|
MS-DRG 43.00: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$89,911.94
|
|
|
Service Code
|
MSDRG 166
|
| Min. Negotiated Rate |
$54,196.65 |
| Max. Negotiated Rate |
$89,911.94 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$59,832.26
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$65,390.50
|
| Rate for Payer: Aetna Government |
$65,390.50
|
| Rate for Payer: Brighton Health Commercial |
$54,196.65
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$66,698.31
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$66,482.73
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$56,510.32
|
| Rate for Payer: Elderplan Medicare Advantage |
$62,120.97
|
| Rate for Payer: EmblemHealth Commercial |
$65,390.50
|
| Rate for Payer: Fidelis Medicare Advantage |
$65,390.50
|
| Rate for Payer: Group Health Inc Commercial |
$65,390.50
|
| Rate for Payer: Group Health Inc Medicare |
$65,390.50
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$65,390.50
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$65,390.50
|
| Rate for Payer: Healthfirst Medicare Advantage |
$60,813.17
|
| Rate for Payer: Humana Medicare |
$89,911.94
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$65,390.50
|
| Rate for Payer: United Healthcare Commercial |
$74,331.64
|
| Rate for Payer: United Healthcare Medicare Advantage |
$65,390.50
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$65,390.50
|
| Rate for Payer: Wellcare Medicare |
$62,120.97
|
|
|
MS-DRG 43.00: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$42,517.25
|
|
|
Service Code
|
MSDRG 168
|
| Min. Negotiated Rate |
$19,812.80 |
| Max. Negotiated Rate |
$42,517.25 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$19,989.80
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$30,921.64
|
| Rate for Payer: Aetna Government |
$30,921.64
|
| Rate for Payer: Brighton Health Commercial |
$19,812.80
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$31,540.07
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$24,304.25
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$20,658.62
|
| Rate for Payer: Elderplan Medicare Advantage |
$29,375.56
|
| Rate for Payer: EmblemHealth Commercial |
$30,921.64
|
| Rate for Payer: Fidelis Medicare Advantage |
$30,921.64
|
| Rate for Payer: Group Health Inc Commercial |
$30,921.64
|
| Rate for Payer: Group Health Inc Medicare |
$30,921.64
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$30,921.64
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$30,921.64
|
| Rate for Payer: Healthfirst Medicare Advantage |
$28,757.13
|
| Rate for Payer: Humana Medicare |
$42,517.25
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$30,921.64
|
| Rate for Payer: United Healthcare Commercial |
$27,173.60
|
| Rate for Payer: United Healthcare Medicare Advantage |
$30,921.64
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$30,921.64
|
| Rate for Payer: Wellcare Medicare |
$29,375.56
|
|
|
MS-DRG 43.00: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC
|
Facility
|
IP
|
$49,744.50
|
|
|
Service Code
|
MSDRG 580
|
| Min. Negotiated Rate |
$25,056.00 |
| Max. Negotiated Rate |
$49,744.50 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$25,753.62
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$36,177.82
|
| Rate for Payer: Aetna Government |
$36,177.82
|
| Rate for Payer: Brighton Health Commercial |
$25,056.00
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$36,901.38
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$30,736.06
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$26,125.65
|
| Rate for Payer: Elderplan Medicare Advantage |
$34,368.93
|
| Rate for Payer: EmblemHealth Commercial |
$36,177.82
|
| Rate for Payer: Fidelis Medicare Advantage |
$36,177.82
|
| Rate for Payer: Group Health Inc Commercial |
$36,177.82
|
| Rate for Payer: Group Health Inc Medicare |
$36,177.82
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$36,177.82
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$36,177.82
|
| Rate for Payer: Healthfirst Medicare Advantage |
$33,645.37
|
| Rate for Payer: Humana Medicare |
$49,744.50
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$36,177.82
|
| Rate for Payer: United Healthcare Commercial |
$34,364.74
|
| Rate for Payer: United Healthcare Medicare Advantage |
$36,177.82
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$36,177.82
|
| Rate for Payer: Wellcare Medicare |
$34,368.93
|
|
|
MS-DRG 43.00: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC
|
Facility
|
IP
|
$79,934.54
|
|
|
Service Code
|
MSDRG 579
|
| Min. Negotiated Rate |
$46,958.25 |
| Max. Negotiated Rate |
