|
MS-DRG 43.00: POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC
|
Facility
|
IP
|
$51,657.22
|
|
|
Service Code
|
MSDRG 862
|
| Min. Negotiated Rate |
$26,443.65 |
| Max. Negotiated Rate |
$51,657.22 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$27,160.29
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$37,568.89
|
| Rate for Payer: Aetna Government |
$37,568.89
|
| Rate for Payer: Brighton Health Commercial |
$26,443.65
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$38,320.27
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$32,438.28
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$27,572.54
|
| Rate for Payer: Elderplan Medicare Advantage |
$35,690.45
|
| Rate for Payer: EmblemHealth Commercial |
$37,568.89
|
| Rate for Payer: Fidelis Medicare Advantage |
$37,568.89
|
| Rate for Payer: Group Health Inc Commercial |
$37,568.89
|
| Rate for Payer: Group Health Inc Medicare |
$37,568.89
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$37,568.89
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$37,568.89
|
| Rate for Payer: Healthfirst Medicare Advantage |
$34,939.07
|
| Rate for Payer: Humana Medicare |
$51,657.22
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$37,568.89
|
| Rate for Payer: United Healthcare Commercial |
$36,267.92
|
| Rate for Payer: United Healthcare Medicare Advantage |
$37,568.89
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$37,568.89
|
| Rate for Payer: Wellcare Medicare |
$35,690.45
|
|
|
MS-DRG 43.00: POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC
|
Facility
|
IP
|
$35,152.10
|
|
|
Service Code
|
MSDRG 863
|
| Min. Negotiated Rate |
$14,469.55 |
| Max. Negotiated Rate |
$35,152.10 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$14,826.10
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$25,565.16
|
| Rate for Payer: Aetna Government |
$25,565.16
|
| Rate for Payer: Brighton Health Commercial |
$14,469.55
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$26,076.46
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$17,749.72
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$15,087.26
|
| Rate for Payer: Elderplan Medicare Advantage |
$24,286.90
|
| Rate for Payer: EmblemHealth Commercial |
$25,565.16
|
| Rate for Payer: Fidelis Medicare Advantage |
$25,565.16
|
| Rate for Payer: Group Health Inc Commercial |
$25,565.16
|
| Rate for Payer: Group Health Inc Medicare |
$25,565.16
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$25,565.16
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$25,565.16
|
| Rate for Payer: Healthfirst Medicare Advantage |
$23,775.60
|
| Rate for Payer: Humana Medicare |
$35,152.10
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$25,565.16
|
| Rate for Payer: United Healthcare Commercial |
$19,845.24
|
| Rate for Payer: United Healthcare Medicare Advantage |
$25,565.16
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$25,565.16
|
| Rate for Payer: Wellcare Medicare |
$24,286.90
|
|
|
MS-DRG 43.00: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$58,009.04
|
|
|
Service Code
|
MSDRG 857
|
| Min. Negotiated Rate |
$31,051.75 |
| Max. Negotiated Rate |
$58,009.04 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$31,490.90
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$42,188.39
|
| Rate for Payer: Aetna Government |
$42,188.39
|
| Rate for Payer: Brighton Health Commercial |
$31,051.75
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$43,032.16
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$38,091.01
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$32,377.36
|
| Rate for Payer: Elderplan Medicare Advantage |
$40,078.97
|
| Rate for Payer: EmblemHealth Commercial |
$42,188.39
|
| Rate for Payer: Fidelis Medicare Advantage |
$42,188.39
|
| Rate for Payer: Group Health Inc Commercial |
$42,188.39
|
| Rate for Payer: Group Health Inc Medicare |
$42,188.39
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$42,188.39
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$42,188.39
|
| Rate for Payer: Healthfirst Medicare Advantage |
$39,235.20
|
| Rate for Payer: Humana Medicare |
$58,009.04
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$42,188.39
|
| Rate for Payer: United Healthcare Commercial |
$42,588.01
|
| Rate for Payer: United Healthcare Medicare Advantage |
$42,188.39
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$42,188.39
|
| Rate for Payer: Wellcare Medicare |
$40,078.97
|
|
|
MS-DRG 43.00: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$106,121.24
|
|
|
Service Code
|
MSDRG 856
|
| Min. Negotiated Rate |
