|
MS-DRG 43.00: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC
|
Facility
|
IP
|
$58,828.48
|
|
|
Service Code
|
MSDRG 250
|
| Min. Negotiated Rate |
$31,646.25 |
| Max. Negotiated Rate |
$58,828.48 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$34,662.55
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$42,784.35
|
| Rate for Payer: Aetna Government |
$42,784.35
|
| Rate for Payer: Brighton Health Commercial |
$31,646.25
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$43,640.04
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$38,820.28
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$32,997.24
|
| Rate for Payer: Elderplan Medicare Advantage |
$40,645.13
|
| Rate for Payer: EmblemHealth Commercial |
$42,784.35
|
| Rate for Payer: Fidelis Medicare Advantage |
$42,784.35
|
| Rate for Payer: Group Health Inc Commercial |
$42,784.35
|
| Rate for Payer: Group Health Inc Medicare |
$42,784.35
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$42,784.35
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$42,784.35
|
| Rate for Payer: Healthfirst Medicare Advantage |
$39,789.45
|
| Rate for Payer: Humana Medicare |
$58,828.48
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$42,784.35
|
| Rate for Payer: United Healthcare Commercial |
$43,403.38
|
| Rate for Payer: United Healthcare Medicare Advantage |
$42,784.35
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$42,784.35
|
| Rate for Payer: Wellcare Medicare |
$40,645.13
|
|
|
MS-DRG 43.00: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC
|
Facility
|
IP
|
$45,077.55
|
|
|
Service Code
|
MSDRG 251
|
| Min. Negotiated Rate |
$21,670.25 |
| Max. Negotiated Rate |
$45,077.55 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$23,398.84
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$32,783.67
|
| Rate for Payer: Aetna Government |
$32,783.67
|
| Rate for Payer: Brighton Health Commercial |
$21,670.25
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$33,439.34
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$26,582.78
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$22,595.36
|
| Rate for Payer: Elderplan Medicare Advantage |
$31,144.49
|
| Rate for Payer: EmblemHealth Commercial |
$32,783.67
|
| Rate for Payer: Fidelis Medicare Advantage |
$32,783.67
|
| Rate for Payer: Group Health Inc Commercial |
$32,783.67
|
| Rate for Payer: Group Health Inc Medicare |
$32,783.67
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$32,783.67
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$32,783.67
|
| Rate for Payer: Healthfirst Medicare Advantage |
$30,488.81
|
| Rate for Payer: Humana Medicare |
$45,077.55
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$32,783.67
|
| Rate for Payer: United Healthcare Commercial |
$29,721.12
|
| Rate for Payer: United Healthcare Medicare Advantage |
$32,783.67
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$32,783.67
|
| Rate for Payer: Wellcare Medicare |
$31,144.49
|
|
|
MS-DRG 43.00: PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC
|
Facility
|
IP
|
$83,933.89
|
|
|
Service Code
|
MSDRG 359
|
| Min. Negotiated Rate |
$49,859.70 |
| Max. Negotiated Rate |
$83,933.89 |
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$61,042.83
|
| Rate for Payer: Aetna Government |
$61,042.83
|
| Rate for Payer: Brighton Health Commercial |
$49,859.70
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$62,263.69
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$61,162.62
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$51,988.23
|
| Rate for Payer: Elderplan Medicare Advantage |
$57,990.69
|
| Rate for Payer: EmblemHealth Commercial |
$61,042.83
|
| Rate for Payer: Fidelis Medicare Advantage |
$61,042.83
|
| Rate for Payer: Group Health Inc Commercial |
$61,042.83
|
| Rate for Payer: Group Health Inc Medicare |
$61,042.83
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$61,042.83
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$61,042.83
|
| Rate for Payer: Healthfirst Medicare Advantage |
$56,769.83
|
| Rate for Payer: Humana Medicare |
$83,933.89
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$61,042.83
|
| Rate for Payer: United Healthcare Commercial |
$68,383.44
|
| Rate for Payer: United Healthcare Medicare Advantage |
$61,042.83
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$61,042.83
|
| Rate for Payer: Wellcare Medicare |
$57,990.69
|
|
|
MS-DRG 43.00: PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC
|
Facility
|
IP
|
$63,461.42
|
|
|
Service Code
|
MSDRG 360
|
| Min. Negotiated Rate |
$35,007.35 |
| Max. Negotiated Rate |
