| Rate for Payer: Group Health Inc Commercial |
$33,337.51
|
| Rate for Payer: Group Health Inc Medicare |
$33,337.51
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$33,337.51
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$33,337.51
|
| Rate for Payer: Healthfirst Medicare Advantage |
$31,003.88
|
| Rate for Payer: Humana Medicare |
$45,839.08
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$33,337.51
|
| Rate for Payer: United Healthcare Commercial |
$30,478.82
|
| Rate for Payer: United Healthcare Medicare Advantage |
$33,337.51
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$33,337.51
|
| Rate for Payer: Wellcare Medicare |
$31,670.63
|
|
|
MS-DRG 43.00: OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC
|
Facility
|
IP
|
$69,847.21
|
|
|
Service Code
|
MSDRG 963
|
| Min. Negotiated Rate |
$39,640.10 |
| Max. Negotiated Rate |
$69,847.21 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$40,317.25
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$50,797.97
|
| Rate for Payer: Aetna Government |
$50,797.97
|
| Rate for Payer: Brighton Health Commercial |
$39,640.10
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$51,813.93
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$48,626.29
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$41,332.35
|
| Rate for Payer: Elderplan Medicare Advantage |
$48,258.07
|
| Rate for Payer: EmblemHealth Commercial |
$50,797.97
|
| Rate for Payer: Fidelis Medicare Advantage |
$50,797.97
|
| Rate for Payer: Group Health Inc Commercial |
$50,797.97
|
| Rate for Payer: Group Health Inc Medicare |
$50,797.97
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$50,797.97
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$50,797.97
|
| Rate for Payer: Healthfirst Medicare Advantage |
$47,242.11
|
| Rate for Payer: Humana Medicare |
$69,847.21
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$50,797.97
|
| Rate for Payer: United Healthcare Commercial |
$54,367.08
|
| Rate for Payer: United Healthcare Medicare Advantage |
$50,797.97
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$50,797.97
|
| Rate for Payer: Wellcare Medicare |
$48,258.07
|
|
|
MS-DRG 43.00: OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC
|
Facility
|
IP
|
$34,004.86
|
|
|
Service Code
|
MSDRG 965
|
| Min. Negotiated Rate |
$13,637.25 |
| Max. Negotiated Rate |
$34,004.86 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$14,094.75
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$24,730.81
|
| Rate for Payer: Aetna Government |
$24,730.81
|
| Rate for Payer: Brighton Health Commercial |
$13,637.25
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$25,225.43
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$16,728.74
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$14,219.43
|
| Rate for Payer: Elderplan Medicare Advantage |
$23,494.27
|
| Rate for Payer: EmblemHealth Commercial |
$24,730.81
|
| Rate for Payer: Fidelis Medicare Advantage |
$24,730.81
|
| Rate for Payer: Group Health Inc Commercial |
$24,730.81
|
| Rate for Payer: Group Health Inc Medicare |
$24,730.81
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$24,730.81
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$24,730.81
|
| Rate for Payer: Healthfirst Medicare Advantage |
$22,999.65
|
| Rate for Payer: Humana Medicare |
$34,004.86
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$24,730.81
|
| Rate for Payer: United Healthcare Commercial |
$18,703.72
|
| Rate for Payer: United Healthcare Medicare Advantage |
$24,730.81
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$24,730.81
|
| Rate for Payer: Wellcare Medicare |
$23,494.27
|
|
|
MS-DRG 43.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC
|
Facility
|
IP
|
$34,682.42
|
|
|
Service Code
|
MSDRG 565
|
| Min. Negotiated Rate |
$14,128.80 |
| Max. Negotiated Rate |
$34,682.42 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$14,736.15
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$25,223.58
|
| Rate for Payer: Aetna Government |
$25,223.58
|
| Rate for Payer: Brighton Health Commercial |
$14,128.80
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$25,728.05
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$17,331.72
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$14,731.96
|
| Rate for Payer: Elderplan Medicare Advantage |
$23,962.40
|
