|
MS-DRG 43.00: REHABILITATION WITHOUT CC/MCC
|
Facility
|
IP
|
$38,128.16
|
|
|
Service Code
|
MSDRG 946
|
| Min. Negotiated Rate |
$14,932.26 |
| Max. Negotiated Rate |
$38,128.16 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$14,932.26
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$27,729.57
|
| Rate for Payer: Aetna Government |
$27,729.57
|
| Rate for Payer: Brighton Health Commercial |
$16,628.60
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$28,284.16
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$20,398.21
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$17,338.48
|
| Rate for Payer: Elderplan Medicare Advantage |
$26,343.09
|
| Rate for Payer: EmblemHealth Commercial |
$27,729.57
|
| Rate for Payer: Fidelis Medicare Advantage |
$27,729.57
|
| Rate for Payer: Group Health Inc Commercial |
$27,729.57
|
| Rate for Payer: Group Health Inc Medicare |
$27,729.57
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$27,729.57
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$27,729.57
|
| Rate for Payer: Healthfirst Medicare Advantage |
$25,788.50
|
| Rate for Payer: Humana Medicare |
$38,128.16
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$27,729.57
|
| Rate for Payer: United Healthcare Commercial |
$22,806.41
|
| Rate for Payer: United Healthcare Medicare Advantage |
$27,729.57
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$27,729.57
|
| Rate for Payer: Wellcare Medicare |
$26,343.09
|
|
|
MS-DRG 43.00: RENAL FAILURE WITH CC
|
Facility
|
IP
|
$32,711.73
|
|
|
Service Code
|
MSDRG 683
|
| Min. Negotiated Rate |
$12,699.10 |
| Max. Negotiated Rate |
$32,711.73 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$13,282.30
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$23,790.35
|
| Rate for Payer: Aetna Government |
$23,790.35
|
| Rate for Payer: Brighton Health Commercial |
$12,699.10
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$24,266.16
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$15,577.92
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$13,241.23
|
| Rate for Payer: Elderplan Medicare Advantage |
$22,600.83
|
| Rate for Payer: EmblemHealth Commercial |
$23,790.35
|
| Rate for Payer: Fidelis Medicare Advantage |
$23,790.35
|
| Rate for Payer: Group Health Inc Commercial |
$23,790.35
|
| Rate for Payer: Group Health Inc Medicare |
$23,790.35
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$23,790.35
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$23,790.35
|
| Rate for Payer: Healthfirst Medicare Advantage |
$22,125.03
|
| Rate for Payer: Humana Medicare |
$32,711.73
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$23,790.35
|
| Rate for Payer: United Healthcare Commercial |
$17,417.03
|
| Rate for Payer: United Healthcare Medicare Advantage |
$23,790.35
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$23,790.35
|
| Rate for Payer: Wellcare Medicare |
$22,600.83
|
|
|
MS-DRG 43.00: RENAL FAILURE WITH MCC
|
Facility
|
IP
|
$44,807.73
|
|
|
Service Code
|
MSDRG 682
|
| Min. Negotiated Rate |
$21,474.50 |
| Max. Negotiated Rate |
$44,807.73 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$22,129.30
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$32,587.44
|
| Rate for Payer: Aetna Government |
$32,587.44
|
| Rate for Payer: Brighton Health Commercial |
$21,474.50
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$33,239.19
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$26,342.65
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$22,391.25
|
| Rate for Payer: Elderplan Medicare Advantage |
$30,958.07
|
| Rate for Payer: EmblemHealth Commercial |
$32,587.44
|
| Rate for Payer: Fidelis Medicare Advantage |
$32,587.44
|
| Rate for Payer: Group Health Inc Commercial |
$32,587.44
|
| Rate for Payer: Group Health Inc Medicare |
$32,587.44
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$32,587.44
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$32,587.44
|
| Rate for Payer: Healthfirst Medicare Advantage |
$30,306.32
|
| Rate for Payer: Humana Medicare |
$44,807.73
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$32,587.44
|
| Rate for Payer: United Healthcare Commercial |
$29,452.65
|
| Rate for Payer: United Healthcare Medicare Advantage |
$32,587.44
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$32,587.44
|
| Rate for Payer: Wellcare Medicare |
$30,958.07
|
|
|
MS-DRG 43.00: RENAL FAILURE WITHOUT CC/MCC
|
Facility
|
IP
|
$27,205.37
|
|
|
Service Code
|
MSDRG 684
|
| Min. Negotiated Rate |
$8,704.35 |
| Max. Negotiated Rate |
$27,205.37 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$8,972.33