$65,296.76 |
| Max. Negotiated Rate |
$106,121.24 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$65,296.76
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$77,179.08
|
| Rate for Payer: Aetna Government |
$77,179.08
|
| Rate for Payer: Brighton Health Commercial |
$65,956.15
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$78,722.66
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$80,908.05
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$68,771.84
|
| Rate for Payer: Elderplan Medicare Advantage |
$73,320.13
|
| Rate for Payer: EmblemHealth Commercial |
$77,179.08
|
| Rate for Payer: Fidelis Medicare Advantage |
$77,179.08
|
| Rate for Payer: Group Health Inc Commercial |
$77,179.08
|
| Rate for Payer: Group Health Inc Medicare |
$77,179.08
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$77,179.08
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$77,179.08
|
| Rate for Payer: Healthfirst Medicare Advantage |
$71,776.54
|
| Rate for Payer: Humana Medicare |
$106,121.24
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$77,179.08
|
| Rate for Payer: United Healthcare Commercial |
$90,460.00
|
| Rate for Payer: United Healthcare Medicare Advantage |
$77,179.08
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$77,179.08
|
| Rate for Payer: Wellcare Medicare |
$73,320.13
|
|
|
MS-DRG 43.00: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$43,046.92
|
|
|
Service Code
|
MSDRG 858
|
| Min. Negotiated Rate |
$18,923.73 |
| Max. Negotiated Rate |
$43,046.92 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$18,923.73
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$31,306.85
|
| Rate for Payer: Aetna Government |
$31,306.85
|
| Rate for Payer: Brighton Health Commercial |
$20,197.05
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$31,932.99
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$24,775.61
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$21,059.27
|
| Rate for Payer: Elderplan Medicare Advantage |
$29,741.51
|
| Rate for Payer: EmblemHealth Commercial |
$31,306.85
|
| Rate for Payer: Fidelis Medicare Advantage |
$31,306.85
|
| Rate for Payer: Group Health Inc Commercial |
$31,306.85
|
| Rate for Payer: Group Health Inc Medicare |
$31,306.85
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$31,306.85
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$31,306.85
|
| Rate for Payer: Healthfirst Medicare Advantage |
$29,115.37
|
| Rate for Payer: Humana Medicare |
$43,046.92
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$31,306.85
|
| Rate for Payer: United Healthcare Commercial |
$27,700.60
|
| Rate for Payer: United Healthcare Medicare Advantage |
$31,306.85
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$31,306.85
|
| Rate for Payer: Wellcare Medicare |
$29,741.51
|
|
|
MS-DRG 43.00: POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES
|
Facility
|
IP
|
$48,980.98
|
|
|
Service Code
|
MSDRG 769
|
| Min. Negotiated Rate |
$22,764.81 |
| Max. Negotiated Rate |
$48,980.98 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$22,764.81
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$35,622.53
|
| Rate for Payer: Aetna Government |
$35,622.53
|
| Rate for Payer: Brighton Health Commercial |
$24,502.10
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$36,334.98
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$30,056.59
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$25,548.10
|
| Rate for Payer: Elderplan Medicare Advantage |
$33,841.40
|
| Rate for Payer: EmblemHealth Commercial |
$35,622.53
|
| Rate for Payer: Fidelis Medicare Advantage |
$35,622.53
|
| Rate for Payer: Group Health Inc Commercial |
$35,622.53
|
| Rate for Payer: Group Health Inc Medicare |
$35,622.53
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$35,622.53
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$35,622.53
|
| Rate for Payer: Healthfirst Medicare Advantage |
$33,128.95
|
| Rate for Payer: Humana Medicare |
$48,980.98
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$35,622.53
|
| Rate for Payer: United Healthcare Commercial |
$33,605.05
|
| Rate for Payer: United Healthcare Medicare Advantage |
$35,622.53
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$35,622.53
|
| Rate for Payer: Wellcare Medicare |
$33,841.40
|
|
|
MS-DRG 43.00: POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES
|
Facility
|
IP
|
$28,292.65
|
|
|
Service Code
|
MSDRG 776
|
| Min. Negotiated Rate |
$9,493.15 |
| Max. Negotiated Rate |
$28,292.65 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$10,567.74
