|
MS-DRG 43.00: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS
|
Facility
|
IP
|
$153,352.06
|
|
|
Service Code
|
MSDRG 870
|
| Min. Negotiated Rate |
$100,221.10 |
| Max. Negotiated Rate |
$153,352.06 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$102,697.45
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$111,528.77
|
| Rate for Payer: Aetna Government |
$111,528.77
|
| Rate for Payer: Brighton Health Commercial |
$100,221.10
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$113,759.35
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$122,940.67
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$104,499.57
|
| Rate for Payer: Elderplan Medicare Advantage |
$105,952.33
|
| Rate for Payer: EmblemHealth Commercial |
$111,528.77
|
| Rate for Payer: Fidelis Medicare Advantage |
$111,528.77
|
| Rate for Payer: Group Health Inc Commercial |
$111,528.77
|
| Rate for Payer: Group Health Inc Medicare |
$111,528.77
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$111,528.77
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$111,528.77
|
| Rate for Payer: Healthfirst Medicare Advantage |
$103,721.76
|
| Rate for Payer: Humana Medicare |
$153,352.06
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$111,528.77
|
| Rate for Payer: United Healthcare Commercial |
$137,454.97
|
| Rate for Payer: United Healthcare Medicare Advantage |
$111,528.77
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$111,528.77
|
| Rate for Payer: Wellcare Medicare |
$105,952.33
|
|
|
MS-DRG 43.00: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC
|
Facility
|
IP
|
$54,031.64
|
|
|
Service Code
|
MSDRG 871
|
| Min. Negotiated Rate |
$28,166.25 |
| Max. Negotiated Rate |
$54,031.64 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$29,233.44
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$39,295.74
|
| Rate for Payer: Aetna Government |
$39,295.74
|
| Rate for Payer: Brighton Health Commercial |
$28,166.25
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$40,081.65
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$34,551.38
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$29,368.68
|
| Rate for Payer: Elderplan Medicare Advantage |
$37,330.95
|
| Rate for Payer: EmblemHealth Commercial |
$39,295.74
|
| Rate for Payer: Fidelis Medicare Advantage |
$39,295.74
|
| Rate for Payer: Group Health Inc Commercial |
$39,295.74
|
| Rate for Payer: Group Health Inc Medicare |
$39,295.74
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$39,295.74
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$39,295.74
|
| Rate for Payer: Healthfirst Medicare Advantage |
$36,545.04
|
| Rate for Payer: Humana Medicare |
$54,031.64
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$39,295.74
|
| Rate for Payer: United Healthcare Commercial |
$38,630.50
|
| Rate for Payer: United Healthcare Medicare Advantage |
$39,295.74
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$39,295.74
|
| Rate for Payer: Wellcare Medicare |
$37,330.95
|
|
|
MS-DRG 43.00: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC
|
Facility
|
IP
|
$35,659.77
|
|
|
Service Code
|
MSDRG 872
|
| Min. Negotiated Rate |
$14,837.85 |
| Max. Negotiated Rate |
$35,659.77 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$15,185.88
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$25,934.38
|
| Rate for Payer: Aetna Government |
$25,934.38
|
| Rate for Payer: Brighton Health Commercial |
$14,837.85
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$26,453.07
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$18,201.51
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$15,471.28
|
| Rate for Payer: Elderplan Medicare Advantage |
$24,637.66
|
| Rate for Payer: EmblemHealth Commercial |
$25,934.38
|
| Rate for Payer: Fidelis Medicare Advantage |
$25,934.38
|
| Rate for Payer: Group Health Inc Commercial |
$25,934.38
|
| Rate for Payer: Group Health Inc Medicare |
$25,934.38
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$25,934.38
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$25,934.38
|
| Rate for Payer: Healthfirst Medicare Advantage |
$24,118.97
|
| Rate for Payer: Humana Medicare |
$35,659.77
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$25,934.38
|
| Rate for Payer: United Healthcare Commercial |
$20,350.37
|
| Rate for Payer: United Healthcare Medicare Advantage |
$25,934.38
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$25,934.38
|
| Rate for Payer: Wellcare Medicare |
$24,637.66
|
|
|
MS-DRG 43.00: SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC
|
Facility
|
IP
|
$56,767.84
|
|
|
Service Code
|
MSDRG 511
|