$63,461.42 |
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$46,153.76
|
| Rate for Payer: Aetna Government |
$46,153.76
|
| Rate for Payer: Brighton Health Commercial |
$35,007.35
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$47,076.84
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$42,943.32
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$36,501.83
|
| Rate for Payer: Elderplan Medicare Advantage |
$43,846.07
|
| Rate for Payer: EmblemHealth Commercial |
$46,153.76
|
| Rate for Payer: Fidelis Medicare Advantage |
$46,153.76
|
| Rate for Payer: Group Health Inc Commercial |
$46,153.76
|
| Rate for Payer: Group Health Inc Medicare |
$46,153.76
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$46,153.76
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$46,153.76
|
| Rate for Payer: Healthfirst Medicare Advantage |
$42,923.00
|
| Rate for Payer: Humana Medicare |
$63,461.42
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$46,153.76
|
| Rate for Payer: United Healthcare Commercial |
$48,013.18
|
| Rate for Payer: United Healthcare Medicare Advantage |
$46,153.76
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$46,153.76
|
| Rate for Payer: Wellcare Medicare |
$43,846.07
|
|
|
MS-DRG 43.00: PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE
|
Facility
|
IP
|
$63,619.32
|
|
|
Service Code
|
MSDRG 318
|
| Min. Negotiated Rate |
$35,121.90 |
| Max. Negotiated Rate |
$63,619.32 |
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$46,268.60
|
| Rate for Payer: Aetna Government |
$46,268.60
|
| Rate for Payer: Brighton Health Commercial |
$35,121.90
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$47,193.97
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$43,083.84
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$36,621.27
|
| Rate for Payer: Elderplan Medicare Advantage |
$43,955.17
|
| Rate for Payer: EmblemHealth Commercial |
$46,268.60
|
| Rate for Payer: Fidelis Medicare Advantage |
$46,268.60
|
| Rate for Payer: Group Health Inc Commercial |
$46,268.60
|
| Rate for Payer: Group Health Inc Medicare |
$46,268.60
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$46,268.60
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$46,268.60
|
| Rate for Payer: Healthfirst Medicare Advantage |
$43,029.80
|
| Rate for Payer: Humana Medicare |
$63,619.32
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$46,268.60
|
| Rate for Payer: United Healthcare Commercial |
$48,170.29
|
| Rate for Payer: United Healthcare Medicare Advantage |
$46,268.60
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$46,268.60
|
| Rate for Payer: Wellcare Medicare |
$43,955.17
|
|
|
MS-DRG 43.00: PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR
|
Facility
|
IP
|
$59,152.27
|
|
|
Service Code
|
MSDRG 041
|
| Min. Negotiated Rate |
$31,881.15 |
| Max. Negotiated Rate |
$59,152.27 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$32,891.67
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$43,019.83
|
| Rate for Payer: Aetna Government |
$43,019.83
|
| Rate for Payer: Brighton Health Commercial |
$31,881.15
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$43,880.23
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$39,108.43
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$33,242.17
|
| Rate for Payer: Elderplan Medicare Advantage |
$40,868.84
|
| Rate for Payer: EmblemHealth Commercial |
$43,019.83
|
| Rate for Payer: Fidelis Medicare Advantage |
$43,019.83
|
| Rate for Payer: Group Health Inc Commercial |
$43,019.83
|
| Rate for Payer: Group Health Inc Medicare |
$43,019.83
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$43,019.83
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$43,019.83
|
| Rate for Payer: Healthfirst Medicare Advantage |
$40,008.44
|
| Rate for Payer: Humana Medicare |
$59,152.27
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$43,019.83
|
| Rate for Payer: United Healthcare Commercial |
$43,725.55
|
| Rate for Payer: United Healthcare Medicare Advantage |
$43,019.83
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$43,019.83
|
| Rate for Payer: Wellcare Medicare |
$40,868.84
|
|
|
MS-DRG 43.00: PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC
|
Facility
|
IP
|
$92,380.34
|
|
|
Service Code
|
MSDRG 040
|
| Min. Negotiated Rate |
$55,987.40 |
| Max. Negotiated Rate |
$92,380.34 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$56,775.62
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$67,185.70
|
| Rate for Payer: Aetna Government |
$67,185.70
|
| Rate for Payer: Brighton Health Commercial |