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$20,576.47
|
| Rate for Payer: Aetna Government |
$20,576.47
|
| Rate for Payer: Brighton Health Commercial |
$9,493.15
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$20,988.00
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$11,645.19
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$9,898.42
|
| Rate for Payer: Elderplan Medicare Advantage |
$19,547.65
|
| Rate for Payer: EmblemHealth Commercial |
$20,576.47
|
| Rate for Payer: Fidelis Medicare Advantage |
$20,576.47
|
| Rate for Payer: Group Health Inc Commercial |
$20,576.47
|
| Rate for Payer: Group Health Inc Medicare |
$20,576.47
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$20,576.47
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$20,576.47
|
| Rate for Payer: Healthfirst Medicare Advantage |
$19,136.12
|
| Rate for Payer: Humana Medicare |
$28,292.65
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$20,576.47
|
| Rate for Payer: United Healthcare Commercial |
$13,020.02
|
| Rate for Payer: United Healthcare Medicare Advantage |
$20,576.47
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$20,576.47
|
| Rate for Payer: Wellcare Medicare |
$19,547.65
|
|
|
MS-DRG 43.00: PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC
|
Facility
|
IP
|
$44,561.88
|
|
|
Service Code
|
MSDRG 067
|
| Min. Negotiated Rate |
$20,892.19 |
| Max. Negotiated Rate |
$44,561.88 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$20,892.19
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$32,408.64
|
| Rate for Payer: Aetna Government |
$32,408.64
|
| Rate for Payer: Brighton Health Commercial |
$21,296.15
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$33,056.81
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$26,123.87
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$22,205.29
|
| Rate for Payer: Elderplan Medicare Advantage |
$30,788.21
|
| Rate for Payer: EmblemHealth Commercial |
$32,408.64
|
| Rate for Payer: Fidelis Medicare Advantage |
$32,408.64
|
| Rate for Payer: Group Health Inc Commercial |
$32,408.64
|
| Rate for Payer: Group Health Inc Medicare |
$32,408.64
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$32,408.64
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$32,408.64
|
| Rate for Payer: Healthfirst Medicare Advantage |
$30,140.04
|
| Rate for Payer: Humana Medicare |
$44,561.88
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$32,408.64
|
| Rate for Payer: United Healthcare Commercial |
$29,208.04
|
| Rate for Payer: United Healthcare Medicare Advantage |
$32,408.64
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$32,408.64
|
| Rate for Payer: Wellcare Medicare |
$30,788.21
|
|
|
MS-DRG 43.00: PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC
|
Facility
|
IP
|
$32,483.87
|
|
|
Service Code
|
MSDRG 068
|
| Min. Negotiated Rate |
$12,533.80 |
| Max. Negotiated Rate |
$32,483.87 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$12,842.90
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$23,624.63
|
| Rate for Payer: Aetna Government |
$23,624.63
|
| Rate for Payer: Brighton Health Commercial |
$12,533.80
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$24,097.12
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$15,375.14
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$13,068.87
|
| Rate for Payer: Elderplan Medicare Advantage |
$22,443.40
|
| Rate for Payer: EmblemHealth Commercial |
$23,624.63
|
| Rate for Payer: Fidelis Medicare Advantage |
$23,624.63
|
| Rate for Payer: Group Health Inc Commercial |
$23,624.63
|
| Rate for Payer: Group Health Inc Medicare |
$23,624.63
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$23,624.63
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$23,624.63
|
| Rate for Payer: Healthfirst Medicare Advantage |
$21,970.91
|
| Rate for Payer: Humana Medicare |
$32,483.87
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$23,624.63
|
| Rate for Payer: United Healthcare Commercial |
$17,190.32
|
| Rate for Payer: United Healthcare Medicare Advantage |
$23,624.63
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$23,624.63
|
| Rate for Payer: Wellcare Medicare |
$22,443.40
|
|
|
MS-DRG 43.00: PREMATURITY WITH MAJOR PROBLEMS
|
Facility
|
IP
|
$96,333.71
|
|
|
Service Code
|
MSDRG 791
|
| Min. Negotiated Rate |
$3,163.00 |
| Max. Negotiated Rate |
$96,333.71 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$60,420.59
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$70,060.88
|
| Rate for Payer: Aetna Government |
$70,060.88
|
| Rate for Payer: Brighton Health Commercial |
$58,855.50