| Rate for Payer: EmblemHealth Commercial |
$25,223.58
|
| Rate for Payer: Fidelis Medicare Advantage |
$25,223.58
|
| Rate for Payer: Group Health Inc Commercial |
$25,223.58
|
| Rate for Payer: Group Health Inc Medicare |
$25,223.58
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$25,223.58
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$25,223.58
|
| Rate for Payer: Healthfirst Medicare Advantage |
$23,457.93
|
| Rate for Payer: Humana Medicare |
$34,682.42
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$25,223.58
|
| Rate for Payer: United Healthcare Commercial |
$19,377.89
|
| Rate for Payer: United Healthcare Medicare Advantage |
$25,223.58
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$25,223.58
|
| Rate for Payer: Wellcare Medicare |
$23,962.40
|
|
|
MS-DRG 43.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC
|
Facility
|
IP
|
$46,058.91
|
|
|
Service Code
|
MSDRG 564
|
| Min. Negotiated Rate |
$22,382.20 |
| Max. Negotiated Rate |
$46,058.91 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$23,030.22
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$33,497.39
|
| Rate for Payer: Aetna Government |
$33,497.39
|
| Rate for Payer: Brighton Health Commercial |
$22,382.20
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$34,167.34
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$27,456.12
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$23,337.70
|
| Rate for Payer: Elderplan Medicare Advantage |
$31,822.52
|
| Rate for Payer: EmblemHealth Commercial |
$33,497.39
|
| Rate for Payer: Fidelis Medicare Advantage |
$33,497.39
|
| Rate for Payer: Group Health Inc Commercial |
$33,497.39
|
| Rate for Payer: Group Health Inc Medicare |
$33,497.39
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$33,497.39
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$33,497.39
|
| Rate for Payer: Healthfirst Medicare Advantage |
$31,152.57
|
| Rate for Payer: Humana Medicare |
$46,058.91
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$33,497.39
|
| Rate for Payer: United Healthcare Commercial |
$30,697.57
|
| Rate for Payer: United Healthcare Medicare Advantage |
$33,497.39
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$33,497.39
|
| Rate for Payer: Wellcare Medicare |
$31,822.52
|
|
|
MS-DRG 43.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$30,183.37
|
|
|
Service Code
|
MSDRG 566
|
| Min. Negotiated Rate |
$10,864.85 |
| Max. Negotiated Rate |
$30,183.37 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$11,066.12
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$21,951.54
|
| Rate for Payer: Aetna Government |
$21,951.54
|
| Rate for Payer: Brighton Health Commercial |
$10,864.85
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$22,390.57
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$13,327.85
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$11,328.67
|
| Rate for Payer: Elderplan Medicare Advantage |
$20,853.96
|
| Rate for Payer: EmblemHealth Commercial |
$21,951.54
|
| Rate for Payer: Fidelis Medicare Advantage |
$21,951.54
|
| Rate for Payer: Group Health Inc Commercial |
$21,951.54
|
| Rate for Payer: Group Health Inc Medicare |
$21,951.54
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$21,951.54
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$21,951.54
|
| Rate for Payer: Healthfirst Medicare Advantage |
$20,414.93
|
| Rate for Payer: Humana Medicare |
$30,183.37
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$21,951.54
|
| Rate for Payer: United Healthcare Commercial |
$14,901.33
|
| Rate for Payer: United Healthcare Medicare Advantage |
$21,951.54
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$21,951.54
|
| Rate for Payer: Wellcare Medicare |
$20,853.96
|
|
|
MS-DRG 43.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$56,741.86
|
|
|
Service Code
|
MSDRG 516
|
| Min. Negotiated Rate |
$30,091.60 |
| Max. Negotiated Rate |
$56,741.86 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$30,091.60
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$41,266.81
|
| Rate for Payer: Aetna Government |
$41,266.81
|
| Rate for Payer: Brighton Health Commercial |
$30,132.45
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$42,092.15
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$36,963.31
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$31,418.81