$79,934.54 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$49,280.74
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$58,134.21
|
| Rate for Payer: Aetna Government |
$58,134.21
|
| Rate for Payer: Brighton Health Commercial |
$46,958.25
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$59,296.89
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$57,603.43
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$48,962.91
|
| Rate for Payer: Elderplan Medicare Advantage |
$55,227.50
|
| Rate for Payer: EmblemHealth Commercial |
$58,134.21
|
| Rate for Payer: Fidelis Medicare Advantage |
$58,134.21
|
| Rate for Payer: Group Health Inc Commercial |
$58,134.21
|
| Rate for Payer: Group Health Inc Medicare |
$58,134.21
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$58,134.21
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$58,134.21
|
| Rate for Payer: Healthfirst Medicare Advantage |
$54,064.82
|
| Rate for Payer: Humana Medicare |
$79,934.54
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$58,134.21
|
| Rate for Payer: United Healthcare Commercial |
$64,404.05
|
| Rate for Payer: United Healthcare Medicare Advantage |
$58,134.21
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$58,134.21
|
| Rate for Payer: Wellcare Medicare |
$55,227.50
|
|
|
MS-DRG 43.00: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$44,050.23
|
|
|
Service Code
|
MSDRG 581
|
| Min. Negotiated Rate |
$19,857.09 |
| Max. Negotiated Rate |
$44,050.23 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$19,857.09
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$32,036.53
|
| Rate for Payer: Aetna Government |
$32,036.53
|
| Rate for Payer: Brighton Health Commercial |
$20,924.95
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$32,677.26
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$25,668.52
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$21,818.24
|
| Rate for Payer: Elderplan Medicare Advantage |
$30,434.70
|
| Rate for Payer: EmblemHealth Commercial |
$32,036.53
|
| Rate for Payer: Fidelis Medicare Advantage |
$32,036.53
|
| Rate for Payer: Group Health Inc Commercial |
$32,036.53
|
| Rate for Payer: Group Health Inc Medicare |
$32,036.53
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$32,036.53
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$32,036.53
|
| Rate for Payer: Healthfirst Medicare Advantage |
$29,793.97
|
| Rate for Payer: Humana Medicare |
$44,050.23
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$32,036.53
|
| Rate for Payer: United Healthcare Commercial |
$28,698.93
|
| Rate for Payer: United Healthcare Medicare Advantage |
$32,036.53
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$32,036.53
|
| Rate for Payer: Wellcare Medicare |
$30,434.70
|
|
|
MS-DRG 43.00: OTHER VASCULAR PROCEDURES WITH CC
|
Facility
|
IP
|
$67,085.04
|
|
|
Service Code
|
MSDRG 253
|
| Min. Negotiated Rate |
$37,615.97 |
| Max. Negotiated Rate |
$67,085.04 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$37,615.97
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$48,789.12
|
| Rate for Payer: Aetna Government |
$48,789.12
|
| Rate for Payer: Brighton Health Commercial |
$37,636.20
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$49,764.90
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$46,168.12
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$39,242.90
|
| Rate for Payer: Elderplan Medicare Advantage |
$46,349.66
|
| Rate for Payer: EmblemHealth Commercial |
$48,789.12
|
| Rate for Payer: Fidelis Medicare Advantage |
$48,789.12
|
| Rate for Payer: Group Health Inc Commercial |
$48,789.12
|
| Rate for Payer: Group Health Inc Medicare |
$48,789.12
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$48,789.12
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$48,789.12
|
| Rate for Payer: Healthfirst Medicare Advantage |
$45,373.88
|
| Rate for Payer: Humana Medicare |
$67,085.04
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$48,789.12
|
| Rate for Payer: United Healthcare Commercial |
$51,618.70
|
| Rate for Payer: United Healthcare Medicare Advantage |
$48,789.12
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$48,789.12
|
| Rate for Payer: Wellcare Medicare |
$46,349.66
|
|
|
MS-DRG 43.00: OTHER VASCULAR PROCEDURES WITH MCC
|
Facility
|
IP
|
$84,927.23
|
|
|
Service Code
|
MSDRG 252
|
| Min. Negotiated Rate |
$49,451.78 |
| Max. Negotiated Rate |
$84,927.23 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$49,451.78
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$61,765.26
|
| Rate for Payer: Aetna Government |
$61,765.26
|
| Rate for Payer: Brighton Health Commercial |