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$71,462.10
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$72,197.72
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$61,368.06
|
| Rate for Payer: Elderplan Medicare Advantage |
$66,557.84
|
| Rate for Payer: EmblemHealth Commercial |
$70,060.88
|
| Rate for Payer: Fidelis Medicare Advantage |
$70,060.88
|
| Rate for Payer: Group Health Inc Commercial |
$7,000.00
|
| Rate for Payer: Group Health Inc Medicare |
$70,060.88
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$70,060.88
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$70,060.88
|
| Rate for Payer: Healthfirst Medicare Advantage |
$65,156.62
|
| Rate for Payer: Humana Medicare |
$96,333.71
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$70,060.88
|
| Rate for Payer: United Healthcare Commercial |
$3,163.00
|
| Rate for Payer: United Healthcare Medicare Advantage |
$70,060.88
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$70,060.88
|
| Rate for Payer: Wellcare Medicare |
$66,557.84
|
|
|
MS-DRG 43.00: PREMATURITY WITHOUT MAJOR PROBLEMS
|
Facility
|
IP
|
$64,158.99
|
|
|
Service Code
|
MSDRG 792
|
| Min. Negotiated Rate |
$3,163.00 |
| Max. Negotiated Rate |
$64,158.99 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$36,457.01
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$46,661.08
|
| Rate for Payer: Aetna Government |
$46,661.08
|
| Rate for Payer: Brighton Health Commercial |
$35,513.40
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$47,594.30
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$43,564.09
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$37,029.48
|
| Rate for Payer: Elderplan Medicare Advantage |
$44,328.03
|
| Rate for Payer: EmblemHealth Commercial |
$46,661.08
|
| Rate for Payer: Fidelis Medicare Advantage |
$46,661.08
|
| Rate for Payer: Group Health Inc Commercial |
$7,000.00
|
| Rate for Payer: Group Health Inc Medicare |
$46,661.08
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$46,661.08
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$46,661.08
|
| Rate for Payer: Healthfirst Medicare Advantage |
$43,394.80
|
| Rate for Payer: Humana Medicare |
$64,158.99
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$46,661.08
|
| Rate for Payer: United Healthcare Commercial |
$3,163.00
|
| Rate for Payer: United Healthcare Medicare Advantage |
$46,661.08
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$46,661.08
|
| Rate for Payer: Wellcare Medicare |
$44,328.03
|
|
|
MS-DRG 43.00: PROSTATECTOMY WITH CC
|
Facility
|
IP
|
$50,170.16
|
|
|
Service Code
|
MSDRG 666
|
| Min. Negotiated Rate |
$25,323.06 |
| Max. Negotiated Rate |
$50,170.16 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$25,323.06
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$36,487.39
|
| Rate for Payer: Aetna Government |
$36,487.39
|
| Rate for Payer: Brighton Health Commercial |
$25,364.85
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$37,217.14
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$31,114.92
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$26,447.68
|
| Rate for Payer: Elderplan Medicare Advantage |
$34,663.02
|
| Rate for Payer: EmblemHealth Commercial |
$36,487.39
|
| Rate for Payer: Fidelis Medicare Advantage |
$36,487.39
|
| Rate for Payer: Group Health Inc Commercial |
$36,487.39
|
| Rate for Payer: Group Health Inc Medicare |
$36,487.39
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$36,487.39
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$36,487.39
|
| Rate for Payer: Healthfirst Medicare Advantage |
$33,933.27
|
| Rate for Payer: Humana Medicare |
$50,170.16
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$36,487.39
|
| Rate for Payer: United Healthcare Commercial |
$34,788.33
|
| Rate for Payer: United Healthcare Medicare Advantage |
$36,487.39
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$36,487.39
|
| Rate for Payer: Wellcare Medicare |
$34,663.02
|
|
|
MS-DRG 43.00: PROSTATECTOMY WITH MCC
|
Facility
|
IP
|
$77,590.11
|
|
|
Service Code
|
MSDRG 665
|
| Min. Negotiated Rate |
$45,257.40 |
| Max. Negotiated Rate |
$77,590.11 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$45,548.78
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$56,429.17
|
| Rate for Payer: Aetna Government |
$56,429.17
|
| Rate for Payer: Brighton Health Commercial |
$45,257.40
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$57,557.75
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$55,517.00
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$47,189.45
|