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$19,785.72
|
| Rate for Payer: Aetna Government |
$19,785.72
|
| Rate for Payer: Brighton Health Commercial |
$8,704.35
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$20,181.43
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$10,677.58
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$9,075.94
|
| Rate for Payer: Elderplan Medicare Advantage |
$18,796.43
|
| Rate for Payer: EmblemHealth Commercial |
$19,785.72
|
| Rate for Payer: Fidelis Medicare Advantage |
$19,785.72
|
| Rate for Payer: Group Health Inc Commercial |
$19,785.72
|
| Rate for Payer: Group Health Inc Medicare |
$19,785.72
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$19,785.72
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$19,785.72
|
| Rate for Payer: Healthfirst Medicare Advantage |
$18,400.72
|
| Rate for Payer: Humana Medicare |
$27,205.37
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$19,785.72
|
| Rate for Payer: United Healthcare Commercial |
$11,938.17
|
| Rate for Payer: United Healthcare Medicare Advantage |
$19,785.72
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$19,785.72
|
| Rate for Payer: Wellcare Medicare |
$18,796.43
|
|
|
MS-DRG 43.00: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC
|
Facility
|
IP
|
$34,714.40
|
|
|
Service Code
|
MSDRG 178
|
| Min. Negotiated Rate |
$14,152.00 |
| Max. Negotiated Rate |
$34,714.40 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$14,548.89
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$25,246.84
|
| Rate for Payer: Aetna Government |
$25,246.84
|
| Rate for Payer: Brighton Health Commercial |
$14,152.00
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$25,751.78
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$17,360.18
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$14,756.15
|
| Rate for Payer: Elderplan Medicare Advantage |
$23,984.50
|
| Rate for Payer: EmblemHealth Commercial |
$25,246.84
|
| Rate for Payer: Fidelis Medicare Advantage |
$25,246.84
|
| Rate for Payer: Group Health Inc Commercial |
$25,246.84
|
| Rate for Payer: Group Health Inc Medicare |
$25,246.84
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$25,246.84
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$25,246.84
|
| Rate for Payer: Healthfirst Medicare Advantage |
$23,479.56
|
| Rate for Payer: Humana Medicare |
$34,714.40
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$25,246.84
|
| Rate for Payer: United Healthcare Commercial |
$19,409.71
|
| Rate for Payer: United Healthcare Medicare Advantage |
$25,246.84
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$25,246.84
|
| Rate for Payer: Wellcare Medicare |
$23,984.50
|
|
|
MS-DRG 43.00: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC
|
Facility
|
IP
|
$46,440.68
|
|
|
Service Code
|
MSDRG 177
|
| Min. Negotiated Rate |
$22,659.15 |
| Max. Negotiated Rate |
$46,440.68 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$25,013.42
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$33,775.04
|
| Rate for Payer: Aetna Government |
$33,775.04
|
| Rate for Payer: Brighton Health Commercial |
$22,659.15
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$34,450.54
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$27,795.85
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$23,626.48
|
| Rate for Payer: Elderplan Medicare Advantage |
$32,086.29
|
| Rate for Payer: EmblemHealth Commercial |
$33,775.04
|
| Rate for Payer: Fidelis Medicare Advantage |
$33,775.04
|
| Rate for Payer: Group Health Inc Commercial |
$33,775.04
|
| Rate for Payer: Group Health Inc Medicare |
$33,775.04
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$33,775.04
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$33,775.04
|
| Rate for Payer: Healthfirst Medicare Advantage |
$31,410.79
|
| Rate for Payer: Humana Medicare |
$46,440.68
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$33,775.04
|
| Rate for Payer: United Healthcare Commercial |
$31,077.41
|
| Rate for Payer: United Healthcare Medicare Advantage |
$33,775.04
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$33,775.04
|
| Rate for Payer: Wellcare Medicare |
$32,086.29
|
|
|
MS-DRG 43.00: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC
|
Facility
|
IP
|
$30,297.31
|
|
|
Service Code
|
MSDRG 179
|
| Min. Negotiated Rate |
$10,947.50 |
| Max. Negotiated Rate |
$30,297.31 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$11,254.86
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$22,034.41
|
| Rate for Payer: Aetna Government |
$22,034.41
|