$55,987.40
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$68,529.41
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$68,679.43
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$58,377.52
|
| Rate for Payer: Elderplan Medicare Advantage |
$63,826.42
|
| Rate for Payer: EmblemHealth Commercial |
$67,185.70
|
| Rate for Payer: Fidelis Medicare Advantage |
$67,185.70
|
| Rate for Payer: Group Health Inc Commercial |
$67,185.70
|
| Rate for Payer: Group Health Inc Medicare |
$67,185.70
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$67,185.70
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$67,185.70
|
| Rate for Payer: Healthfirst Medicare Advantage |
$62,482.70
|
| Rate for Payer: Humana Medicare |
$92,380.34
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$67,185.70
|
| Rate for Payer: United Healthcare Commercial |
$76,787.68
|
| Rate for Payer: United Healthcare Medicare Advantage |
$67,185.70
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$67,185.70
|
| Rate for Payer: Wellcare Medicare |
$63,826.42
|
|
|
MS-DRG 43.00: PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$49,738.48
|
|
|
Service Code
|
MSDRG 042
|
| Min. Negotiated Rate |
$25,051.65 |
| Max. Negotiated Rate |
$49,738.48 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$25,653.35
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$36,173.44
|
| Rate for Payer: Aetna Government |
$36,173.44
|
| Rate for Payer: Brighton Health Commercial |
$25,051.65
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$36,896.91
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$30,730.72
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$26,121.11
|
| Rate for Payer: Elderplan Medicare Advantage |
$34,364.77
|
| Rate for Payer: EmblemHealth Commercial |
$36,173.44
|
| Rate for Payer: Fidelis Medicare Advantage |
$36,173.44
|
| Rate for Payer: Group Health Inc Commercial |
$36,173.44
|
| Rate for Payer: Group Health Inc Medicare |
$36,173.44
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$36,173.44
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$36,173.44
|
| Rate for Payer: Healthfirst Medicare Advantage |
$33,641.30
|
| Rate for Payer: Humana Medicare |
$49,738.48
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$36,173.44
|
| Rate for Payer: United Healthcare Commercial |
$34,358.77
|
| Rate for Payer: United Healthcare Medicare Advantage |
$36,173.44
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$36,173.44
|
| Rate for Payer: Wellcare Medicare |
$34,364.77
|
|
|
MS-DRG 43.00: PERIPHERAL VASCULAR DISORDERS WITH CC
|
Facility
|
IP
|
$36,543.20
|
|
|
Service Code
|
MSDRG 300
|
| Min. Negotiated Rate |
$15,478.75 |
| Max. Negotiated Rate |
$36,543.20 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$15,732.92
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$26,576.87
|
| Rate for Payer: Aetna Government |
$26,576.87
|
| Rate for Payer: Brighton Health Commercial |
$15,478.75
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$27,108.41
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$18,987.70
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$16,139.54
|
| Rate for Payer: Elderplan Medicare Advantage |
$25,248.03
|
| Rate for Payer: EmblemHealth Commercial |
$26,576.87
|
| Rate for Payer: Fidelis Medicare Advantage |
$26,576.87
|
| Rate for Payer: Group Health Inc Commercial |
$26,576.87
|
| Rate for Payer: Group Health Inc Medicare |
$26,576.87
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$26,576.87
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$26,576.87
|
| Rate for Payer: Healthfirst Medicare Advantage |
$24,716.49
|
| Rate for Payer: Humana Medicare |
$36,543.20
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$26,576.87
|
| Rate for Payer: United Healthcare Commercial |
$21,229.37
|
| Rate for Payer: United Healthcare Medicare Advantage |
$26,576.87
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$26,576.87
|
| Rate for Payer: Wellcare Medicare |
$25,248.03
|
|
|
MS-DRG 43.00: PERIPHERAL VASCULAR DISORDERS WITH MCC
|
Facility
|
IP
|
$47,839.76
|
|
|
Service Code
|
MSDRG 299
|
| Min. Negotiated Rate |
$23,241.07 |
| Max. Negotiated Rate |
$47,839.76 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$23,241.07
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$34,792.55
|
| Rate for Payer: Aetna Government |
$34,792.55
|
| Rate for Payer: Brighton Health Commercial |
$23,674.15
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$35,488.40
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$29,040.95
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$24,684.81