|
| Rate for Payer: Elderplan Medicare Advantage |
$39,203.47
|
| Rate for Payer: EmblemHealth Commercial |
$41,266.81
|
| Rate for Payer: Fidelis Medicare Advantage |
$41,266.81
|
| Rate for Payer: Group Health Inc Commercial |
$41,266.81
|
| Rate for Payer: Group Health Inc Medicare |
$41,266.81
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$41,266.81
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$41,266.81
|
| Rate for Payer: Healthfirst Medicare Advantage |
$38,378.13
|
| Rate for Payer: Humana Medicare |
$56,741.86
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$41,266.81
|
| Rate for Payer: United Healthcare Commercial |
$41,327.17
|
| Rate for Payer: United Healthcare Medicare Advantage |
$41,266.81
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$41,266.81
|
| Rate for Payer: Wellcare Medicare |
$39,203.47
|
|
|
MS-DRG 43.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$78,903.21
|
|
|
Service Code
|
MSDRG 515
|
| Min. Negotiated Rate |
$46,210.05 |
| Max. Negotiated Rate |
$78,903.21 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$46,616.32
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$57,384.15
|
| Rate for Payer: Aetna Government |
$57,384.15
|
| Rate for Payer: Brighton Health Commercial |
$46,210.05
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$58,531.83
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$56,685.61
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$48,182.77
|
| Rate for Payer: Elderplan Medicare Advantage |
$54,514.94
|
| Rate for Payer: EmblemHealth Commercial |
$57,384.15
|
| Rate for Payer: Fidelis Medicare Advantage |
$57,384.15
|
| Rate for Payer: Group Health Inc Commercial |
$57,384.15
|
| Rate for Payer: Group Health Inc Medicare |
$57,384.15
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$57,384.15
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$57,384.15
|
| Rate for Payer: Healthfirst Medicare Advantage |
$53,367.26
|
| Rate for Payer: Humana Medicare |
$78,903.21
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$57,384.15
|
| Rate for Payer: United Healthcare Commercial |
$63,377.88
|
| Rate for Payer: United Healthcare Medicare Advantage |
$57,384.15
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$57,384.15
|
| Rate for Payer: Wellcare Medicare |
$54,514.94
|
|
|
MS-DRG 43.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$45,920.99
|
|
|
Service Code
|
MSDRG 517
|
| Min. Negotiated Rate |
$22,034.93 |
| Max. Negotiated Rate |
$45,920.99 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$22,034.93
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$33,397.08
|
| Rate for Payer: Aetna Government |
$33,397.08
|
| Rate for Payer: Brighton Health Commercial |
$22,282.15
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$34,065.02
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$27,333.39
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$23,233.38
|
| Rate for Payer: Elderplan Medicare Advantage |
$31,727.23
|
| Rate for Payer: EmblemHealth Commercial |
$33,397.08
|
| Rate for Payer: Fidelis Medicare Advantage |
$33,397.08
|
| Rate for Payer: Group Health Inc Commercial |
$33,397.08
|
| Rate for Payer: Group Health Inc Medicare |
$33,397.08
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$33,397.08
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$33,397.08
|
| Rate for Payer: Healthfirst Medicare Advantage |
$31,059.28
|
| Rate for Payer: Humana Medicare |
$45,920.99
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$33,397.08
|
| Rate for Payer: United Healthcare Commercial |
$30,560.35
|
| Rate for Payer: United Healthcare Medicare Advantage |
$33,397.08
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$33,397.08
|
| Rate for Payer: Wellcare Medicare |
$31,727.23
|
|
|
MS-DRG 43.00: OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC
|
Facility
|
IP
|
$39,539.21
|
|
|
Service Code
|
MSDRG 844
|
| Min. Negotiated Rate |
$17,062.91 |
| Max. Negotiated Rate |
$39,539.21 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$17,062.91
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$28,755.79
|
| Rate for Payer: Aetna Government |
$28,755.79
|
| Rate for Payer: Brighton Health Commercial |
$17,652.30
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$29,330.91
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$21,653.98