| Rate for Payer: Brighton Health Commercial |
$10,947.50
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$22,475.10
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$13,429.24
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$11,414.85
|
| Rate for Payer: Elderplan Medicare Advantage |
$20,932.69
|
| Rate for Payer: EmblemHealth Commercial |
$22,034.41
|
| Rate for Payer: Fidelis Medicare Advantage |
$22,034.41
|
| Rate for Payer: Group Health Inc Commercial |
$22,034.41
|
| Rate for Payer: Group Health Inc Medicare |
$22,034.41
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$22,034.41
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$22,034.41
|
| Rate for Payer: Healthfirst Medicare Advantage |
$20,492.00
|
| Rate for Payer: Humana Medicare |
$30,297.31
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$22,034.41
|
| Rate for Payer: United Healthcare Commercial |
$15,014.68
|
| Rate for Payer: United Healthcare Medicare Advantage |
$22,034.41
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$22,034.41
|
| Rate for Payer: Wellcare Medicare |
$20,932.69
|
|
|
MS-DRG 43.00: RESPIRATORY NEOPLASMS WITH CC
|
Facility
|
IP
|
$36,613.16
|
|
|
Service Code
|
MSDRG 181
|
| Min. Negotiated Rate |
$15,529.50 |
| Max. Negotiated Rate |
$36,613.16 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$16,235.72
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$26,627.75
|
| Rate for Payer: Aetna Government |
$26,627.75
|
| Rate for Payer: Brighton Health Commercial |
$15,529.50
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$27,160.31
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$19,049.95
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$16,192.46
|
| Rate for Payer: Elderplan Medicare Advantage |
$25,296.36
|
| Rate for Payer: EmblemHealth Commercial |
$26,627.75
|
| Rate for Payer: Fidelis Medicare Advantage |
$26,627.75
|
| Rate for Payer: Group Health Inc Commercial |
$26,627.75
|
| Rate for Payer: Group Health Inc Medicare |
$26,627.75
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$26,627.75
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$26,627.75
|
| Rate for Payer: Healthfirst Medicare Advantage |
$24,763.81
|
| Rate for Payer: Humana Medicare |
$36,613.16
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$26,627.75
|
| Rate for Payer: United Healthcare Commercial |
$21,298.98
|
| Rate for Payer: United Healthcare Medicare Advantage |
$26,627.75
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$26,627.75
|
| Rate for Payer: Wellcare Medicare |
$25,296.36
|
|
|
MS-DRG 43.00: RESPIRATORY NEOPLASMS WITH MCC
|
Facility
|
IP
|
$50,503.98
|
|
|
Service Code
|
MSDRG 180
|
| Min. Negotiated Rate |
$25,607.00 |
| Max. Negotiated Rate |
$50,503.98 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$25,629.76
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$36,730.17
|
| Rate for Payer: Aetna Government |
$36,730.17
|
| Rate for Payer: Brighton Health Commercial |
$25,607.00
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$37,464.77
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$31,411.97
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$26,700.17
|
| Rate for Payer: Elderplan Medicare Advantage |
$34,893.66
|
| Rate for Payer: EmblemHealth Commercial |
$36,730.17
|
| Rate for Payer: Fidelis Medicare Advantage |
$36,730.17
|
| Rate for Payer: Group Health Inc Commercial |
$36,730.17
|
| Rate for Payer: Group Health Inc Medicare |
$36,730.17
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$36,730.17
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$36,730.17
|
| Rate for Payer: Healthfirst Medicare Advantage |
$34,159.06
|
| Rate for Payer: Humana Medicare |
$50,503.98
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$36,730.17
|
| Rate for Payer: United Healthcare Commercial |
$35,120.44
|
| Rate for Payer: United Healthcare Medicare Advantage |
$36,730.17
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$36,730.17
|
| Rate for Payer: Wellcare Medicare |
$34,893.66
|
|
|
MS-DRG 43.00: RESPIRATORY NEOPLASMS WITHOUT CC/MCC
|
Facility
|
IP
|
$30,273.33
|
|
|
Service Code
|
MSDRG 182
|
| Min. Negotiated Rate |
$10,788.00 |
| Max. Negotiated Rate |
$30,273.33 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$11,191.46
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$22,016.97
|
| Rate for Payer: Aetna Government |
$22,016.97
|
| Rate for Payer: Brighton Health Commercial |
$10,788.00
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$22,457.31
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$13,233.58