|
| Rate for Payer: Elderplan Medicare Advantage |
$33,052.92
|
| Rate for Payer: EmblemHealth Commercial |
$34,792.55
|
| Rate for Payer: Fidelis Medicare Advantage |
$34,792.55
|
| Rate for Payer: Group Health Inc Commercial |
$34,792.55
|
| Rate for Payer: Group Health Inc Medicare |
$34,792.55
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$34,792.55
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$34,792.55
|
| Rate for Payer: Healthfirst Medicare Advantage |
$32,357.07
|
| Rate for Payer: Humana Medicare |
$47,839.76
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$34,792.55
|
| Rate for Payer: United Healthcare Commercial |
$32,469.50
|
| Rate for Payer: United Healthcare Medicare Advantage |
$34,792.55
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$34,792.55
|
| Rate for Payer: Wellcare Medicare |
$33,052.92
|
|
|
MS-DRG 43.00: PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC
|
Facility
|
IP
|
$29,591.81
|
|
|
Service Code
|
MSDRG 301
|
| Min. Negotiated Rate |
$10,435.65 |
| Max. Negotiated Rate |
$29,591.81 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$10,466.00
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$21,521.32
|
| Rate for Payer: Aetna Government |
$21,521.32
|
| Rate for Payer: Brighton Health Commercial |
$10,435.65
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$21,951.75
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$12,801.35
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$10,881.15
|
| Rate for Payer: Elderplan Medicare Advantage |
$20,445.25
|
| Rate for Payer: EmblemHealth Commercial |
$21,521.32
|
| Rate for Payer: Fidelis Medicare Advantage |
$21,521.32
|
| Rate for Payer: Group Health Inc Commercial |
$21,521.32
|
| Rate for Payer: Group Health Inc Medicare |
$21,521.32
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$21,521.32
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$21,521.32
|
| Rate for Payer: Healthfirst Medicare Advantage |
$20,014.83
|
| Rate for Payer: Humana Medicare |
$29,591.81
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$21,521.32
|
| Rate for Payer: United Healthcare Commercial |
$14,312.67
|
| Rate for Payer: United Healthcare Medicare Advantage |
$21,521.32
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$21,521.32
|
| Rate for Payer: Wellcare Medicare |
$20,445.25
|
|
|
MS-DRG 43.00: PERITONEAL ADHESIOLYSIS WITH CC
|
Facility
|
IP
|
$57,353.45
|
|
|
Service Code
|
MSDRG 336
|
| Min. Negotiated Rate |
$30,576.15 |
| Max. Negotiated Rate |
$57,353.45 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$31,042.65
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$41,711.60
|
| Rate for Payer: Aetna Government |
$41,711.60
|
| Rate for Payer: Brighton Health Commercial |
$30,576.15
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$42,545.83
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$37,507.59
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$31,881.46
|
| Rate for Payer: Elderplan Medicare Advantage |
$39,626.02
|
| Rate for Payer: EmblemHealth Commercial |
$41,711.60
|
| Rate for Payer: Fidelis Medicare Advantage |
$41,711.60
|
| Rate for Payer: Group Health Inc Commercial |
$41,711.60
|
| Rate for Payer: Group Health Inc Medicare |
$41,711.60
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$41,711.60
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$41,711.60
|
| Rate for Payer: Healthfirst Medicare Advantage |
$38,791.79
|
| Rate for Payer: Humana Medicare |
$57,353.45
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$41,711.60
|
| Rate for Payer: United Healthcare Commercial |
$41,935.72
|
| Rate for Payer: United Healthcare Medicare Advantage |
$41,711.60
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$41,711.60
|
| Rate for Payer: Wellcare Medicare |
$39,626.02
|
|
|
MS-DRG 43.00: PERITONEAL ADHESIOLYSIS WITH MCC
|
Facility
|
IP
|
$86,578.17
|
|
|
Service Code
|
MSDRG 335
|
| Min. Negotiated Rate |
$51,778.05 |
| Max. Negotiated Rate |
$86,578.17 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$52,713.38
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$62,965.94
|
| Rate for Payer: Aetna Government |
$62,965.94
|
| Rate for Payer: Brighton Health Commercial |
$51,778.05
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$64,225.26
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$63,515.85
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$53,988.47
|
| Rate for Payer: Elderplan Medicare Advantage |
$59,817.64
|
| Rate for Payer: EmblemHealth Commercial |
$62,965.94
|
| Rate for Payer: Fidelis Medicare Advantage |