| Min. Negotiated Rate |
$29,398.58 |
| Max. Negotiated Rate |
$56,767.84 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$29,398.58
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$41,285.70
|
| Rate for Payer: Aetna Government |
$41,285.70
|
| Rate for Payer: Brighton Health Commercial |
$30,151.30
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$42,111.41
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$36,986.43
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$31,438.47
|
| Rate for Payer: Elderplan Medicare Advantage |
$39,221.42
|
| Rate for Payer: EmblemHealth Commercial |
$41,285.70
|
| Rate for Payer: Fidelis Medicare Advantage |
$41,285.70
|
| Rate for Payer: Group Health Inc Commercial |
$41,285.70
|
| Rate for Payer: Group Health Inc Medicare |
$41,285.70
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$41,285.70
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$41,285.70
|
| Rate for Payer: Healthfirst Medicare Advantage |
$38,395.70
|
| Rate for Payer: Humana Medicare |
$56,767.84
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$41,285.70
|
| Rate for Payer: United Healthcare Commercial |
$41,353.03
|
| Rate for Payer: United Healthcare Medicare Advantage |
$41,285.70
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$41,285.70
|
| Rate for Payer: Wellcare Medicare |
$39,221.42
|
|
|
MS-DRG 43.00: SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC
|
Facility
|
IP
|
$75,577.41
|
|
|
Service Code
|
MSDRG 510
|
| Min. Negotiated Rate |
$40,115.25 |
| Max. Negotiated Rate |
$75,577.41 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$40,115.25
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$54,965.39
|
| Rate for Payer: Aetna Government |
$54,965.39
|
| Rate for Payer: Brighton Health Commercial |
$43,797.25
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$56,064.70
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$53,725.84
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$45,666.97
|
| Rate for Payer: Elderplan Medicare Advantage |
$52,217.12
|
| Rate for Payer: EmblemHealth Commercial |
$54,965.39
|
| Rate for Payer: Fidelis Medicare Advantage |
$54,965.39
|
| Rate for Payer: Group Health Inc Commercial |
$54,965.39
|
| Rate for Payer: Group Health Inc Medicare |
$54,965.39
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$54,965.39
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$54,965.39
|
| Rate for Payer: Healthfirst Medicare Advantage |
$51,117.81
|
| Rate for Payer: Humana Medicare |
$75,577.41
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$54,965.39
|
| Rate for Payer: United Healthcare Commercial |
$60,068.68
|
| Rate for Payer: United Healthcare Medicare Advantage |
$54,965.39
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$54,965.39
|
| Rate for Payer: Wellcare Medicare |
$52,217.12
|
|
|
MS-DRG 43.00: SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$48,293.41
|
|
|
Service Code
|
MSDRG 512
|
| Min. Negotiated Rate |
$23,795.48 |
| Max. Negotiated Rate |
$48,293.41 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$23,795.48
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$35,122.48
|
| Rate for Payer: Aetna Government |
$35,122.48
|
| Rate for Payer: Brighton Health Commercial |
$24,003.30
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$35,824.93
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$29,444.72
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$25,028.01
|
| Rate for Payer: Elderplan Medicare Advantage |
$33,366.36
|
| Rate for Payer: EmblemHealth Commercial |
$35,122.48
|
| Rate for Payer: Fidelis Medicare Advantage |
$35,122.48
|
| Rate for Payer: Group Health Inc Commercial |
$35,122.48
|
| Rate for Payer: Group Health Inc Medicare |
$35,122.48
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$35,122.48
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$35,122.48
|
| Rate for Payer: Healthfirst Medicare Advantage |
$32,663.91
|
| Rate for Payer: Humana Medicare |
$48,293.41
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$35,122.48
|
| Rate for Payer: United Healthcare Commercial |
$32,920.94
|
| Rate for Payer: United Healthcare Medicare Advantage |
$35,122.48
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$35,122.48
|
| Rate for Payer: Wellcare Medicare |
$33,366.36
|
|
|
MS-DRG 43.00: SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC
|
Facility
|
IP
|
$41,625.82
|
|
|
Service Code
|
MSDRG 555
|
| Min. Negotiated Rate |
$19,166.10 |
| Max. Negotiated Rate |
$41,625.82 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$20,628.26
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$30,273.32