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$11,248.54
|
| Rate for Payer: Elderplan Medicare Advantage |
$20,916.12
|
| Rate for Payer: EmblemHealth Commercial |
$22,016.97
|
| Rate for Payer: Fidelis Medicare Advantage |
$22,016.97
|
| Rate for Payer: Group Health Inc Commercial |
$22,016.97
|
| Rate for Payer: Group Health Inc Medicare |
$22,016.97
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$22,016.97
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$22,016.97
|
| Rate for Payer: Healthfirst Medicare Advantage |
$20,475.78
|
| Rate for Payer: Humana Medicare |
$30,273.33
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$22,016.97
|
| Rate for Payer: United Healthcare Commercial |
$14,795.93
|
| Rate for Payer: United Healthcare Medicare Advantage |
$22,016.97
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$22,016.97
|
| Rate for Payer: Wellcare Medicare |
$20,916.12
|
|
|
MS-DRG 43.00: RESPIRATORY SIGNS AND SYMPTOMS
|
Facility
|
IP
|
$31,344.62
|
|
|
Service Code
|
MSDRG 204
|
| Min. Negotiated Rate |
$11,707.30 |
| Max. Negotiated Rate |
$31,344.62 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$12,133.66
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$22,796.09
|
| Rate for Payer: Aetna Government |
$22,796.09
|
| Rate for Payer: Brighton Health Commercial |
$11,707.30
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$23,252.01
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$14,361.28
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$12,207.09
|
| Rate for Payer: Elderplan Medicare Advantage |
$21,656.29
|
| Rate for Payer: EmblemHealth Commercial |
$22,796.09
|
| Rate for Payer: Fidelis Medicare Advantage |
$22,796.09
|
| Rate for Payer: Group Health Inc Commercial |
$22,796.09
|
| Rate for Payer: Group Health Inc Medicare |
$22,796.09
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$22,796.09
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$22,796.09
|
| Rate for Payer: Healthfirst Medicare Advantage |
$21,200.36
|
| Rate for Payer: Humana Medicare |
$31,344.62
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$22,796.09
|
| Rate for Payer: United Healthcare Commercial |
$16,056.76
|
| Rate for Payer: United Healthcare Medicare Advantage |
$22,796.09
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$22,796.09
|
| Rate for Payer: Wellcare Medicare |
$21,656.29
|
|
|
MS-DRG 43.00: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS
|
Facility
|
IP
|
$70,144.99
|
|
|
Service Code
|
MSDRG 208
|
| Min. Negotiated Rate |
$39,856.15 |
| Max. Negotiated Rate |
$70,144.99 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$39,867.53
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$51,014.54
|
| Rate for Payer: Aetna Government |
$51,014.54
|
| Rate for Payer: Brighton Health Commercial |
$39,856.15
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$52,034.83
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$48,891.32
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$41,557.62
|
| Rate for Payer: Elderplan Medicare Advantage |
$48,463.81
|
| Rate for Payer: EmblemHealth Commercial |
$51,014.54
|
| Rate for Payer: Fidelis Medicare Advantage |
$51,014.54
|
| Rate for Payer: Group Health Inc Commercial |
$51,014.54
|
| Rate for Payer: Group Health Inc Medicare |
$51,014.54
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$51,014.54
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$51,014.54
|
| Rate for Payer: Healthfirst Medicare Advantage |
$47,443.52
|
| Rate for Payer: Humana Medicare |
$70,144.99
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$51,014.54
|
| Rate for Payer: United Healthcare Commercial |
$54,663.40
|
| Rate for Payer: United Healthcare Medicare Advantage |
$51,014.54
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$51,014.54
|
| Rate for Payer: Wellcare Medicare |
$48,463.81
|
|
|
MS-DRG 43.00: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS
|
Facility
|
IP
|
$143,816.35
|
|
|
Service Code
|
MSDRG 207
|
| Min. Negotiated Rate |
$93,303.15 |
| Max. Negotiated Rate |
$143,816.35 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$101,858.46
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$104,593.71
|
| Rate for Payer: Aetna Government |
$104,593.71
|
| Rate for Payer: Brighton Health Commercial |
$93,303.15
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$106,685.58
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$114,454.46
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$97,286.29
|
| Rate for Payer: Elderplan Medicare Advantage |
$99,364.02
|
| Rate for Payer: EmblemHealth Commercial |
$104,593.71