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$18,405.88
|
| Rate for Payer: Elderplan Medicare Advantage |
$27,318.00
|
| Rate for Payer: EmblemHealth Commercial |
$28,755.79
|
| Rate for Payer: Fidelis Medicare Advantage |
$28,755.79
|
| Rate for Payer: Group Health Inc Commercial |
$28,755.79
|
| Rate for Payer: Group Health Inc Medicare |
$28,755.79
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$28,755.79
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$28,755.79
|
| Rate for Payer: Healthfirst Medicare Advantage |
$26,742.88
|
| Rate for Payer: Humana Medicare |
$39,539.21
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$28,755.79
|
| Rate for Payer: United Healthcare Commercial |
$24,210.43
|
| Rate for Payer: United Healthcare Medicare Advantage |
$28,755.79
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$28,755.79
|
| Rate for Payer: Wellcare Medicare |
$27,318.00
|
|
|
MS-DRG 43.00: OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC
|
Facility
|
IP
|
$55,076.96
|
|
|
Service Code
|
MSDRG 843
|
| Min. Negotiated Rate |
$27,434.55 |
| Max. Negotiated Rate |
$55,076.96 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$27,434.55
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$40,055.97
|
| Rate for Payer: Aetna Government |
$40,055.97
|
| Rate for Payer: Brighton Health Commercial |
$28,924.60
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$40,857.09
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$35,481.65
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$30,159.40
|
| Rate for Payer: Elderplan Medicare Advantage |
$38,053.17
|
| Rate for Payer: EmblemHealth Commercial |
$40,055.97
|
| Rate for Payer: Fidelis Medicare Advantage |
$40,055.97
|
| Rate for Payer: Group Health Inc Commercial |
$40,055.97
|
| Rate for Payer: Group Health Inc Medicare |
$40,055.97
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$40,055.97
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$40,055.97
|
| Rate for Payer: Healthfirst Medicare Advantage |
$37,252.05
|
| Rate for Payer: Humana Medicare |
$55,076.96
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$40,055.97
|
| Rate for Payer: United Healthcare Commercial |
$39,670.59
|
| Rate for Payer: United Healthcare Medicare Advantage |
$40,055.97
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$40,055.97
|
| Rate for Payer: Wellcare Medicare |
$38,053.17
|
|
|
MS-DRG 43.00: OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$32,228.05
|
|
|
Service Code
|
MSDRG 845
|
| Min. Negotiated Rate |
$12,348.20 |
| Max. Negotiated Rate |
$32,228.05 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$12,752.95
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$23,438.58
|
| Rate for Payer: Aetna Government |
$23,438.58
|
| Rate for Payer: Brighton Health Commercial |
$12,348.20
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$23,907.35
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$15,147.47
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$12,875.35
|
| Rate for Payer: Elderplan Medicare Advantage |
$22,266.65
|
| Rate for Payer: EmblemHealth Commercial |
$23,438.58
|
| Rate for Payer: Fidelis Medicare Advantage |
$23,438.58
|
| Rate for Payer: Group Health Inc Commercial |
$23,438.58
|
| Rate for Payer: Group Health Inc Medicare |
$23,438.58
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$23,438.58
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$23,438.58
|
| Rate for Payer: Healthfirst Medicare Advantage |
$21,797.88
|
| Rate for Payer: Humana Medicare |
$32,228.05
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$23,438.58
|
| Rate for Payer: United Healthcare Commercial |
$16,935.77
|
| Rate for Payer: United Healthcare Medicare Advantage |
$23,438.58
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$23,438.58
|
| Rate for Payer: Wellcare Medicare |
$22,266.65
|
|
|
MS-DRG 43.00: OTHER O.R. PROCEDURES FOR INJURIES WITH CC
|
Facility
|
IP
|
$55,084.95
|
|
|
Service Code
|
MSDRG 908
|
| Min. Negotiated Rate |
$28,930.40 |
| Max. Negotiated Rate |
$55,084.95 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$29,550.45
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$40,061.78
|
| Rate for Payer: Aetna Government |
$40,061.78
|
| Rate for Payer: Brighton Health Commercial |
$28,930.40