| Rate for Payer: Elderplan Medicare Advantage |
$53,607.71
|
| Rate for Payer: EmblemHealth Commercial |
$56,429.17
|
| Rate for Payer: Fidelis Medicare Advantage |
$56,429.17
|
| Rate for Payer: Group Health Inc Commercial |
$56,429.17
|
| Rate for Payer: Group Health Inc Medicare |
$56,429.17
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$56,429.17
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$56,429.17
|
| Rate for Payer: Healthfirst Medicare Advantage |
$52,479.13
|
| Rate for Payer: Humana Medicare |
$77,590.11
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$56,429.17
|
| Rate for Payer: United Healthcare Commercial |
$62,071.30
|
| Rate for Payer: United Healthcare Medicare Advantage |
$56,429.17
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$56,429.17
|
| Rate for Payer: Wellcare Medicare |
$53,607.71
|
|
|
MS-DRG 43.00: PROSTATECTOMY WITHOUT CC/MCC
|
Facility
|
IP
|
$37,316.70
|
|
|
Service Code
|
MSDRG 667
|
| Min. Negotiated Rate |
$15,476.35 |
| Max. Negotiated Rate |
$37,316.70 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$15,476.35
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$27,139.42
|
| Rate for Payer: Aetna Government |
$27,139.42
|
| Rate for Payer: Brighton Health Commercial |
$16,039.90
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$27,682.21
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$19,676.06
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$16,724.65
|
| Rate for Payer: Elderplan Medicare Advantage |
$25,782.45
|
| Rate for Payer: EmblemHealth Commercial |
$27,139.42
|
| Rate for Payer: Fidelis Medicare Advantage |
$27,139.42
|
| Rate for Payer: Group Health Inc Commercial |
$27,139.42
|
| Rate for Payer: Group Health Inc Medicare |
$27,139.42
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$27,139.42
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$27,139.42
|
| Rate for Payer: Healthfirst Medicare Advantage |
$25,239.66
|
| Rate for Payer: Humana Medicare |
$37,316.70
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$27,139.42
|
| Rate for Payer: United Healthcare Commercial |
$21,999.00
|
| Rate for Payer: United Healthcare Medicare Advantage |
$27,139.42
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$27,139.42
|
| Rate for Payer: Wellcare Medicare |
$25,782.45
|
|
|
MS-DRG 43.00: PSYCHOSES
|
Facility
|
IP
|
$31,990.78
|
|
|
Service Code
|
MSDRG 885
|
| Min. Negotiated Rate |
$1,100.00 |
| Max. Negotiated Rate |
$31,990.78 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$1,859.00
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$31,363.51
|
| Rate for Payer: Aetna Government |
$31,363.51
|
| Rate for Payer: Brighton Health Commercial |
$20,253.60
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$31,990.78
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$24,844.98
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$21,118.23
|
| Rate for Payer: Elderplan Medicare Advantage |
$29,795.33
|
| Rate for Payer: EmblemHealth Commercial |
$1,100.00
|
| Rate for Payer: Fidelis Medicare Advantage |
$31,363.51
|
| Rate for Payer: Group Health Inc Commercial |
$31,363.51
|
| Rate for Payer: Group Health Inc Medicare |
$31,363.51
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$31,363.51
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$31,363.51
|
| Rate for Payer: Healthfirst Medicare Advantage |
$29,168.06
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$31,363.51
|
| Rate for Payer: United Healthcare Commercial |
$27,778.16
|
| Rate for Payer: United Healthcare Medicare Advantage |
$31,363.51
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$31,363.51
|
| Rate for Payer: Wellcare Medicare |
$29,795.33
|
|
|
MS-DRG 43.00: PULMONARY EDEMA AND RESPIRATORY FAILURE
|
Facility
|
IP
|
$39,898.99
|
|
|
Service Code
|
MSDRG 189
|
| Min. Negotiated Rate |
$17,913.30 |
| Max. Negotiated Rate |
$39,898.99 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$18,165.84
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$29,017.45
|
| Rate for Payer: Aetna Government |
$29,017.45
|
| Rate for Payer: Brighton Health Commercial |
$17,913.30
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$29,597.80
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$21,974.15
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$18,678.02
|
| Rate for Payer: Elderplan Medicare Advantage |
$27,566.58
|
| Rate for Payer: EmblemHealth Commercial |
$29,017.45
|
| Rate for Payer: Fidelis Medicare Advantage |
$29,017.45
|
| Rate for Payer: Group Health Inc Commercial |
$29,017.45
|
| Rate for Payer: Group Health Inc Medicare |