|
| Rate for Payer: Aetna Government |
$30,273.32
|
| Rate for Payer: Brighton Health Commercial |
$19,166.10
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$30,878.79
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$23,510.95
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$19,984.31
|
| Rate for Payer: Elderplan Medicare Advantage |
$28,759.65
|
| Rate for Payer: EmblemHealth Commercial |
$30,273.32
|
| Rate for Payer: Fidelis Medicare Advantage |
$30,273.32
|
| Rate for Payer: Group Health Inc Commercial |
$30,273.32
|
| Rate for Payer: Group Health Inc Medicare |
$30,273.32
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$30,273.32
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$30,273.32
|
| Rate for Payer: Healthfirst Medicare Advantage |
$28,154.19
|
| Rate for Payer: Humana Medicare |
$41,625.82
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$30,273.32
|
| Rate for Payer: United Healthcare Commercial |
$26,286.64
|
| Rate for Payer: United Healthcare Medicare Advantage |
$30,273.32
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$30,273.32
|
| Rate for Payer: Wellcare Medicare |
$28,759.65
|
|
|
MS-DRG 43.00: SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC
|
Facility
|
IP
|
$31,808.31
|
|
|
Service Code
|
MSDRG 556
|
| Min. Negotiated Rate |
$12,043.70 |
| Max. Negotiated Rate |
$31,808.31 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$12,155.78
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$23,133.32
|
| Rate for Payer: Aetna Government |
$23,133.32
|
| Rate for Payer: Brighton Health Commercial |
$12,043.70
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$23,595.99
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$14,773.94
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$12,557.85
|
| Rate for Payer: Elderplan Medicare Advantage |
$21,976.65
|
| Rate for Payer: EmblemHealth Commercial |
$23,133.32
|
| Rate for Payer: Fidelis Medicare Advantage |
$23,133.32
|
| Rate for Payer: Group Health Inc Commercial |
$23,133.32
|
| Rate for Payer: Group Health Inc Medicare |
$23,133.32
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$23,133.32
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$23,133.32
|
| Rate for Payer: Healthfirst Medicare Advantage |
$21,513.99
|
| Rate for Payer: Humana Medicare |
$31,808.31
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$23,133.32
|
| Rate for Payer: United Healthcare Commercial |
$16,518.14
|
| Rate for Payer: United Healthcare Medicare Advantage |
$23,133.32
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$23,133.32
|
| Rate for Payer: Wellcare Medicare |
$21,976.65
|
|
|
MS-DRG 43.00: SIGNS AND SYMPTOMS WITH MCC
|
Facility
|
IP
|
$40,578.53
|
|
|
Service Code
|
MSDRG 947
|
| Min. Negotiated Rate |
$18,406.30 |
| Max. Negotiated Rate |
$40,578.53 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$18,454.84
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$29,511.66
|
| Rate for Payer: Aetna Government |
$29,511.66
|
| Rate for Payer: Brighton Health Commercial |
$18,406.30
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$30,101.89
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$22,578.91
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$19,192.07
|
| Rate for Payer: Elderplan Medicare Advantage |
$28,036.08
|
| Rate for Payer: EmblemHealth Commercial |
$29,511.66
|
| Rate for Payer: Fidelis Medicare Advantage |
$29,511.66
|
| Rate for Payer: Group Health Inc Commercial |
$29,511.66
|
| Rate for Payer: Group Health Inc Medicare |
$29,511.66
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$29,511.66
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$29,511.66
|
| Rate for Payer: Healthfirst Medicare Advantage |
$27,445.84
|
| Rate for Payer: Humana Medicare |
$40,578.53
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$29,511.66
|
| Rate for Payer: United Healthcare Commercial |
$25,244.56
|
| Rate for Payer: United Healthcare Medicare Advantage |
$29,511.66
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$29,511.66
|
| Rate for Payer: Wellcare Medicare |
$28,036.08
|
|
|
MS-DRG 43.00: SIGNS AND SYMPTOMS WITHOUT MCC
|
Facility
|
IP
|
$31,206.71
|
|
|
Service Code
|
MSDRG 948
|
| Min. Negotiated Rate |
$11,607.25 |
| Max. Negotiated Rate |
$31,206.71 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$11,810.75
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$22,695.79
|
| Rate for Payer: Aetna Government |
$22,695.79
|
| Rate for Payer: Brighton Health Commercial |
$11,607.25
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$23,149.71