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$40,863.02
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$35,488.76
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$30,165.45
|
| Rate for Payer: Elderplan Medicare Advantage |
$38,058.69
|
| Rate for Payer: EmblemHealth Commercial |
$40,061.78
|
| Rate for Payer: Fidelis Medicare Advantage |
$40,061.78
|
| Rate for Payer: Group Health Inc Commercial |
$40,061.78
|
| Rate for Payer: Group Health Inc Medicare |
$40,061.78
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$40,061.78
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$40,061.78
|
| Rate for Payer: Healthfirst Medicare Advantage |
$37,257.46
|
| Rate for Payer: Humana Medicare |
$55,084.95
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$40,061.78
|
| Rate for Payer: United Healthcare Commercial |
$39,678.54
|
| Rate for Payer: United Healthcare Medicare Advantage |
$40,061.78
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$40,061.78
|
| Rate for Payer: Wellcare Medicare |
$38,058.69
|
|
|
MS-DRG 43.00: OTHER O.R. PROCEDURES FOR INJURIES WITH MCC
|
Facility
|
IP
|
$91,942.61
|
|
|
Service Code
|
MSDRG 907
|
| Min. Negotiated Rate |
$54,844.03 |
| Max. Negotiated Rate |
$91,942.61 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$54,844.03
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$66,867.35
|
| Rate for Payer: Aetna Government |
$66,867.35
|
| Rate for Payer: Brighton Health Commercial |
$55,669.85
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$68,204.70
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$68,289.90
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$58,046.42
|
| Rate for Payer: Elderplan Medicare Advantage |
$63,523.98
|
| Rate for Payer: EmblemHealth Commercial |
$66,867.35
|
| Rate for Payer: Fidelis Medicare Advantage |
$66,867.35
|
| Rate for Payer: Group Health Inc Commercial |
$66,867.35
|
| Rate for Payer: Group Health Inc Medicare |
$66,867.35
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$66,867.35
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$66,867.35
|
| Rate for Payer: Healthfirst Medicare Advantage |
$62,186.64
|
| Rate for Payer: Humana Medicare |
$91,942.61
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$66,867.35
|
| Rate for Payer: United Healthcare Commercial |
$76,352.16
|
| Rate for Payer: United Healthcare Medicare Advantage |
$66,867.35
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$66,867.35
|
| Rate for Payer: Wellcare Medicare |
$63,523.98
|
|
|
MS-DRG 43.00: OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC
|
Facility
|
IP
|
$41,443.96
|
|
|
Service Code
|
MSDRG 909
|
| Min. Negotiated Rate |
$19,034.15 |
| Max. Negotiated Rate |
$41,443.96 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$19,998.64
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$30,141.06
|
| Rate for Payer: Aetna Government |
$30,141.06
|
| Rate for Payer: Brighton Health Commercial |
$19,034.15
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$30,743.88
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$23,349.09
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$19,846.72
|
| Rate for Payer: Elderplan Medicare Advantage |
$28,634.01
|
| Rate for Payer: EmblemHealth Commercial |
$30,141.06
|
| Rate for Payer: Fidelis Medicare Advantage |
$30,141.06
|
| Rate for Payer: Group Health Inc Commercial |
$30,141.06
|
| Rate for Payer: Group Health Inc Medicare |
$30,141.06
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$30,141.06
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$30,141.06
|
| Rate for Payer: Healthfirst Medicare Advantage |
$28,031.19
|
| Rate for Payer: Humana Medicare |
$41,443.96
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$30,141.06
|
| Rate for Payer: United Healthcare Commercial |
$26,105.66
|
| Rate for Payer: United Healthcare Medicare Advantage |
$30,141.06
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$30,141.06
|
| Rate for Payer: Wellcare Medicare |
$28,634.01
|
|
|
MS-DRG 43.00: OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC
|
Facility
|
IP
|
$99,429.67
|
|
|
Service Code
|
MSDRG 958
|
| Min. Negotiated Rate |
$59,640.58 |
| Max. Negotiated Rate |
$99,429.67 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$59,640.58
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$72,312.49
|
| Rate for Payer: Aetna Government |