$29,017.45
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$29,017.45
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$29,017.45
|
| Rate for Payer: Healthfirst Medicare Advantage |
$26,986.23
|
| Rate for Payer: Humana Medicare |
$39,898.99
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$29,017.45
|
| Rate for Payer: United Healthcare Commercial |
$24,568.40
|
| Rate for Payer: United Healthcare Medicare Advantage |
$29,017.45
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$29,017.45
|
| Rate for Payer: Wellcare Medicare |
$27,566.58
|
|
|
MS-DRG 43.00: PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE
|
Facility
|
IP
|
$42,661.16
|
|
|
Service Code
|
MSDRG 175
|
| Min. Negotiated Rate |
$19,917.20 |
| Max. Negotiated Rate |
$42,661.16 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$20,687.24
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$31,026.30
|
| Rate for Payer: Aetna Government |
$31,026.30
|
| Rate for Payer: Brighton Health Commercial |
$19,917.20
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$31,646.83
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$24,432.32
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$20,767.47
|
| Rate for Payer: Elderplan Medicare Advantage |
$29,474.99
|
| Rate for Payer: EmblemHealth Commercial |
$31,026.30
|
| Rate for Payer: Fidelis Medicare Advantage |
$31,026.30
|
| Rate for Payer: Group Health Inc Commercial |
$31,026.30
|
| Rate for Payer: Group Health Inc Medicare |
$31,026.30
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$31,026.30
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$31,026.30
|
| Rate for Payer: Healthfirst Medicare Advantage |
$28,854.46
|
| Rate for Payer: Humana Medicare |
$42,661.16
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$31,026.30
|
| Rate for Payer: United Healthcare Commercial |
$27,316.78
|
| Rate for Payer: United Healthcare Medicare Advantage |
$31,026.30
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$31,026.30
|
| Rate for Payer: Wellcare Medicare |
$29,474.99
|
|
|
MS-DRG 43.00: PULMONARY EMBOLISM WITHOUT MCC
|
Facility
|
IP
|
$31,296.68
|
|
|
Service Code
|
MSDRG 176
|
| Min. Negotiated Rate |
$11,672.50 |
| Max. Negotiated Rate |
$31,296.68 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$12,026.02
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$22,761.22
|
| Rate for Payer: Aetna Government |
$22,761.22
|
| Rate for Payer: Brighton Health Commercial |
$11,672.50
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$23,216.44
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$14,318.59
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$12,170.80
|
| Rate for Payer: Elderplan Medicare Advantage |
$21,623.16
|
| Rate for Payer: EmblemHealth Commercial |
$22,761.22
|
| Rate for Payer: Fidelis Medicare Advantage |
$22,761.22
|
| Rate for Payer: Group Health Inc Commercial |
$22,761.22
|
| Rate for Payer: Group Health Inc Medicare |
$22,761.22
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$22,761.22
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$22,761.22
|
| Rate for Payer: Healthfirst Medicare Advantage |
$21,167.93
|
| Rate for Payer: Humana Medicare |
$31,296.68
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$22,761.22
|
| Rate for Payer: United Healthcare Commercial |
$16,009.03
|
| Rate for Payer: United Healthcare Medicare Advantage |
$22,761.22
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$22,761.22
|
| Rate for Payer: Wellcare Medicare |
$21,623.16
|
|
|
MS-DRG 43.00: RADIOTHERAPY
|
Facility
|
IP
|
$69,361.53
|
|
|
Service Code
|
MSDRG 849
|
| Min. Negotiated Rate |
$39,287.75 |
| Max. Negotiated Rate |
$69,361.53 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$39,684.69
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$50,444.75
|
| Rate for Payer: Aetna Government |
$50,444.75
|
| Rate for Payer: Brighton Health Commercial |
$39,287.75
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$51,453.64
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$48,194.07
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$40,964.96
|
| Rate for Payer: Elderplan Medicare Advantage |
$47,922.51
|
| Rate for Payer: EmblemHealth Commercial |
$50,444.75
|
| Rate for Payer: Fidelis Medicare Advantage |
$50,444.75
|
| Rate for Payer: Group Health Inc Commercial |
$50,444.75
|
| Rate for Payer: Group Health Inc Medicare |
$50,444.75
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$50,444.75
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$50,444.75
|
| Rate for Payer: Healthfirst Medicare Advantage |