|
| Rate for Payer: Fidelis Medicare Advantage |
$104,593.71
|
| Rate for Payer: Group Health Inc Commercial |
$104,593.71
|
| Rate for Payer: Group Health Inc Medicare |
$104,593.71
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$104,593.71
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$104,593.71
|
| Rate for Payer: Healthfirst Medicare Advantage |
$97,272.15
|
| Rate for Payer: Humana Medicare |
$143,816.35
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$104,593.71
|
| Rate for Payer: United Healthcare Commercial |
$127,966.88
|
| Rate for Payer: United Healthcare Medicare Advantage |
$104,593.71
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$104,593.71
|
| Rate for Payer: Wellcare Medicare |
$99,364.02
|
|
|
MS-DRG 43.00: RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC
|
Facility
|
IP
|
$35,473.89
|
|
|
Service Code
|
MSDRG 815
|
| Min. Negotiated Rate |
$14,659.48 |
| Max. Negotiated Rate |
$35,473.89 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$14,659.48
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$25,799.19
|
| Rate for Payer: Aetna Government |
$25,799.19
|
| Rate for Payer: Brighton Health Commercial |
$14,703.00
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$26,315.17
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$18,036.09
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$15,330.68
|
| Rate for Payer: Elderplan Medicare Advantage |
$24,509.23
|
| Rate for Payer: EmblemHealth Commercial |
$25,799.19
|
| Rate for Payer: Fidelis Medicare Advantage |
$25,799.19
|
| Rate for Payer: Group Health Inc Commercial |
$25,799.19
|
| Rate for Payer: Group Health Inc Medicare |
$25,799.19
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$25,799.19
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$25,799.19
|
| Rate for Payer: Healthfirst Medicare Advantage |
$23,993.25
|
| Rate for Payer: Humana Medicare |
$35,473.89
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$25,799.19
|
| Rate for Payer: United Healthcare Commercial |
$20,165.42
|
| Rate for Payer: United Healthcare Medicare Advantage |
$25,799.19
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$25,799.19
|
| Rate for Payer: Wellcare Medicare |
$24,509.23
|
|
|
MS-DRG 43.00: RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC
|
Facility
|
IP
|
$57,713.22
|
|
|
Service Code
|
MSDRG 814
|
| Min. Negotiated Rate |
$30,837.15 |
| Max. Negotiated Rate |
$57,713.22 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$31,378.83
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$41,973.25
|
| Rate for Payer: Aetna Government |
$41,973.25
|
| Rate for Payer: Brighton Health Commercial |
$30,837.15
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$42,812.71
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$37,827.76
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$32,153.60
|
| Rate for Payer: Elderplan Medicare Advantage |
$39,874.59
|
| Rate for Payer: EmblemHealth Commercial |
$41,973.25
|
| Rate for Payer: Fidelis Medicare Advantage |
$41,973.25
|
| Rate for Payer: Group Health Inc Commercial |
$41,973.25
|
| Rate for Payer: Group Health Inc Medicare |
$41,973.25
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$41,973.25
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$41,973.25
|
| Rate for Payer: Healthfirst Medicare Advantage |
$39,035.12
|
| Rate for Payer: Humana Medicare |
$57,713.22
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$41,973.25
|
| Rate for Payer: United Healthcare Commercial |
$42,293.68
|
| Rate for Payer: United Healthcare Medicare Advantage |
$41,973.25
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$41,973.25
|
| Rate for Payer: Wellcare Medicare |
$39,874.59
|
|
|
MS-DRG 43.00: RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC
|
Facility
|
IP
|
$27,838.92
|
|
|
Service Code
|
MSDRG 816
|
| Min. Negotiated Rate |
$9,164.00 |
| Max. Negotiated Rate |
$27,838.92 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$10,471.90
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$20,246.49
|
| Rate for Payer: Aetna Government |
$20,246.49
|
| Rate for Payer: Brighton Health Commercial |
$9,164.00
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$20,651.42
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$11,241.43
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$9,555.21
|
| Rate for Payer: Elderplan Medicare Advantage |
$19,234.17
|
| Rate for Payer: EmblemHealth Commercial |
$20,246.49
|
| Rate for Payer: Fidelis Medicare Advantage |
$20,246.49
|
| Rate for Payer: Group Health Inc Commercial |
$20,246.49
|