$72,312.49
|
| Rate for Payer: Brighton Health Commercial |
$61,101.55
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$73,758.74
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$74,952.93
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$63,710.00
|
| Rate for Payer: Elderplan Medicare Advantage |
$68,696.87
|
| Rate for Payer: EmblemHealth Commercial |
$72,312.49
|
| Rate for Payer: Fidelis Medicare Advantage |
$72,312.49
|
| Rate for Payer: Group Health Inc Commercial |
$72,312.49
|
| Rate for Payer: Group Health Inc Medicare |
$72,312.49
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$72,312.49
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$72,312.49
|
| Rate for Payer: Healthfirst Medicare Advantage |
$67,250.62
|
| Rate for Payer: Humana Medicare |
$99,429.67
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$72,312.49
|
| Rate for Payer: United Healthcare Commercial |
$83,801.83
|
| Rate for Payer: United Healthcare Medicare Advantage |
$72,312.49
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$72,312.49
|
| Rate for Payer: Wellcare Medicare |
$68,696.87
|
|
|
MS-DRG 43.00: OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC
|
Facility
|
IP
|
$167,504.71
|
|
|
Service Code
|
MSDRG 957
|
| Min. Negotiated Rate |
$106,643.21 |
| Max. Negotiated Rate |
$167,504.71 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$106,643.21
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$121,821.61
|
| Rate for Payer: Aetna Government |
$121,821.61
|
| Rate for Payer: Brighton Health Commercial |
$110,488.55
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$124,258.04
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$135,535.69
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$115,205.34
|
| Rate for Payer: Elderplan Medicare Advantage |
$115,730.53
|
| Rate for Payer: EmblemHealth Commercial |
$121,821.61
|
| Rate for Payer: Fidelis Medicare Advantage |
$121,821.61
|
| Rate for Payer: Group Health Inc Commercial |
$121,821.61
|
| Rate for Payer: Group Health Inc Medicare |
$121,821.61
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$121,821.61
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$121,821.61
|
| Rate for Payer: Healthfirst Medicare Advantage |
$113,294.10
|
| Rate for Payer: Humana Medicare |
$167,504.71
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$121,821.61
|
| Rate for Payer: United Healthcare Commercial |
$151,536.95
|
| Rate for Payer: United Healthcare Medicare Advantage |
$121,821.61
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$121,821.61
|
| Rate for Payer: Wellcare Medicare |
$115,730.53
|
|
|
MS-DRG 43.00: OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC
|
Facility
|
IP
|
$74,050.43
|
|
|
Service Code
|
MSDRG 959
|
| Min. Negotiated Rate |
$37,340.24 |
| Max. Negotiated Rate |
$74,050.43 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$37,340.24
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$53,854.86
|
| Rate for Payer: Aetna Government |
$53,854.86
|
| Rate for Payer: Brighton Health Commercial |
$42,689.45
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$54,931.96
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$52,366.91
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$44,511.88
|
| Rate for Payer: Elderplan Medicare Advantage |
$51,162.12
|
| Rate for Payer: EmblemHealth Commercial |
$53,854.86
|
| Rate for Payer: Fidelis Medicare Advantage |
$53,854.86
|
| Rate for Payer: Group Health Inc Commercial |
$53,854.86
|
| Rate for Payer: Group Health Inc Medicare |
$53,854.86
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$53,854.86
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$53,854.86
|
| Rate for Payer: Healthfirst Medicare Advantage |
$50,085.02
|
| Rate for Payer: Humana Medicare |
$74,050.43
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$53,854.86
|
| Rate for Payer: United Healthcare Commercial |
$58,549.32
|
| Rate for Payer: United Healthcare Medicare Advantage |
$53,854.86
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$53,854.86
|
| Rate for Payer: Wellcare Medicare |
$51,162.12
|
|
|
MS-DRG 43.00: OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC
|
Facility
|
IP
|
$52,360.73
|
|
|
Service Code
|
MSDRG 803
|
| Min. Negotiated Rate |
$26,954.05 |
| Max. Negotiated Rate |