$62,965.94
|
| Rate for Payer: Group Health Inc Commercial |
$62,965.94
|
| Rate for Payer: Group Health Inc Medicare |
$62,965.94
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$62,965.94
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$62,965.94
|
| Rate for Payer: Healthfirst Medicare Advantage |
$58,558.32
|
| Rate for Payer: Humana Medicare |
$86,578.17
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$62,965.94
|
| Rate for Payer: United Healthcare Commercial |
$71,014.49
|
| Rate for Payer: United Healthcare Medicare Advantage |
$62,965.94
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$62,965.94
|
| Rate for Payer: Wellcare Medicare |
$59,817.64
|
|
|
MS-DRG 43.00: PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC
|
Facility
|
IP
|
$45,887.02
|
|
|
Service Code
|
MSDRG 337
|
| Min. Negotiated Rate |
$22,064.42 |
| Max. Negotiated Rate |
$45,887.02 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$22,064.42
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$33,372.38
|
| Rate for Payer: Aetna Government |
$33,372.38
|
| Rate for Payer: Brighton Health Commercial |
$22,257.50
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$34,039.83
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$27,303.15
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$23,207.68
|
| Rate for Payer: Elderplan Medicare Advantage |
$31,703.76
|
| Rate for Payer: EmblemHealth Commercial |
$33,372.38
|
| Rate for Payer: Fidelis Medicare Advantage |
$33,372.38
|
| Rate for Payer: Group Health Inc Commercial |
$33,372.38
|
| Rate for Payer: Group Health Inc Medicare |
$33,372.38
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$33,372.38
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$33,372.38
|
| Rate for Payer: Healthfirst Medicare Advantage |
$31,036.31
|
| Rate for Payer: Humana Medicare |
$45,887.02
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$33,372.38
|
| Rate for Payer: United Healthcare Commercial |
$30,526.54
|
| Rate for Payer: United Healthcare Medicare Advantage |
$33,372.38
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$33,372.38
|
| Rate for Payer: Wellcare Medicare |
$31,703.76
|
|
|
MS-DRG 43.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC
|
Facility
|
IP
|
$57,797.18
|
|
|
Service Code
|
MSDRG 243
|
| Min. Negotiated Rate |
$30,898.05 |
| Max. Negotiated Rate |
$57,797.18 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$33,583.21
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$42,034.31
|
| Rate for Payer: Aetna Government |
$42,034.31
|
| Rate for Payer: Brighton Health Commercial |
$30,898.05
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$42,875.00
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$37,902.47
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$32,217.10
|
| Rate for Payer: Elderplan Medicare Advantage |
$39,932.59
|
| Rate for Payer: EmblemHealth Commercial |
$42,034.31
|
| Rate for Payer: Fidelis Medicare Advantage |
$42,034.31
|
| Rate for Payer: Group Health Inc Commercial |
$42,034.31
|
| Rate for Payer: Group Health Inc Medicare |
$42,034.31
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$42,034.31
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$42,034.31
|
| Rate for Payer: Healthfirst Medicare Advantage |
$39,091.91
|
| Rate for Payer: Humana Medicare |
$57,797.18
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$42,034.31
|
| Rate for Payer: United Healthcare Commercial |
$42,377.21
|
| Rate for Payer: United Healthcare Medicare Advantage |
$42,034.31
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$42,034.31
|
| Rate for Payer: Wellcare Medicare |
$39,932.59
|
|
|
MS-DRG 43.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC
|
Facility
|
IP
|
$79,021.14
|
|
|
Service Code
|
MSDRG 242
|
| Min. Negotiated Rate |
$46,295.60 |
| Max. Negotiated Rate |
$79,021.14 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$50,945.45
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$57,469.92
|
| Rate for Payer: Aetna Government |
$57,469.92
|
| Rate for Payer: Brighton Health Commercial |
$46,295.60
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$58,619.32
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$56,790.56
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$48,271.98
|
| Rate for Payer: Elderplan Medicare Advantage |
$54,596.42
|
| Rate for Payer: EmblemHealth Commercial |
$57,469.92
|
| Rate for Payer: Fidelis Medicare Advantage |
$57,469.92
|
| Rate for Payer: Group Health Inc Commercial |
$57,469.92
|
| Rate for Payer: Group Health Inc Medicare |