$50,580.35
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$63,000.57
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$62,046.64
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$52,739.64
|
| Rate for Payer: Elderplan Medicare Advantage |
$58,677.00
|
| Rate for Payer: EmblemHealth Commercial |
$61,765.26
|
| Rate for Payer: Fidelis Medicare Advantage |
$61,765.26
|
| Rate for Payer: Group Health Inc Commercial |
$61,765.26
|
| Rate for Payer: Group Health Inc Medicare |
$61,765.26
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$61,765.26
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$61,765.26
|
| Rate for Payer: Healthfirst Medicare Advantage |
$57,441.69
|
| Rate for Payer: Humana Medicare |
$84,927.23
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$61,765.26
|
| Rate for Payer: United Healthcare Commercial |
$69,371.82
|
| Rate for Payer: United Healthcare Medicare Advantage |
$61,765.26
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$61,765.26
|
| Rate for Payer: Wellcare Medicare |
$58,677.00
|
|
|
MS-DRG 43.00: OTHER VASCULAR PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$50,817.75
|
|
|
Service Code
|
MSDRG 254
|
| Min. Negotiated Rate |
$25,584.05 |
| Max. Negotiated Rate |
$50,817.75 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$25,584.05
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$36,958.36
|
| Rate for Payer: Aetna Government |
$36,958.36
|
| Rate for Payer: Brighton Health Commercial |
$25,834.65
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$37,697.53
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$31,691.22
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$26,937.54
|
| Rate for Payer: Elderplan Medicare Advantage |
$35,110.44
|
| Rate for Payer: EmblemHealth Commercial |
$36,958.36
|
| Rate for Payer: Fidelis Medicare Advantage |
$36,958.36
|
| Rate for Payer: Group Health Inc Commercial |
$36,958.36
|
| Rate for Payer: Group Health Inc Medicare |
$36,958.36
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$36,958.36
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$36,958.36
|
| Rate for Payer: Healthfirst Medicare Advantage |
$34,371.27
|
| Rate for Payer: Humana Medicare |
$50,817.75
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$36,958.36
|
| Rate for Payer: United Healthcare Commercial |
$35,432.67
|
| Rate for Payer: United Healthcare Medicare Advantage |
$36,958.36
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$36,958.36
|
| Rate for Payer: Wellcare Medicare |
$35,110.44
|
|
|
MS-DRG 43.00: OTITIS MEDIA AND URI WITH MCC
|
Facility
|
IP
|
$38,835.68
|
|
|
Service Code
|
MSDRG 152
|
| Min. Negotiated Rate |
$17,141.90 |
| Max. Negotiated Rate |
$38,835.68 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$17,520.01
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$28,244.13
|
| Rate for Payer: Aetna Government |
$28,244.13
|
| Rate for Payer: Brighton Health Commercial |
$17,141.90
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$28,809.01
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$21,027.87
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$17,873.69
|
| Rate for Payer: Elderplan Medicare Advantage |
$26,831.92
|
| Rate for Payer: EmblemHealth Commercial |
$28,244.13
|
| Rate for Payer: Fidelis Medicare Advantage |
$28,244.13
|
| Rate for Payer: Group Health Inc Commercial |
$28,244.13
|
| Rate for Payer: Group Health Inc Medicare |
$28,244.13
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$28,244.13
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$28,244.13
|
| Rate for Payer: Healthfirst Medicare Advantage |
$26,267.04
|
| Rate for Payer: Humana Medicare |
$38,835.68
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$28,244.13
|
| Rate for Payer: United Healthcare Commercial |
$23,510.41
|
| Rate for Payer: United Healthcare Medicare Advantage |
$28,244.13
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$28,244.13
|
| Rate for Payer: Wellcare Medicare |
$26,831.92
|
|
|
MS-DRG 43.00: OTITIS MEDIA AND URI WITHOUT MCC
|
Facility
|
IP
|
$29,961.54
|
|
|
Service Code
|
MSDRG 153
|
| Min. Negotiated Rate |
$10,703.90 |
| Max. Negotiated Rate |
$29,961.54 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$10,834.63
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$21,790.21
|
| Rate for Payer: Aetna Government |
$21,790.21
|
| Rate for Payer: Brighton Health Commercial |
$10,703.90
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$22,226.01
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$13,130.42
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$11,160.85