$46,913.62
|
| Rate for Payer: Humana Medicare |
$69,361.53
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$50,444.75
|
| Rate for Payer: United Healthcare Commercial |
$53,883.83
|
| Rate for Payer: United Healthcare Medicare Advantage |
$50,444.75
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$50,444.75
|
| Rate for Payer: Wellcare Medicare |
$47,922.51
|
|
|
MS-DRG 43.00: RECTAL RESECTION WITH CC
|
Facility
|
IP
|
$62,020.38
|
|
|
Service Code
|
MSDRG 333
|
| Min. Negotiated Rate |
$30,662.23 |
| Max. Negotiated Rate |
$62,020.38 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$30,662.23
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$45,105.73
|
| Rate for Payer: Aetna Government |
$45,105.73
|
| Rate for Payer: Brighton Health Commercial |
$33,961.90
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$46,007.84
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$41,660.88
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$35,411.75
|
| Rate for Payer: Elderplan Medicare Advantage |
$42,850.44
|
| Rate for Payer: EmblemHealth Commercial |
$45,105.73
|
| Rate for Payer: Fidelis Medicare Advantage |
$45,105.73
|
| Rate for Payer: Group Health Inc Commercial |
$45,105.73
|
| Rate for Payer: Group Health Inc Medicare |
$45,105.73
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$45,105.73
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$45,105.73
|
| Rate for Payer: Healthfirst Medicare Advantage |
$41,948.33
|
| Rate for Payer: Humana Medicare |
$62,020.38
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$45,105.73
|
| Rate for Payer: United Healthcare Commercial |
$46,579.33
|
| Rate for Payer: United Healthcare Medicare Advantage |
$45,105.73
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$45,105.73
|
| Rate for Payer: Wellcare Medicare |
$42,850.44
|
|
|
MS-DRG 43.00: RECTAL RESECTION WITH MCC
|
Facility
|
IP
|
$87,573.49
|
|
|
Service Code
|
MSDRG 332
|
| Min. Negotiated Rate |
$52,500.15 |
| Max. Negotiated Rate |
$87,573.49 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$53,488.96
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$63,689.81
|
| Rate for Payer: Aetna Government |
$63,689.81
|
| Rate for Payer: Brighton Health Commercial |
$52,500.15
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$64,963.61
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$64,401.64
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$54,741.40
|
| Rate for Payer: Elderplan Medicare Advantage |
$60,505.32
|
| Rate for Payer: EmblemHealth Commercial |
$63,689.81
|
| Rate for Payer: Fidelis Medicare Advantage |
$63,689.81
|
| Rate for Payer: Group Health Inc Commercial |
$63,689.81
|
| Rate for Payer: Group Health Inc Medicare |
$63,689.81
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$63,689.81
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$63,689.81
|
| Rate for Payer: Healthfirst Medicare Advantage |
$59,231.52
|
| Rate for Payer: Humana Medicare |
$87,573.49
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$63,689.81
|
| Rate for Payer: United Healthcare Commercial |
$72,004.86
|
| Rate for Payer: United Healthcare Medicare Advantage |
$63,689.81
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$63,689.81
|
| Rate for Payer: Wellcare Medicare |
$60,505.32
|
|
|
MS-DRG 43.00: RECTAL RESECTION WITHOUT CC/MCC
|
Facility
|
IP
|
$47,943.67
|
|
|
Service Code
|
MSDRG 334
|
| Min. Negotiated Rate |
$23,667.20 |
| Max. Negotiated Rate |
$47,943.67 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$23,667.20
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$34,868.12
|
| Rate for Payer: Aetna Government |
$34,868.12
|
| Rate for Payer: Brighton Health Commercial |
$23,749.55
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$35,565.48
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$29,133.44
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$24,763.43
|
| Rate for Payer: Elderplan Medicare Advantage |
$33,124.71
|
| Rate for Payer: EmblemHealth Commercial |
$34,868.12
|
| Rate for Payer: Fidelis Medicare Advantage |
$34,868.12
|
| Rate for Payer: Group Health Inc Commercial |
$34,868.12
|
| Rate for Payer: Group Health Inc Medicare |
$34,868.12
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$34,868.12
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$34,868.12
|
| Rate for Payer: Healthfirst Medicare Advantage |
$32,427.35
|
| Rate for Payer: Humana Medicare |
$47,943.67
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$34,868.12
|
| Rate for Payer: United Healthcare Commercial |
$32,572.92