$57,469.92
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$57,469.92
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$57,469.92
|
| Rate for Payer: Healthfirst Medicare Advantage |
$53,447.03
|
| Rate for Payer: Humana Medicare |
$79,021.14
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$57,469.92
|
| Rate for Payer: United Healthcare Commercial |
$63,495.21
|
| Rate for Payer: United Healthcare Medicare Advantage |
$57,469.92
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$57,469.92
|
| Rate for Payer: Wellcare Medicare |
$54,596.42
|
|
|
MS-DRG 43.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC
|
Facility
|
IP
|
$51,333.43
|
|
|
Service Code
|
MSDRG 244
|
| Min. Negotiated Rate |
$26,208.75 |
| Max. Negotiated Rate |
$51,333.43 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$26,975.98
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$37,333.40
|
| Rate for Payer: Aetna Government |
$37,333.40
|
| Rate for Payer: Brighton Health Commercial |
$26,208.75
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$38,080.07
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$32,150.13
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$27,327.61
|
| Rate for Payer: Elderplan Medicare Advantage |
$35,466.73
|
| Rate for Payer: EmblemHealth Commercial |
$37,333.40
|
| Rate for Payer: Fidelis Medicare Advantage |
$37,333.40
|
| Rate for Payer: Group Health Inc Commercial |
$37,333.40
|
| Rate for Payer: Group Health Inc Medicare |
$37,333.40
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$37,333.40
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$37,333.40
|
| Rate for Payer: Healthfirst Medicare Advantage |
$34,720.06
|
| Rate for Payer: Humana Medicare |
$51,333.43
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$37,333.40
|
| Rate for Payer: United Healthcare Commercial |
$35,945.75
|
| Rate for Payer: United Healthcare Medicare Advantage |
$37,333.40
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$37,333.40
|
| Rate for Payer: Wellcare Medicare |
$35,466.73
|
|
|
MS-DRG 43.00: PLEURAL EFFUSION WITH CC
|
Facility
|
IP
|
$34,976.22
|
|
|
Service Code
|
MSDRG 187
|
| Min. Negotiated Rate |
$14,341.95 |
| Max. Negotiated Rate |
$34,976.22 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$14,690.44
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$25,437.25
|
| Rate for Payer: Aetna Government |
$25,437.25
|
| Rate for Payer: Brighton Health Commercial |
$14,341.95
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$25,945.99
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$17,593.19
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$14,954.21
|
| Rate for Payer: Elderplan Medicare Advantage |
$24,165.39
|
| Rate for Payer: EmblemHealth Commercial |
$25,437.25
|
| Rate for Payer: Fidelis Medicare Advantage |
$25,437.25
|
| Rate for Payer: Group Health Inc Commercial |
$25,437.25
|
| Rate for Payer: Group Health Inc Medicare |
$25,437.25
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$25,437.25
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$25,437.25
|
| Rate for Payer: Healthfirst Medicare Advantage |
$23,656.64
|
| Rate for Payer: Humana Medicare |
$34,976.22
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$25,437.25
|
| Rate for Payer: United Healthcare Commercial |
$19,670.23
|
| Rate for Payer: United Healthcare Medicare Advantage |
$25,437.25
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$25,437.25
|
| Rate for Payer: Wellcare Medicare |
$24,165.39
|
|
|
MS-DRG 43.00: PLEURAL EFFUSION WITH MCC
|
Facility
|
IP
|
$46,356.69
|
|
|
Service Code
|
MSDRG 186
|
| Min. Negotiated Rate |
$22,598.25 |
| Max. Negotiated Rate |
$46,356.69 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$22,885.71
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$33,713.96
|
| Rate for Payer: Aetna Government |
$33,713.96
|
| Rate for Payer: Brighton Health Commercial |
$22,598.25
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$34,388.24
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$27,721.15
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$23,562.98
|
| Rate for Payer: Elderplan Medicare Advantage |
$32,028.26
|
| Rate for Payer: EmblemHealth Commercial |
$33,713.96
|
| Rate for Payer: Fidelis Medicare Advantage |
$33,713.96
|
| Rate for Payer: Group Health Inc Commercial |
$33,713.96
|
| Rate for Payer: Group Health Inc Medicare |
$33,713.96
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$33,713.96
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$33,713.96
|
| Rate for Payer: Healthfirst Medicare Advantage |