|
| Rate for Payer: Elderplan Medicare Advantage |
$20,700.70
|
| Rate for Payer: EmblemHealth Commercial |
$21,790.21
|
| Rate for Payer: Fidelis Medicare Advantage |
$21,790.21
|
| Rate for Payer: Group Health Inc Commercial |
$21,790.21
|
| Rate for Payer: Group Health Inc Medicare |
$21,790.21
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$21,790.21
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$21,790.21
|
| Rate for Payer: Healthfirst Medicare Advantage |
$20,264.90
|
| Rate for Payer: Humana Medicare |
$29,961.54
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$21,790.21
|
| Rate for Payer: United Healthcare Commercial |
$14,680.58
|
| Rate for Payer: United Healthcare Medicare Advantage |
$21,790.21
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$21,790.21
|
| Rate for Payer: Wellcare Medicare |
$20,700.70
|
|
|
MS-DRG 43.00: PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC
|
Facility
|
IP
|
$73,173.00
|
|
|
Service Code
|
MSDRG 406
|
| Min. Negotiated Rate |
$42,052.90 |
| Max. Negotiated Rate |
$73,173.00 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$42,574.71
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$53,216.73
|
| Rate for Payer: Aetna Government |
$53,216.73
|
| Rate for Payer: Brighton Health Commercial |
$42,052.90
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$54,281.06
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$51,586.06
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$43,848.15
|
| Rate for Payer: Elderplan Medicare Advantage |
$50,555.89
|
| Rate for Payer: EmblemHealth Commercial |
$53,216.73
|
| Rate for Payer: Fidelis Medicare Advantage |
$53,216.73
|
| Rate for Payer: Group Health Inc Commercial |
$53,216.73
|
| Rate for Payer: Group Health Inc Medicare |
$53,216.73
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$53,216.73
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$53,216.73
|
| Rate for Payer: Healthfirst Medicare Advantage |
$49,491.56
|
| Rate for Payer: Humana Medicare |
$73,173.00
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$53,216.73
|
| Rate for Payer: United Healthcare Commercial |
$57,676.28
|
| Rate for Payer: United Healthcare Medicare Advantage |
$53,216.73
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$53,216.73
|
| Rate for Payer: Wellcare Medicare |
$50,555.89
|
|
|
MS-DRG 43.00: PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC
|
Facility
|
IP
|
$124,545.09
|
|
|
Service Code
|
MSDRG 405
|
| Min. Negotiated Rate |
$79,322.25 |
| Max. Negotiated Rate |
$124,545.09 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$81,174.17
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$90,578.25
|
| Rate for Payer: Aetna Government |
$90,578.25
|
| Rate for Payer: Brighton Health Commercial |
$79,322.25
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$92,389.82
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$97,304.17
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$82,708.54
|
| Rate for Payer: Elderplan Medicare Advantage |
$86,049.34
|
| Rate for Payer: EmblemHealth Commercial |
$90,578.25
|
| Rate for Payer: Fidelis Medicare Advantage |
$90,578.25
|
| Rate for Payer: Group Health Inc Commercial |
$90,578.25
|
| Rate for Payer: Group Health Inc Medicare |
$90,578.25
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$90,578.25
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$90,578.25
|
| Rate for Payer: Healthfirst Medicare Advantage |
$84,237.77
|
| Rate for Payer: Humana Medicare |
$124,545.09
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$90,578.25
|
| Rate for Payer: United Healthcare Commercial |
$108,791.83
|
| Rate for Payer: United Healthcare Medicare Advantage |
$90,578.25
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$90,578.25
|
| Rate for Payer: Wellcare Medicare |
$86,049.34
|
|
|
MS-DRG 43.00: PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$59,570.02
|
|
|
Service Code
|
MSDRG 407
|
| Min. Negotiated Rate |
$31,716.50 |
| Max. Negotiated Rate |
$59,570.02 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$31,716.50
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$43,323.65
|
| Rate for Payer: Aetna Government |
$43,323.65
|
| Rate for Payer: Brighton Health Commercial |
$32,184.20
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$44,190.12
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$39,480.18
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$33,558.15
|
| Rate for Payer: Elderplan Medicare Advantage |
$41,157.47
|
| Rate for Payer: EmblemHealth Commercial |
$43,323.65
|
| Rate for Payer: Fidelis Medicare Advantage |