|
| Rate for Payer: United Healthcare Medicare Advantage |
$34,868.12
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$34,868.12
|
| Rate for Payer: Wellcare Medicare |
$33,124.71
|
|
|
MS-DRG 43.00: RED BLOOD CELL DISORDERS WITH MCC
|
Facility
|
IP
|
$43,274.71
|
|
|
Service Code
|
MSDRG 811
|
| Min. Negotiated Rate |
$20,362.35 |
| Max. Negotiated Rate |
$43,274.71 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$20,696.08
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$31,472.52
|
| Rate for Payer: Aetna Government |
$31,472.52
|
| Rate for Payer: Brighton Health Commercial |
$20,362.35
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$32,101.97
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$24,978.38
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$21,231.63
|
| Rate for Payer: Elderplan Medicare Advantage |
$29,898.89
|
| Rate for Payer: EmblemHealth Commercial |
$31,472.52
|
| Rate for Payer: Fidelis Medicare Advantage |
$31,472.52
|
| Rate for Payer: Group Health Inc Commercial |
$31,472.52
|
| Rate for Payer: Group Health Inc Medicare |
$31,472.52
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$31,472.52
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$31,472.52
|
| Rate for Payer: Healthfirst Medicare Advantage |
$29,269.44
|
| Rate for Payer: Humana Medicare |
$43,274.71
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$31,472.52
|
| Rate for Payer: United Healthcare Commercial |
$27,927.31
|
| Rate for Payer: United Healthcare Medicare Advantage |
$31,472.52
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$31,472.52
|
| Rate for Payer: Wellcare Medicare |
$29,898.89
|
|
|
MS-DRG 43.00: RED BLOOD CELL DISORDERS WITHOUT MCC
|
Facility
|
IP
|
$33,559.17
|
|
|
Service Code
|
MSDRG 812
|
| Min. Negotiated Rate |
$13,280.82 |
| Max. Negotiated Rate |
$33,559.17 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$13,280.82
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$24,406.67
|
| Rate for Payer: Aetna Government |
$24,406.67
|
| Rate for Payer: Brighton Health Commercial |
$13,313.90
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$24,894.80
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$16,332.09
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$13,882.27
|
| Rate for Payer: Elderplan Medicare Advantage |
$23,186.34
|
| Rate for Payer: EmblemHealth Commercial |
$24,406.67
|
| Rate for Payer: Fidelis Medicare Advantage |
$24,406.67
|
| Rate for Payer: Group Health Inc Commercial |
$24,406.67
|
| Rate for Payer: Group Health Inc Medicare |
$24,406.67
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$24,406.67
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$24,406.67
|
| Rate for Payer: Healthfirst Medicare Advantage |
$22,698.20
|
| Rate for Payer: Humana Medicare |
$33,559.17
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$24,406.67
|
| Rate for Payer: United Healthcare Commercial |
$18,260.24
|
| Rate for Payer: United Healthcare Medicare Advantage |
$24,406.67
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$24,406.67
|
| Rate for Payer: Wellcare Medicare |
$23,186.34
|
|
|
MS-DRG 43.00: REHABILITATION WITH CC/MCC
|
Facility
|
IP
|
$46,158.83
|
|
|
Service Code
|
MSDRG 945
|
| Min. Negotiated Rate |
$22,257.58 |
| Max. Negotiated Rate |
$46,158.83 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$22,257.58
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$33,570.06
|
| Rate for Payer: Aetna Government |
$33,570.06
|
| Rate for Payer: Brighton Health Commercial |
$22,454.70
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$34,241.46
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$27,545.06
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$23,413.30
|
| Rate for Payer: Elderplan Medicare Advantage |
$31,891.56
|
| Rate for Payer: EmblemHealth Commercial |
$33,570.06
|
| Rate for Payer: Fidelis Medicare Advantage |
$33,570.06
|
| Rate for Payer: Group Health Inc Commercial |
$33,570.06
|
| Rate for Payer: Group Health Inc Medicare |
$33,570.06
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$33,570.06
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$33,570.06
|
| Rate for Payer: Healthfirst Medicare Advantage |
$31,220.16
|
| Rate for Payer: Humana Medicare |
$46,158.83
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$33,570.06
|
| Rate for Payer: United Healthcare Commercial |
$30,797.01
|
| Rate for Payer: United Healthcare Medicare Advantage |
$33,570.06
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$33,570.06
|
| Rate for Payer: Wellcare Medicare |
$31,891.56
|
|