$52,360.73 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$27,399.16
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$38,080.53
|
| Rate for Payer: Aetna Government |
$38,080.53
|
| Rate for Payer: Brighton Health Commercial |
$26,954.05
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$38,842.14
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$33,064.38
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$28,104.73
|
| Rate for Payer: Elderplan Medicare Advantage |
$36,176.50
|
| Rate for Payer: EmblemHealth Commercial |
$38,080.53
|
| Rate for Payer: Fidelis Medicare Advantage |
$38,080.53
|
| Rate for Payer: Group Health Inc Commercial |
$38,080.53
|
| Rate for Payer: Group Health Inc Medicare |
$38,080.53
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$38,080.53
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$38,080.53
|
| Rate for Payer: Healthfirst Medicare Advantage |
$35,414.89
|
| Rate for Payer: Humana Medicare |
$52,360.73
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$38,080.53
|
| Rate for Payer: United Healthcare Commercial |
$36,967.94
|
| Rate for Payer: United Healthcare Medicare Advantage |
$38,080.53
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$38,080.53
|
| Rate for Payer: Wellcare Medicare |
$36,176.50
|
|
|
MS-DRG 43.00: OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC
|
Facility
|
IP
|
$94,836.69
|
|
|
Service Code
|
MSDRG 802
|
| Min. Negotiated Rate |
$49,989.97 |
| Max. Negotiated Rate |
$94,836.69 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$49,989.97
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$68,972.14
|
| Rate for Payer: Aetna Government |
$68,972.14
|
| Rate for Payer: Brighton Health Commercial |
$57,769.45
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$70,351.58
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$70,865.47
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$60,235.65
|
| Rate for Payer: Elderplan Medicare Advantage |
$65,523.53
|
| Rate for Payer: EmblemHealth Commercial |
$68,972.14
|
| Rate for Payer: Fidelis Medicare Advantage |
$68,972.14
|
| Rate for Payer: Group Health Inc Commercial |
$68,972.14
|
| Rate for Payer: Group Health Inc Medicare |
$68,972.14
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$68,972.14
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$68,972.14
|
| Rate for Payer: Healthfirst Medicare Advantage |
$64,144.09
|
| Rate for Payer: Humana Medicare |
$94,836.69
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$68,972.14
|
| Rate for Payer: United Healthcare Commercial |
$79,231.80
|
| Rate for Payer: United Healthcare Medicare Advantage |
$68,972.14
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$68,972.14
|
| Rate for Payer: Wellcare Medicare |
$65,523.53
|
|
|
MS-DRG 43.00: OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC
|
Facility
|
IP
|
$42,309.40
|
|
|
Service Code
|
MSDRG 804
|
| Min. Negotiated Rate |
$17,847.35 |
| Max. Negotiated Rate |
$42,309.40 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$17,847.35
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$30,770.47
|
| Rate for Payer: Aetna Government |
$30,770.47
|
| Rate for Payer: Brighton Health Commercial |
$19,662.00
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$31,385.88
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$24,119.27
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$20,501.38
|
| Rate for Payer: Elderplan Medicare Advantage |
$29,231.95
|
| Rate for Payer: EmblemHealth Commercial |
$30,770.47
|
| Rate for Payer: Fidelis Medicare Advantage |
$30,770.47
|
| Rate for Payer: Group Health Inc Commercial |
$30,770.47
|
| Rate for Payer: Group Health Inc Medicare |
$30,770.47
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$30,770.47
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$30,770.47
|
| Rate for Payer: Healthfirst Medicare Advantage |
$28,616.54
|
| Rate for Payer: Humana Medicare |
$42,309.40
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$30,770.47
|
| Rate for Payer: United Healthcare Commercial |
$26,966.77
|
| Rate for Payer: United Healthcare Medicare Advantage |
$30,770.47
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$30,770.47
|
| Rate for Payer: Wellcare Medicare |
$29,231.95
|
|
|
MS-DRG 43.00: OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC
|
Facility
|
IP
|
$51,803.08