$31,353.98
|
| Rate for Payer: Humana Medicare |
$46,356.69
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$33,713.96
|
| Rate for Payer: United Healthcare Commercial |
$30,993.89
|
| Rate for Payer: United Healthcare Medicare Advantage |
$33,713.96
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$33,713.96
|
| Rate for Payer: Wellcare Medicare |
$32,028.26
|
|
|
MS-DRG 43.00: PLEURAL EFFUSION WITHOUT CC/MCC
|
Facility
|
IP
|
$29,541.81
|
|
|
Service Code
|
MSDRG 188
|
| Min. Negotiated Rate |
$10,399.40 |
| Max. Negotiated Rate |
$29,541.81 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$11,007.14
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$21,484.95
|
| Rate for Payer: Aetna Government |
$21,484.95
|
| Rate for Payer: Brighton Health Commercial |
$10,399.40
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$21,914.65
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$12,756.89
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$10,843.35
|
| Rate for Payer: Elderplan Medicare Advantage |
$20,410.70
|
| Rate for Payer: EmblemHealth Commercial |
$21,484.95
|
| Rate for Payer: Fidelis Medicare Advantage |
$21,484.95
|
| Rate for Payer: Group Health Inc Commercial |
$21,484.95
|
| Rate for Payer: Group Health Inc Medicare |
$21,484.95
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$21,484.95
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$21,484.95
|
| Rate for Payer: Healthfirst Medicare Advantage |
$19,981.00
|
| Rate for Payer: Humana Medicare |
$29,541.81
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$21,484.95
|
| Rate for Payer: United Healthcare Commercial |
$14,262.96
|
| Rate for Payer: United Healthcare Medicare Advantage |
$21,484.95
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$21,484.95
|
| Rate for Payer: Wellcare Medicare |
$20,410.70
|
|
|
MS-DRG 43.00: PNEUMOTHORAX WITH CC
|
Facility
|
IP
|
$37,178.80
|
|
|
Service Code
|
MSDRG 200
|
| Min. Negotiated Rate |
$15,880.37 |
| Max. Negotiated Rate |
$37,178.80 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$15,880.37
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$27,039.13
|
| Rate for Payer: Aetna Government |
$27,039.13
|
| Rate for Payer: Brighton Health Commercial |
$15,939.85
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$27,579.91
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$19,553.33
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$16,620.33
|
| Rate for Payer: Elderplan Medicare Advantage |
$25,687.17
|
| Rate for Payer: EmblemHealth Commercial |
$27,039.13
|
| Rate for Payer: Fidelis Medicare Advantage |
$27,039.13
|
| Rate for Payer: Group Health Inc Commercial |
$27,039.13
|
| Rate for Payer: Group Health Inc Medicare |
$27,039.13
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$27,039.13
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$27,039.13
|
| Rate for Payer: Healthfirst Medicare Advantage |
$25,146.39
|
| Rate for Payer: Humana Medicare |
$37,178.80
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$27,039.13
|
| Rate for Payer: United Healthcare Commercial |
$21,861.78
|
| Rate for Payer: United Healthcare Medicare Advantage |
$27,039.13
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$27,039.13
|
| Rate for Payer: Wellcare Medicare |
$25,687.17
|
|
|
MS-DRG 43.00: PNEUMOTHORAX WITH MCC
|
Facility
|
IP
|
$50,466.01
|
|
|
Service Code
|
MSDRG 199
|
| Min. Negotiated Rate |
$25,579.45 |
| Max. Negotiated Rate |
$50,466.01 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$26,159.10
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$36,702.55
|
| Rate for Payer: Aetna Government |
$36,702.55
|
| Rate for Payer: Brighton Health Commercial |
$25,579.45
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$37,436.60
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$31,378.17
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$26,671.45
|
| Rate for Payer: Elderplan Medicare Advantage |
$34,867.42
|
| Rate for Payer: EmblemHealth Commercial |
$36,702.55
|
| Rate for Payer: Fidelis Medicare Advantage |
$36,702.55
|
| Rate for Payer: Group Health Inc Commercial |
$36,702.55
|
| Rate for Payer: Group Health Inc Medicare |
$36,702.55
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$36,702.55
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$36,702.55
|
| Rate for Payer: Healthfirst Medicare Advantage |
$34,133.37
|
| Rate for Payer: Humana Medicare |
$50,466.01
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$36,702.55
|
| Rate for Payer: United Healthcare Commercial |
$35,082.66
|
| Rate for Payer: United Healthcare Medicare Advantage |