$43,323.65
|
| Rate for Payer: Group Health Inc Commercial |
$43,323.65
|
| Rate for Payer: Group Health Inc Medicare |
$43,323.65
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$43,323.65
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$43,323.65
|
| Rate for Payer: Healthfirst Medicare Advantage |
$40,290.99
|
| Rate for Payer: Humana Medicare |
$59,570.02
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$43,323.65
|
| Rate for Payer: United Healthcare Commercial |
$44,141.19
|
| Rate for Payer: United Healthcare Medicare Advantage |
$43,323.65
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$43,323.65
|
| Rate for Payer: Wellcare Medicare |
$41,157.47
|
|
|
MS-DRG 43.00: PANCREAS TRANSPLANT
|
Facility
|
IP
|
$117,672.08
|
|
|
Service Code
|
MSDRG 010
|
| Min. Negotiated Rate |
$44,513.55 |
| Max. Negotiated Rate |
$117,672.08 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$70,976.53
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$115,364.78
|
| Rate for Payer: Aetna Government |
$115,364.78
|
| Rate for Payer: Brighton Health Commercial |
$44,513.55
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$117,672.08
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$54,604.53
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$46,413.85
|
| Rate for Payer: Elderplan Medicare Advantage |
$109,596.54
|
| Rate for Payer: EmblemHealth Commercial |
$115,364.78
|
| Rate for Payer: Fidelis Medicare Advantage |
$115,364.78
|
| Rate for Payer: Group Health Inc Commercial |
$115,364.78
|
| Rate for Payer: Group Health Inc Medicare |
$115,364.78
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$115,364.78
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$115,364.78
|
| Rate for Payer: Healthfirst Medicare Advantage |
$107,289.25
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$115,364.78
|
| Rate for Payer: United Healthcare Commercial |
$61,051.10
|
| Rate for Payer: United Healthcare Medicare Advantage |
$115,364.78
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$115,364.78
|
| Rate for Payer: Wellcare Medicare |
$109,596.54
|
|
|
MS-DRG 43.00: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC
|
Facility
|
IP
|
$35,753.71
|
|
|
Service Code
|
MSDRG 543
|
| Min. Negotiated Rate |
$14,906.00 |
| Max. Negotiated Rate |
$35,753.71 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$16,082.37
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$26,002.70
|
| Rate for Payer: Aetna Government |
$26,002.70
|
| Rate for Payer: Brighton Health Commercial |
$14,906.00
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$26,522.75
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$18,285.11
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$15,542.34
|
| Rate for Payer: Elderplan Medicare Advantage |
$24,702.56
|
| Rate for Payer: EmblemHealth Commercial |
$26,002.70
|
| Rate for Payer: Fidelis Medicare Advantage |
$26,002.70
|
| Rate for Payer: Group Health Inc Commercial |
$26,002.70
|
| Rate for Payer: Group Health Inc Medicare |
$26,002.70
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$26,002.70
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$26,002.70
|
| Rate for Payer: Healthfirst Medicare Advantage |
$24,182.51
|
| Rate for Payer: Humana Medicare |
$35,753.71
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$26,002.70
|
| Rate for Payer: United Healthcare Commercial |
$20,443.84
|
| Rate for Payer: United Healthcare Medicare Advantage |
$26,002.70
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$26,002.70
|
| Rate for Payer: Wellcare Medicare |
$24,702.56
|
|
|
MS-DRG 43.00: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC
|
Facility
|
IP
|
$50,513.98
|
|
|
Service Code
|
MSDRG 542
|
| Min. Negotiated Rate |
$25,614.25 |
| Max. Negotiated Rate |
$50,513.98 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$26,890.46
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$36,737.44
|
| Rate for Payer: Aetna Government |
$36,737.44
|
| Rate for Payer: Brighton Health Commercial |
$25,614.25
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$37,472.19
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$31,420.86
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$26,707.73
|
| Rate for Payer: Elderplan Medicare Advantage |
$34,900.57
|
| Rate for Payer: EmblemHealth Commercial |
$36,737.44
|
| Rate for Payer: Fidelis Medicare Advantage |
$36,737.44
|
| Rate for Payer: Group Health Inc Commercial |
$36,737.44
|
| Rate for Payer: Group Health Inc Medicare |
$36,737.44
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$36,737.44