| Rate for Payer: Group Health Inc Medicare |
$20,246.49
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$20,246.49
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$20,246.49
|
| Rate for Payer: Healthfirst Medicare Advantage |
$18,829.24
|
| Rate for Payer: Humana Medicare |
$27,838.92
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$20,246.49
|
| Rate for Payer: United Healthcare Commercial |
$12,568.58
|
| Rate for Payer: United Healthcare Medicare Advantage |
$20,246.49
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$20,246.49
|
| Rate for Payer: Wellcare Medicare |
$19,234.17
|
|
|
MS-DRG 43.00: REVISION OF HIP OR KNEE REPLACEMENT WITH CC
|
Facility
|
IP
|
$85,692.70
|
|
|
Service Code
|
MSDRG 467
|
| Min. Negotiated Rate |
$51,135.70 |
| Max. Negotiated Rate |
$85,692.70 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$51,405.49
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$62,321.96
|
| Rate for Payer: Aetna Government |
$62,321.96
|
| Rate for Payer: Brighton Health Commercial |
$51,135.70
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$63,568.40
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$62,727.88
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$53,318.70
|
| Rate for Payer: Elderplan Medicare Advantage |
$59,205.86
|
| Rate for Payer: EmblemHealth Commercial |
$62,321.96
|
| Rate for Payer: Fidelis Medicare Advantage |
$62,321.96
|
| Rate for Payer: Group Health Inc Commercial |
$62,321.96
|
| Rate for Payer: Group Health Inc Medicare |
$62,321.96
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$62,321.96
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$62,321.96
|
| Rate for Payer: Healthfirst Medicare Advantage |
$57,959.42
|
| Rate for Payer: Humana Medicare |
$85,692.70
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$62,321.96
|
| Rate for Payer: United Healthcare Commercial |
$70,133.49
|
| Rate for Payer: United Healthcare Medicare Advantage |
$62,321.96
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$62,321.96
|
| Rate for Payer: Wellcare Medicare |
$59,205.86
|
|
|
MS-DRG 43.00: REVISION OF HIP OR KNEE REPLACEMENT WITH MCC
|
Facility
|
IP
|
$119,246.59
|
|
|
Service Code
|
MSDRG 466
|
| Min. Negotiated Rate |
$75,478.30 |
| Max. Negotiated Rate |
$119,246.59 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$76,476.42
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$86,724.79
|
| Rate for Payer: Aetna Government |
$86,724.79
|
| Rate for Payer: Brighton Health Commercial |
$75,478.30
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$88,459.29
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$92,588.81
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$78,700.49
|
| Rate for Payer: Elderplan Medicare Advantage |
$82,388.55
|
| Rate for Payer: EmblemHealth Commercial |
$86,724.79
|
| Rate for Payer: Fidelis Medicare Advantage |
$86,724.79
|
| Rate for Payer: Group Health Inc Commercial |
$86,724.79
|
| Rate for Payer: Group Health Inc Medicare |
$86,724.79
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$86,724.79
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$86,724.79
|
| Rate for Payer: Healthfirst Medicare Advantage |
$80,654.05
|
| Rate for Payer: Humana Medicare |
$119,246.59
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$86,724.79
|
| Rate for Payer: United Healthcare Commercial |
$103,519.79
|
| Rate for Payer: United Healthcare Medicare Advantage |
$86,724.79
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$86,724.79
|
| Rate for Payer: Wellcare Medicare |
$82,388.55
|
|
|
MS-DRG 43.00: REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC
|
Facility
|
IP
|
$70,131.02
|
|
|
Service Code
|
MSDRG 468
|
| Min. Negotiated Rate |
$39,363.25 |
| Max. Negotiated Rate |
$70,131.02 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$39,363.25
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$51,004.38
|
| Rate for Payer: Aetna Government |
$51,004.38
|
| Rate for Payer: Brighton Health Commercial |
$39,846.00
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$52,024.47
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$48,878.87
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$41,547.04
|
| Rate for Payer: Elderplan Medicare Advantage |
$48,454.16
|
| Rate for Payer: EmblemHealth Commercial |
$51,004.38
|
| Rate for Payer: Fidelis Medicare Advantage |
$51,004.38
|
| Rate for Payer: Group Health Inc Commercial |
$51,004.38
|
| Rate for Payer: Group Health Inc Medicare |
$51,004.38
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$51,004.38
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$51,004.38