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$14,238.55
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$12,102.77
|
| Rate for Payer: Elderplan Medicare Advantage |
$21,561.00
|
| Rate for Payer: EmblemHealth Commercial |
$22,695.79
|
| Rate for Payer: Fidelis Medicare Advantage |
$22,695.79
|
| Rate for Payer: Group Health Inc Commercial |
$22,695.79
|
| Rate for Payer: Group Health Inc Medicare |
$22,695.79
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$22,695.79
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$22,695.79
|
| Rate for Payer: Healthfirst Medicare Advantage |
$21,107.08
|
| Rate for Payer: Humana Medicare |
$31,206.71
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$22,695.79
|
| Rate for Payer: United Healthcare Commercial |
$15,919.54
|
| Rate for Payer: United Healthcare Medicare Advantage |
$22,695.79
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$22,695.79
|
| Rate for Payer: Wellcare Medicare |
$21,561.00
|
|
|
MS-DRG 43.00: SIMPLE PNEUMONIA AND PLEURISY WITH CC
|
Facility
|
IP
|
$31,314.65
|
|
|
Service Code
|
MSDRG 194
|
| Min. Negotiated Rate |
$11,685.55 |
| Max. Negotiated Rate |
$31,314.65 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$12,123.34
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$22,774.29
|
| Rate for Payer: Aetna Government |
$22,774.29
|
| Rate for Payer: Brighton Health Commercial |
$11,685.55
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$23,229.78
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$14,334.60
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$12,184.41
|
| Rate for Payer: Elderplan Medicare Advantage |
$21,635.58
|
| Rate for Payer: EmblemHealth Commercial |
$22,774.29
|
| Rate for Payer: Fidelis Medicare Advantage |
$22,774.29
|
| Rate for Payer: Group Health Inc Commercial |
$22,774.29
|
| Rate for Payer: Group Health Inc Medicare |
$22,774.29
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$22,774.29
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$22,774.29
|
| Rate for Payer: Healthfirst Medicare Advantage |
$21,180.09
|
| Rate for Payer: Humana Medicare |
$31,314.65
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$22,774.29
|
| Rate for Payer: United Healthcare Commercial |
$16,026.93
|
| Rate for Payer: United Healthcare Medicare Advantage |
$22,774.29
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$22,774.29
|
| Rate for Payer: Wellcare Medicare |
$21,635.58
|
|
|
MS-DRG 43.00: SIMPLE PNEUMONIA AND PLEURISY WITH MCC
|
Facility
|
IP
|
$41,477.93
|
|
|
Service Code
|
MSDRG 193
|
| Min. Negotiated Rate |
$19,058.80 |
| Max. Negotiated Rate |
$41,477.93 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$19,560.72
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$30,165.77
|
| Rate for Payer: Aetna Government |
$30,165.77
|
| Rate for Payer: Brighton Health Commercial |
$19,058.80
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$30,769.09
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$23,379.32
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$19,872.43
|
| Rate for Payer: Elderplan Medicare Advantage |
$28,657.48
|
| Rate for Payer: EmblemHealth Commercial |
$30,165.77
|
| Rate for Payer: Fidelis Medicare Advantage |
$30,165.77
|
| Rate for Payer: Group Health Inc Commercial |
$30,165.77
|
| Rate for Payer: Group Health Inc Medicare |
$30,165.77
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$30,165.77
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$30,165.77
|
| Rate for Payer: Healthfirst Medicare Advantage |
$28,054.17
|
| Rate for Payer: Humana Medicare |
$41,477.93
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$30,165.77
|
| Rate for Payer: United Healthcare Commercial |
$26,139.47
|
| Rate for Payer: United Healthcare Medicare Advantage |
$30,165.77
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$30,165.77
|
| Rate for Payer: Wellcare Medicare |
$28,657.48
|
|
|
MS-DRG 43.00: SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC
|
Facility
|
IP
|
$27,768.99
|
|
|
Service Code
|
MSDRG 195
|
| Min. Negotiated Rate |
$9,113.25 |
| Max. Negotiated Rate |
$27,768.99 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$9,224.47
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$20,195.63
|
| Rate for Payer: Aetna Government |
$20,195.63
|
| Rate for Payer: Brighton Health Commercial |
$9,113.25
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$20,599.54
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$11,179.17
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$9,502.30
|
| Rate for Payer: Elderplan Medicare Advantage |
$19,185.85
|
| Rate for Payer: EmblemHealth Commercial |