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$36,737.44
|
| Rate for Payer: Healthfirst Medicare Advantage |
$34,165.82
|
| Rate for Payer: Humana Medicare |
$50,513.98
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$36,737.44
|
| Rate for Payer: United Healthcare Commercial |
$35,130.39
|
| Rate for Payer: United Healthcare Medicare Advantage |
$36,737.44
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$36,737.44
|
| Rate for Payer: Wellcare Medicare |
$34,900.57
|
|
|
MS-DRG 43.00: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC
|
Facility
|
IP
|
$30,289.31
|
|
|
Service Code
|
MSDRG 544
|
| Min. Negotiated Rate |
$10,941.70 |
| Max. Negotiated Rate |
$30,289.31 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$11,316.79
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$22,028.59
|
| Rate for Payer: Aetna Government |
$22,028.59
|
| Rate for Payer: Brighton Health Commercial |
$10,941.70
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$22,469.16
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$13,422.12
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$11,408.80
|
| Rate for Payer: Elderplan Medicare Advantage |
$20,927.16
|
| Rate for Payer: EmblemHealth Commercial |
$22,028.59
|
| Rate for Payer: Fidelis Medicare Advantage |
$22,028.59
|
| Rate for Payer: Group Health Inc Commercial |
$22,028.59
|
| Rate for Payer: Group Health Inc Medicare |
$22,028.59
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$22,028.59
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$22,028.59
|
| Rate for Payer: Healthfirst Medicare Advantage |
$20,486.59
|
| Rate for Payer: Humana Medicare |
$30,289.31
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$22,028.59
|
| Rate for Payer: United Healthcare Commercial |
$15,006.73
|
| Rate for Payer: United Healthcare Medicare Advantage |
$22,028.59
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$22,028.59
|
| Rate for Payer: Wellcare Medicare |
$20,927.16
|
|
|
MS-DRG 43.00: PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC
|
Facility
|
IP
|
$57,779.18
|
|
|
Service Code
|
MSDRG 734
|
| Min. Negotiated Rate |
$30,885.00 |
| Max. Negotiated Rate |
$57,779.18 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$32,049.73
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$42,021.22
|
| Rate for Payer: Aetna Government |
$42,021.22
|
| Rate for Payer: Brighton Health Commercial |
$30,885.00
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$42,861.64
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$37,886.46
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$32,203.49
|
| Rate for Payer: Elderplan Medicare Advantage |
$39,920.16
|
| Rate for Payer: EmblemHealth Commercial |
$42,021.22
|
| Rate for Payer: Fidelis Medicare Advantage |
$42,021.22
|
| Rate for Payer: Group Health Inc Commercial |
$42,021.22
|
| Rate for Payer: Group Health Inc Medicare |
$42,021.22
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$42,021.22
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$42,021.22
|
| Rate for Payer: Healthfirst Medicare Advantage |
$39,079.73
|
| Rate for Payer: Humana Medicare |
$57,779.18
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$42,021.22
|
| Rate for Payer: United Healthcare Commercial |
$42,359.31
|
| Rate for Payer: United Healthcare Medicare Advantage |
$42,021.22
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$42,021.22
|
| Rate for Payer: Wellcare Medicare |
$39,920.16
|
|
|
MS-DRG 43.00: PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC
|
Facility
|
IP
|
$42,099.52
|
|
|
Service Code
|
MSDRG 735
|
| Min. Negotiated Rate |
$18,581.65 |
| Max. Negotiated Rate |
$42,099.52 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$18,581.65
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$30,617.83
|
| Rate for Payer: Aetna Government |
$30,617.83
|
| Rate for Payer: Brighton Health Commercial |
$19,509.75
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$31,230.19
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$23,932.50
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$20,342.63
|
| Rate for Payer: Elderplan Medicare Advantage |
$29,086.94
|
| Rate for Payer: EmblemHealth Commercial |
$30,617.83
|
| Rate for Payer: Fidelis Medicare Advantage |
$30,617.83
|
| Rate for Payer: Group Health Inc Commercial |
$30,617.83
|
| Rate for Payer: Group Health Inc Medicare |
$30,617.83
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$30,617.83
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$30,617.83
|
| Rate for Payer: Healthfirst Medicare Advantage |
$28,474.58
|
| Rate for Payer: Humana Medicare |