$36,702.55
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$36,702.55
|
| Rate for Payer: Wellcare Medicare |
$34,867.42
|
|
|
MS-DRG 43.00: PNEUMOTHORAX WITHOUT CC/MCC
|
Facility
|
IP
|
$29,499.85
|
|
|
Service Code
|
MSDRG 201
|
| Min. Negotiated Rate |
$10,368.95 |
| Max. Negotiated Rate |
$29,499.85 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$10,411.44
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$21,454.44
|
| Rate for Payer: Aetna Government |
$21,454.44
|
| Rate for Payer: Brighton Health Commercial |
$10,368.95
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$21,883.53
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$12,719.53
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$10,811.60
|
| Rate for Payer: Elderplan Medicare Advantage |
$20,381.72
|
| Rate for Payer: EmblemHealth Commercial |
$21,454.44
|
| Rate for Payer: Fidelis Medicare Advantage |
$21,454.44
|
| Rate for Payer: Group Health Inc Commercial |
$21,454.44
|
| Rate for Payer: Group Health Inc Medicare |
$21,454.44
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$21,454.44
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$21,454.44
|
| Rate for Payer: Healthfirst Medicare Advantage |
$19,952.63
|
| Rate for Payer: Humana Medicare |
$29,499.85
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$21,454.44
|
| Rate for Payer: United Healthcare Commercial |
$14,221.19
|
| Rate for Payer: United Healthcare Medicare Advantage |
$21,454.44
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$21,454.44
|
| Rate for Payer: Wellcare Medicare |
$20,381.72
|
|
|
MS-DRG 43.00: POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC
|
Facility
|
IP
|
$46,554.57
|
|
|
Service Code
|
MSDRG 917
|
| Min. Negotiated Rate |
$1,529.00 |
| Max. Negotiated Rate |
$46,554.57 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$1,529.00
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$33,857.87
|
| Rate for Payer: Aetna Government |
$33,857.87
|
| Rate for Payer: Brighton Health Commercial |
$22,741.80
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$34,535.03
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$27,897.24
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$23,712.66
|
| Rate for Payer: Elderplan Medicare Advantage |
$32,164.98
|
| Rate for Payer: EmblemHealth Commercial |
$33,857.87
|
| Rate for Payer: Fidelis Medicare Advantage |
$33,857.87
|
| Rate for Payer: Group Health Inc Commercial |
$33,857.87
|
| Rate for Payer: Group Health Inc Medicare |
$33,857.87
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$33,857.87
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$33,857.87
|
| Rate for Payer: Healthfirst Medicare Advantage |
$31,487.82
|
| Rate for Payer: Humana Medicare |
$46,554.57
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$33,857.87
|
| Rate for Payer: United Healthcare Commercial |
$31,190.77
|
| Rate for Payer: United Healthcare Medicare Advantage |
$33,857.87
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$33,857.87
|
| Rate for Payer: Wellcare Medicare |
$32,164.98
|
|
|
MS-DRG 43.00: POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC
|
Facility
|
IP
|
$32,337.95
|
|
|
Service Code
|
MSDRG 918
|
| Min. Negotiated Rate |
$1,529.00 |
| Max. Negotiated Rate |
$32,337.95 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$1,529.00
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$23,518.51
|
| Rate for Payer: Aetna Government |
$23,518.51
|
| Rate for Payer: Brighton Health Commercial |
$12,427.95
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$23,988.88
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$15,245.30
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$12,958.50
|
| Rate for Payer: Elderplan Medicare Advantage |
$22,342.58
|
| Rate for Payer: EmblemHealth Commercial |
$23,518.51
|
| Rate for Payer: Fidelis Medicare Advantage |
$23,518.51
|
| Rate for Payer: Group Health Inc Commercial |
$23,518.51
|
| Rate for Payer: Group Health Inc Medicare |
$23,518.51
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$23,518.51
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$23,518.51
|
| Rate for Payer: Healthfirst Medicare Advantage |
$21,872.21
|
| Rate for Payer: Humana Medicare |
$32,337.95
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$23,518.51
|
| Rate for Payer: United Healthcare Commercial |
$17,045.15
|
| Rate for Payer: United Healthcare Medicare Advantage |
$23,518.51
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$23,518.51
|
| Rate for Payer: Wellcare Medicare |
$22,342.58
|
|