|
| Rate for Payer: Healthfirst Medicare Advantage |
$47,434.07
|
| Rate for Payer: Humana Medicare |
$70,131.02
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$51,004.38
|
| Rate for Payer: United Healthcare Commercial |
$54,649.48
|
| Rate for Payer: United Healthcare Medicare Advantage |
$51,004.38
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$51,004.38
|
| Rate for Payer: Wellcare Medicare |
$48,454.16
|
|
|
MS-DRG 43.00: SALIVARY GLAND PROCEDURES
|
Facility
|
IP
|
$39,904.97
|
|
|
Service Code
|
MSDRG 139
|
| Min. Negotiated Rate |
$17,512.64 |
| Max. Negotiated Rate |
$39,904.97 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$17,512.64
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$29,021.80
|
| Rate for Payer: Aetna Government |
$29,021.80
|
| Rate for Payer: Brighton Health Commercial |
$17,524.70
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$29,602.24
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$21,497.45
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$18,272.84
|
| Rate for Payer: Elderplan Medicare Advantage |
$27,570.71
|
| Rate for Payer: EmblemHealth Commercial |
$29,021.80
|
| Rate for Payer: Fidelis Medicare Advantage |
$29,021.80
|
| Rate for Payer: Group Health Inc Commercial |
$29,021.80
|
| Rate for Payer: Group Health Inc Medicare |
$29,021.80
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$29,021.80
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$29,021.80
|
| Rate for Payer: Healthfirst Medicare Advantage |
$26,990.27
|
| Rate for Payer: Humana Medicare |
$39,904.97
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$29,021.80
|
| Rate for Payer: United Healthcare Commercial |
$24,035.43
|
| Rate for Payer: United Healthcare Medicare Advantage |
$29,021.80
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$29,021.80
|
| Rate for Payer: Wellcare Medicare |
$27,570.71
|
|
|
MS-DRG 43.00: SEIZURES WITH MCC
|
Facility
|
IP
|
$53,917.71
|
|
|
Service Code
|
MSDRG 100
|
| Min. Negotiated Rate |
$28,083.60 |
| Max. Negotiated Rate |
$53,917.71 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$29,231.96
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$39,212.88
|
| Rate for Payer: Aetna Government |
$39,212.88
|
| Rate for Payer: Brighton Health Commercial |
$28,083.60
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$39,997.14
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$34,450.00
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$29,282.50
|
| Rate for Payer: Elderplan Medicare Advantage |
$37,252.24
|
| Rate for Payer: EmblemHealth Commercial |
$39,212.88
|
| Rate for Payer: Fidelis Medicare Advantage |
$39,212.88
|
| Rate for Payer: Group Health Inc Commercial |
$39,212.88
|
| Rate for Payer: Group Health Inc Medicare |
$39,212.88
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$39,212.88
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$39,212.88
|
| Rate for Payer: Healthfirst Medicare Advantage |
$36,467.98
|
| Rate for Payer: Humana Medicare |
$53,917.71
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$39,212.88
|
| Rate for Payer: United Healthcare Commercial |
$38,517.14
|
| Rate for Payer: United Healthcare Medicare Advantage |
$39,212.88
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$39,212.88
|
| Rate for Payer: Wellcare Medicare |
$37,252.24
|
|
|
MS-DRG 43.00: SEIZURES WITHOUT MCC
|
Facility
|
IP
|
$33,247.33
|
|
|
Service Code
|
MSDRG 101
|
| Min. Negotiated Rate |
$13,087.70 |
| Max. Negotiated Rate |
$33,247.33 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$13,412.05
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$24,179.88
|
| Rate for Payer: Aetna Government |
$24,179.88
|
| Rate for Payer: Brighton Health Commercial |
$13,087.70
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$24,663.48
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$16,054.61
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$13,646.42
|
| Rate for Payer: Elderplan Medicare Advantage |
$22,970.89
|
| Rate for Payer: EmblemHealth Commercial |
$24,179.88
|
| Rate for Payer: Fidelis Medicare Advantage |
$24,179.88
|
| Rate for Payer: Group Health Inc Commercial |
$24,179.88
|
| Rate for Payer: Group Health Inc Medicare |
$24,179.88
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$24,179.88
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$24,179.88
|
| Rate for Payer: Healthfirst Medicare Advantage |
$22,487.29
|
| Rate for Payer: Humana Medicare |
$33,247.33
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$24,179.88
|
| Rate for Payer: United Healthcare Commercial |