$42,099.52
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$30,617.83
|
| Rate for Payer: United Healthcare Commercial |
$26,757.96
|
| Rate for Payer: United Healthcare Medicare Advantage |
$30,617.83
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$30,617.83
|
| Rate for Payer: Wellcare Medicare |
$29,086.94
|
|
|
MS-DRG 43.00: PENIS PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$61,718.58
|
|
|
Service Code
|
MSDRG 709
|
| Min. Negotiated Rate |
$31,259.40 |
| Max. Negotiated Rate |
$61,718.58 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$31,259.40
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$44,886.24
|
| Rate for Payer: Aetna Government |
$44,886.24
|
| Rate for Payer: Brighton Health Commercial |
$33,742.95
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$45,783.96
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$41,392.29
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$35,183.45
|
| Rate for Payer: Elderplan Medicare Advantage |
$42,641.93
|
| Rate for Payer: EmblemHealth Commercial |
$44,886.24
|
| Rate for Payer: Fidelis Medicare Advantage |
$44,886.24
|
| Rate for Payer: Group Health Inc Commercial |
$44,886.24
|
| Rate for Payer: Group Health Inc Medicare |
$44,886.24
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$44,886.24
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$44,886.24
|
| Rate for Payer: Healthfirst Medicare Advantage |
$41,744.20
|
| Rate for Payer: Humana Medicare |
$61,718.58
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$44,886.24
|
| Rate for Payer: United Healthcare Commercial |
$46,279.04
|
| Rate for Payer: United Healthcare Medicare Advantage |
$44,886.24
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$44,886.24
|
| Rate for Payer: Wellcare Medicare |
$42,641.93
|
|
|
MS-DRG 43.00: PENIS PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$43,212.77
|
|
|
Service Code
|
MSDRG 710
|
| Min. Negotiated Rate |
$18,199.75 |
| Max. Negotiated Rate |
$43,212.77 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$18,199.75
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$31,427.47
|
| Rate for Payer: Aetna Government |
$31,427.47
|
| Rate for Payer: Brighton Health Commercial |
$20,317.40
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$32,056.02
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$24,923.24
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$21,184.76
|
| Rate for Payer: Elderplan Medicare Advantage |
$29,856.10
|
| Rate for Payer: EmblemHealth Commercial |
$31,427.47
|
| Rate for Payer: Fidelis Medicare Advantage |
$31,427.47
|
| Rate for Payer: Group Health Inc Commercial |
$31,427.47
|
| Rate for Payer: Group Health Inc Medicare |
$31,427.47
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$31,427.47
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$31,427.47
|
| Rate for Payer: Healthfirst Medicare Advantage |
$29,227.55
|
| Rate for Payer: Humana Medicare |
$43,212.77
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$31,427.47
|
| Rate for Payer: United Healthcare Commercial |
$27,865.66
|
| Rate for Payer: United Healthcare Medicare Advantage |
$31,427.47
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$31,427.47
|
| Rate for Payer: Wellcare Medicare |
$29,856.10
|
|
|
MS-DRG 43.00: PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC
|
Facility
|
IP
|
$97,662.85
|
|
|
Service Code
|
MSDRG 273
|
| Min. Negotiated Rate |
$57,461.27 |
| Max. Negotiated Rate |
$97,662.85 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$57,461.27
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$71,027.53
|
| Rate for Payer: Aetna Government |
$71,027.53
|
| Rate for Payer: Brighton Health Commercial |
$59,819.75
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$72,448.08
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$73,380.56
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$62,373.48
|
| Rate for Payer: Elderplan Medicare Advantage |
$67,476.15
|
| Rate for Payer: EmblemHealth Commercial |
$71,027.53
|
| Rate for Payer: Fidelis Medicare Advantage |
$71,027.53
|
| Rate for Payer: Group Health Inc Commercial |
$71,027.53
|
| Rate for Payer: Group Health Inc Medicare |
$71,027.53
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$71,027.53
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$71,027.53
|
| Rate for Payer: Healthfirst Medicare Advantage |
$66,055.60
|
| Rate for Payer: Humana Medicare |
$97,662.85
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$71,027.53
|
| Rate for Payer: United Healthcare Commercial |
$82,043.82
|
| Rate for Payer: United Healthcare Medicare Advantage |