$20,195.63
|
| Rate for Payer: Fidelis Medicare Advantage |
$20,195.63
|
| Rate for Payer: Group Health Inc Commercial |
$20,195.63
|
| Rate for Payer: Group Health Inc Medicare |
$20,195.63
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$20,195.63
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$20,195.63
|
| Rate for Payer: Healthfirst Medicare Advantage |
$18,781.94
|
| Rate for Payer: Humana Medicare |
$27,768.99
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$20,195.63
|
| Rate for Payer: United Healthcare Commercial |
$12,498.98
|
| Rate for Payer: United Healthcare Medicare Advantage |
$20,195.63
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$20,195.63
|
| Rate for Payer: Wellcare Medicare |
$19,185.85
|
|
|
MS-DRG 43.00: SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT
|
Facility
|
IP
|
$111,458.68
|
|
|
Service Code
|
MSDRG 008
|
| Min. Negotiated Rate |
$77,583.77 |
| Max. Negotiated Rate |
$111,458.68 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$77,583.77
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$92,527.51
|
| Rate for Payer: Aetna Government |
$92,527.51
|
| Rate for Payer: Brighton Health Commercial |
$81,266.70
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$94,378.06
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$99,689.41
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$84,736.00
|
| Rate for Payer: Elderplan Medicare Advantage |
$87,901.13
|
| Rate for Payer: EmblemHealth Commercial |
$92,527.51
|
| Rate for Payer: Fidelis Medicare Advantage |
$92,527.51
|
| Rate for Payer: Group Health Inc Commercial |
$92,527.51
|
| Rate for Payer: Group Health Inc Medicare |
$92,527.51
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$92,527.51
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$92,527.51
|
| Rate for Payer: Healthfirst Medicare Advantage |
$86,050.58
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$92,527.51
|
| Rate for Payer: United Healthcare Commercial |
$111,458.68
|
| Rate for Payer: United Healthcare Medicare Advantage |
$92,527.51
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$92,527.51
|
| Rate for Payer: Wellcare Medicare |
$87,901.13
|
|
|
MS-DRG 43.00: SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS
|
Facility
|
IP
|
$157,805.12
|
|
|
Service Code
|
MSDRG 019
|
| Min. Negotiated Rate |
$96,094.40 |
| Max. Negotiated Rate |
$157,805.12 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$117,864.16
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$114,767.36
|
| Rate for Payer: Aetna Government |
$114,767.36
|
| Rate for Payer: Brighton Health Commercial |
$96,094.40
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$117,062.71
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$117,878.47
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$100,196.70
|
| Rate for Payer: Elderplan Medicare Advantage |
$109,028.99
|
| Rate for Payer: EmblemHealth Commercial |
$114,767.36
|
| Rate for Payer: Fidelis Medicare Advantage |
$114,767.36
|
| Rate for Payer: Group Health Inc Commercial |
$114,767.36
|
| Rate for Payer: Group Health Inc Medicare |
$114,767.36
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$114,767.36
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$114,767.36
|
| Rate for Payer: Healthfirst Medicare Advantage |
$106,733.64
|
| Rate for Payer: Humana Medicare |
$157,805.12
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$114,767.36
|
| Rate for Payer: United Healthcare Commercial |
$131,795.13
|
| Rate for Payer: United Healthcare Medicare Advantage |
$114,767.36
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$114,767.36
|
| Rate for Payer: Wellcare Medicare |
$109,028.99
|
|
|
MS-DRG 43.00: SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL
|
Facility
|
IP
|
$95,564.22
|
|
|
Service Code
|
MSDRG 402
|
| Min. Negotiated Rate |
$58,297.25 |
| Max. Negotiated Rate |
$95,564.22 |
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$69,501.25
|
| Rate for Payer: Aetna Government |
$69,501.25
|
| Rate for Payer: Brighton Health Commercial |
$58,297.25
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$70,891.27
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$71,512.91
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$60,785.98
|
| Rate for Payer: Elderplan Medicare Advantage |
$66,026.19
|
| Rate for Payer: EmblemHealth Commercial |
$69,501.25
|
| Rate for Payer: Fidelis Medicare Advantage |
$69,501.25
|
| Rate for Payer: Group Health Inc Commercial |
$69,501.25
|
| Rate for Payer: Group Health Inc Medicare |
$69,501.25
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$69,501.25