|
|
|
Service Code
|
MSDRG 205
|
| Min. Negotiated Rate |
$26,549.50 |
| Max. Negotiated Rate |
$51,803.08 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$26,692.87
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$37,674.97
|
| Rate for Payer: Aetna Government |
$37,674.97
|
| Rate for Payer: Brighton Health Commercial |
$26,549.50
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$38,428.47
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$32,568.13
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$27,682.91
|
| Rate for Payer: Elderplan Medicare Advantage |
$35,791.22
|
| Rate for Payer: EmblemHealth Commercial |
$37,674.97
|
| Rate for Payer: Fidelis Medicare Advantage |
$37,674.97
|
| Rate for Payer: Group Health Inc Commercial |
$37,674.97
|
| Rate for Payer: Group Health Inc Medicare |
$37,674.97
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$37,674.97
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$37,674.97
|
| Rate for Payer: Healthfirst Medicare Advantage |
$35,037.72
|
| Rate for Payer: Humana Medicare |
$51,803.08
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$37,674.97
|
| Rate for Payer: United Healthcare Commercial |
$36,413.10
|
| Rate for Payer: United Healthcare Medicare Advantage |
$37,674.97
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$37,674.97
|
| Rate for Payer: Wellcare Medicare |
$35,791.22
|
|
|
MS-DRG 43.00: OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC
|
Facility
|
IP
|
$34,016.88
|
|
|
Service Code
|
MSDRG 206
|
| Min. Negotiated Rate |
$13,469.56 |
| Max. Negotiated Rate |
$34,016.88 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$13,469.56
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$24,739.55
|
| Rate for Payer: Aetna Government |
$24,739.55
|
| Rate for Payer: Brighton Health Commercial |
$13,645.95
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$25,234.34
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$16,739.41
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$14,228.50
|
| Rate for Payer: Elderplan Medicare Advantage |
$23,502.57
|
| Rate for Payer: EmblemHealth Commercial |
$24,739.55
|
| Rate for Payer: Fidelis Medicare Advantage |
$24,739.55
|
| Rate for Payer: Group Health Inc Commercial |
$24,739.55
|
| Rate for Payer: Group Health Inc Medicare |
$24,739.55
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$24,739.55
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$24,739.55
|
| Rate for Payer: Healthfirst Medicare Advantage |
$23,007.78
|
| Rate for Payer: Humana Medicare |
$34,016.88
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$24,739.55
|
| Rate for Payer: United Healthcare Commercial |
$18,715.66
|
| Rate for Payer: United Healthcare Medicare Advantage |
$24,739.55
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$24,739.55
|
| Rate for Payer: Wellcare Medicare |
$23,502.57
|
|
|
MS-DRG 43.00: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$51,251.49
|
|
|
Service Code
|
MSDRG 167
|
| Min. Negotiated Rate |
$26,149.30 |
| Max. Negotiated Rate |
$51,251.49 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$26,832.95
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$37,273.81
|
| Rate for Payer: Aetna Government |
$37,273.81
|
| Rate for Payer: Brighton Health Commercial |
$26,149.30
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$38,019.29
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$32,077.20
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$27,265.62
|
| Rate for Payer: Elderplan Medicare Advantage |
$35,410.12
|
| Rate for Payer: EmblemHealth Commercial |
$37,273.81
|
| Rate for Payer: Fidelis Medicare Advantage |
$37,273.81
|
| Rate for Payer: Group Health Inc Commercial |
$37,273.81
|
| Rate for Payer: Group Health Inc Medicare |
$37,273.81
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$37,273.81
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$37,273.81
|
| Rate for Payer: Healthfirst Medicare Advantage |
$34,664.64
|
| Rate for Payer: Humana Medicare |
$51,251.49
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$37,273.81
|
| Rate for Payer: United Healthcare Commercial |
$35,864.22
|
| Rate for Payer: United Healthcare Medicare Advantage |
$37,273.81
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$37,273.81
|
| Rate for Payer: Wellcare Medicare |
$35,410.12
|
|