$71,027.53
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$71,027.53
|
| Rate for Payer: Wellcare Medicare |
$67,476.15
|
|
|
MS-DRG 43.00: PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC
|
Facility
|
IP
|
$80,997.83
|
|
|
Service Code
|
MSDRG 274
|
| Min. Negotiated Rate |
$47,729.65 |
| Max. Negotiated Rate |
$80,997.83 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$47,785.60
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$58,907.51
|
| Rate for Payer: Aetna Government |
$58,907.51
|
| Rate for Payer: Brighton Health Commercial |
$47,729.65
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$60,085.66
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$58,549.70
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$49,767.25
|
| Rate for Payer: Elderplan Medicare Advantage |
$55,962.13
|
| Rate for Payer: EmblemHealth Commercial |
$58,907.51
|
| Rate for Payer: Fidelis Medicare Advantage |
$58,907.51
|
| Rate for Payer: Group Health Inc Commercial |
$58,907.51
|
| Rate for Payer: Group Health Inc Medicare |
$58,907.51
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$58,907.51
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$58,907.51
|
| Rate for Payer: Healthfirst Medicare Advantage |
$54,783.98
|
| Rate for Payer: Humana Medicare |
$80,997.83
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$58,907.51
|
| Rate for Payer: United Healthcare Commercial |
$65,462.04
|
| Rate for Payer: United Healthcare Medicare Advantage |
$58,907.51
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$58,907.51
|
| Rate for Payer: Wellcare Medicare |
$55,962.13
|
|
|
MS-DRG 43.00: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES
|
Facility
|
IP
|
$69,587.39
|
|
|
Service Code
|
MSDRG 321
|
| Min. Negotiated Rate |
$39,451.60 |
| Max. Negotiated Rate |
$69,587.39 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$42,387.45
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$50,609.01
|
| Rate for Payer: Aetna Government |
$50,609.01
|
| Rate for Payer: Brighton Health Commercial |
$39,451.60
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$51,621.19
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$48,395.06
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$41,135.80
|
| Rate for Payer: Elderplan Medicare Advantage |
$48,078.56
|
| Rate for Payer: EmblemHealth Commercial |
$50,609.01
|
| Rate for Payer: Fidelis Medicare Advantage |
$50,609.01
|
| Rate for Payer: Group Health Inc Commercial |
$50,609.01
|
| Rate for Payer: Group Health Inc Medicare |
$50,609.01
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$50,609.01
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$50,609.01
|
| Rate for Payer: Healthfirst Medicare Advantage |
$47,066.38
|
| Rate for Payer: Humana Medicare |
$69,587.39
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$50,609.01
|
| Rate for Payer: United Healthcare Commercial |
$54,108.55
|
| Rate for Payer: United Healthcare Medicare Advantage |
$50,609.01
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$50,609.01
|
| Rate for Payer: Wellcare Medicare |
$48,078.56
|
|
|
MS-DRG 43.00: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC
|
Facility
|
IP
|
$50,444.02
|
|
|
Service Code
|
MSDRG 322
|
| Min. Negotiated Rate |
$25,563.50 |
| Max. Negotiated Rate |
$50,444.02 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$26,886.03
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$36,686.56
|
| Rate for Payer: Aetna Government |
$36,686.56
|
| Rate for Payer: Brighton Health Commercial |
$25,563.50
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$37,420.29
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$31,358.60
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$26,654.81
|
| Rate for Payer: Elderplan Medicare Advantage |
$34,852.23
|
| Rate for Payer: EmblemHealth Commercial |
$36,686.56
|
| Rate for Payer: Fidelis Medicare Advantage |
$36,686.56
|
| Rate for Payer: Group Health Inc Commercial |
$36,686.56
|
| Rate for Payer: Group Health Inc Medicare |
$36,686.56
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$36,686.56
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$36,686.56
|
| Rate for Payer: Healthfirst Medicare Advantage |
$34,118.50
|
| Rate for Payer: Humana Medicare |
$50,444.02
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$36,686.56
|
| Rate for Payer: United Healthcare Commercial |
$35,060.78
|
| Rate for Payer: United Healthcare Medicare Advantage |
$36,686.56
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$36,686.56
|
| Rate for Payer: Wellcare Medicare |
$34,852.23
|
|