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$69,501.25
|
| Rate for Payer: Healthfirst Medicare Advantage |
$64,636.16
|
| Rate for Payer: Humana Medicare |
$95,564.22
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$69,501.25
|
| Rate for Payer: United Healthcare Commercial |
$79,955.68
|
| Rate for Payer: United Healthcare Medicare Advantage |
$69,501.25
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$69,501.25
|
| Rate for Payer: Wellcare Medicare |
$66,026.19
|
|
|
MS-DRG 43.00: SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE
|
Facility
|
IP
|
$121,728.94
|
|
|
Service Code
|
MSDRG 450
|
| Min. Negotiated Rate |
$77,279.20 |
| Max. Negotiated Rate |
$121,728.94 |
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$88,530.14
|
| Rate for Payer: Aetna Government |
$88,530.14
|
| Rate for Payer: Brighton Health Commercial |
$77,279.20
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$90,300.74
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$94,797.97
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$80,578.28
|
| Rate for Payer: Elderplan Medicare Advantage |
$84,103.63
|
| Rate for Payer: EmblemHealth Commercial |
$88,530.14
|
| Rate for Payer: Fidelis Medicare Advantage |
$88,530.14
|
| Rate for Payer: Group Health Inc Commercial |
$88,530.14
|
| Rate for Payer: Group Health Inc Medicare |
$88,530.14
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$88,530.14
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$88,530.14
|
| Rate for Payer: Healthfirst Medicare Advantage |
$82,333.03
|
| Rate for Payer: Humana Medicare |
$121,728.94
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$88,530.14
|
| Rate for Payer: United Healthcare Commercial |
$105,989.76
|
| Rate for Payer: United Healthcare Medicare Advantage |
$88,530.14
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$88,530.14
|
| Rate for Payer: Wellcare Medicare |
$84,103.63
|
|
|
MS-DRG 43.00: SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC
|
Facility
|
IP
|
$79,772.66
|
|
|
Service Code
|
MSDRG 451
|
| Min. Negotiated Rate |
$46,840.80 |
| Max. Negotiated Rate |
$79,772.66 |
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$58,016.48
|
| Rate for Payer: Aetna Government |
$58,016.48
|
| Rate for Payer: Brighton Health Commercial |
$46,840.80
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$59,176.81
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$57,459.35
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$48,840.45
|
| Rate for Payer: Elderplan Medicare Advantage |
$55,115.66
|
| Rate for Payer: EmblemHealth Commercial |
$58,016.48
|
| Rate for Payer: Fidelis Medicare Advantage |
$58,016.48
|
| Rate for Payer: Group Health Inc Commercial |
$58,016.48
|
| Rate for Payer: Group Health Inc Medicare |
$58,016.48
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$58,016.48
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$58,016.48
|
| Rate for Payer: Healthfirst Medicare Advantage |
$53,955.33
|
| Rate for Payer: Humana Medicare |
$79,772.66
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$58,016.48
|
| Rate for Payer: United Healthcare Commercial |
$64,242.96
|
| Rate for Payer: United Healthcare Medicare Advantage |
$58,016.48
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$58,016.48
|
| Rate for Payer: Wellcare Medicare |
$55,115.66
|
|
|
MS-DRG 43.00: SINUS AND MASTOID PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$58,578.63
|
|
|
Service Code
|
MSDRG 135
|
| Min. Negotiated Rate |
$30,670.40 |
| Max. Negotiated Rate |
$58,578.63 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$39,105.21
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$42,602.64
|
| Rate for Payer: Aetna Government |
$42,602.64
|
| Rate for Payer: Brighton Health Commercial |
$30,670.40
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$43,454.69
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$37,623.21
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$31,979.73
|
| Rate for Payer: Elderplan Medicare Advantage |
$40,472.51
|
| Rate for Payer: EmblemHealth Commercial |
$42,602.64
|
| Rate for Payer: Fidelis Medicare Advantage |
$42,602.64
|
| Rate for Payer: Group Health Inc Commercial |
$42,602.64
|
| Rate for Payer: Group Health Inc Medicare |
$42,602.64
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$42,602.64
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$42,602.64
|
| Rate for Payer: Healthfirst Medicare Advantage |
$39,620.46
|
| Rate for Payer: Humana Medicare |
$58,578.63
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$42,602.64
|