$17,950.01
|
| Rate for Payer: United Healthcare Medicare Advantage |
$24,179.88
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$24,179.88
|
| Rate for Payer: Wellcare Medicare |
$22,970.89
|
|
|
MS-DRG 43.00: SEPTIC ARTHRITIS WITH CC
|
Facility
|
IP
|
$39,335.34
|
|
|
Service Code
|
MSDRG 549
|
| Min. Negotiated Rate |
$17,504.40 |
| Max. Negotiated Rate |
$39,335.34 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$17,785.42
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$28,607.52
|
| Rate for Payer: Aetna Government |
$28,607.52
|
| Rate for Payer: Brighton Health Commercial |
$17,504.40
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$29,179.67
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$21,472.55
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$18,251.67
|
| Rate for Payer: Elderplan Medicare Advantage |
$27,177.14
|
| Rate for Payer: EmblemHealth Commercial |
$28,607.52
|
| Rate for Payer: Fidelis Medicare Advantage |
$28,607.52
|
| Rate for Payer: Group Health Inc Commercial |
$28,607.52
|
| Rate for Payer: Group Health Inc Medicare |
$28,607.52
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$28,607.52
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$28,607.52
|
| Rate for Payer: Healthfirst Medicare Advantage |
$26,604.99
|
| Rate for Payer: Humana Medicare |
$39,335.34
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$28,607.52
|
| Rate for Payer: United Healthcare Commercial |
$24,007.59
|
| Rate for Payer: United Healthcare Medicare Advantage |
$28,607.52
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$28,607.52
|
| Rate for Payer: Wellcare Medicare |
$27,177.14
|
|
|
MS-DRG 43.00: SEPTIC ARTHRITIS WITH MCC
|
Facility
|
IP
|
$53,799.78
|
|
|
Service Code
|
MSDRG 548
|
| Min. Negotiated Rate |
$27,998.05 |
| Max. Negotiated Rate |
$53,799.78 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$28,749.80
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$39,127.11
|
| Rate for Payer: Aetna Government |
$39,127.11
|
| Rate for Payer: Brighton Health Commercial |
$27,998.05
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$39,909.65
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$34,345.05
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$29,193.30
|
| Rate for Payer: Elderplan Medicare Advantage |
$37,170.75
|
| Rate for Payer: EmblemHealth Commercial |
$39,127.11
|
| Rate for Payer: Fidelis Medicare Advantage |
$39,127.11
|
| Rate for Payer: Group Health Inc Commercial |
$39,127.11
|
| Rate for Payer: Group Health Inc Medicare |
$39,127.11
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$39,127.11
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$39,127.11
|
| Rate for Payer: Healthfirst Medicare Advantage |
$36,388.21
|
| Rate for Payer: Humana Medicare |
$53,799.78
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$39,127.11
|
| Rate for Payer: United Healthcare Commercial |
$38,399.81
|
| Rate for Payer: United Healthcare Medicare Advantage |
$39,127.11
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$39,127.11
|
| Rate for Payer: Wellcare Medicare |
$37,170.75
|
|
|
MS-DRG 43.00: SEPTIC ARTHRITIS WITHOUT CC/MCC
|
Facility
|
IP
|
$32,677.74
|
|
|
Service Code
|
MSDRG 550
|
| Min. Negotiated Rate |
$12,674.45 |
| Max. Negotiated Rate |
$32,677.74 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$13,577.20
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$23,765.63
|
| Rate for Payer: Aetna Government |
$23,765.63
|
| Rate for Payer: Brighton Health Commercial |
$12,674.45
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$24,240.94
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$15,547.68
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$13,215.53
|
| Rate for Payer: Elderplan Medicare Advantage |
$22,577.35
|
| Rate for Payer: EmblemHealth Commercial |
$23,765.63
|
| Rate for Payer: Fidelis Medicare Advantage |
$23,765.63
|
| Rate for Payer: Group Health Inc Commercial |
$23,765.63
|
| Rate for Payer: Group Health Inc Medicare |
$23,765.63
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$23,765.63
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$23,765.63
|
| Rate for Payer: Healthfirst Medicare Advantage |
$22,102.04
|
| Rate for Payer: Humana Medicare |
$32,677.74
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$23,765.63
|
| Rate for Payer: United Healthcare Commercial |
$17,383.23
|
| Rate for Payer: United Healthcare Medicare Advantage |
$23,765.63
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$23,765.63
|
| Rate for Payer: Wellcare Medicare |
$22,577.35
|
|