| Rate for Payer: United Healthcare Commercial |
$42,064.98
|
| Rate for Payer: United Healthcare Medicare Advantage |
$42,602.64
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$42,602.64
|
| Rate for Payer: Wellcare Medicare |
$40,472.51
|
|
|
MS-DRG 43.00: SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$35,499.87
|
|
|
Service Code
|
MSDRG 136
|
| Min. Negotiated Rate |
$13,847.03 |
| Max. Negotiated Rate |
$35,499.87 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$13,847.03
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$25,818.09
|
| Rate for Payer: Aetna Government |
$25,818.09
|
| Rate for Payer: Brighton Health Commercial |
$14,721.85
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$26,334.45
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$18,059.21
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$15,350.33
|
| Rate for Payer: Elderplan Medicare Advantage |
$24,527.19
|
| Rate for Payer: EmblemHealth Commercial |
$25,818.09
|
| Rate for Payer: Fidelis Medicare Advantage |
$25,818.09
|
| Rate for Payer: Group Health Inc Commercial |
$25,818.09
|
| Rate for Payer: Group Health Inc Medicare |
$25,818.09
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$25,818.09
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$25,818.09
|
| Rate for Payer: Healthfirst Medicare Advantage |
$24,010.82
|
| Rate for Payer: Humana Medicare |
$35,499.87
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$25,818.09
|
| Rate for Payer: United Healthcare Commercial |
$20,191.27
|
| Rate for Payer: United Healthcare Medicare Advantage |
$25,818.09
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$25,818.09
|
| Rate for Payer: Wellcare Medicare |
$24,527.19
|
|
|
MS-DRG 43.00: SKIN DEBRIDEMENT WITH CC
|
Facility
|
IP
|
$48,975.00
|
|
|
Service Code
|
MSDRG 571
|
| Min. Negotiated Rate |
$24,497.75 |
| Max. Negotiated Rate |
$48,975.00 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$24,947.07
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$35,618.18
|
| Rate for Payer: Aetna Government |
$35,618.18
|
| Rate for Payer: Brighton Health Commercial |
$24,497.75
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$36,330.54
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$30,051.25
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$25,543.57
|
| Rate for Payer: Elderplan Medicare Advantage |
$33,837.27
|
| Rate for Payer: EmblemHealth Commercial |
$35,618.18
|
| Rate for Payer: Fidelis Medicare Advantage |
$35,618.18
|
| Rate for Payer: Group Health Inc Commercial |
$35,618.18
|
| Rate for Payer: Group Health Inc Medicare |
$35,618.18
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$35,618.18
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$35,618.18
|
| Rate for Payer: Healthfirst Medicare Advantage |
$33,124.91
|
| Rate for Payer: Humana Medicare |
$48,975.00
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$35,618.18
|
| Rate for Payer: United Healthcare Commercial |
$33,599.09
|
| Rate for Payer: United Healthcare Medicare Advantage |
$35,618.18
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$35,618.18
|
| Rate for Payer: Wellcare Medicare |
$33,837.27
|
|
|
MS-DRG 43.00: SKIN DEBRIDEMENT WITH MCC
|
Facility
|
IP
|
$73,990.48
|
|
|
Service Code
|
MSDRG 570
|
| Min. Negotiated Rate |
$42,645.95 |
| Max. Negotiated Rate |
$73,990.48 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$43,087.84
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$53,811.26
|
| Rate for Payer: Aetna Government |
$53,811.26
|
| Rate for Payer: Brighton Health Commercial |
$42,645.95
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$54,887.49
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$52,313.55
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$44,466.52
|
| Rate for Payer: Elderplan Medicare Advantage |
$51,120.70
|
| Rate for Payer: EmblemHealth Commercial |
$53,811.26
|
| Rate for Payer: Fidelis Medicare Advantage |
$53,811.26
|
| Rate for Payer: Group Health Inc Commercial |
$53,811.26
|
| Rate for Payer: Group Health Inc Medicare |
$53,811.26
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$53,811.26
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$53,811.26
|
| Rate for Payer: Healthfirst Medicare Advantage |
$50,044.47
|
| Rate for Payer: Humana Medicare |
$73,990.48
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$53,811.26
|
| Rate for Payer: United Healthcare Commercial |
$58,489.66
|
| Rate for Payer: United Healthcare Medicare Advantage |
$53,811.26
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$53,811.26
|
| Rate for Payer: Wellcare Medicare |
$51,120.70
|
|
|
MS-DRG 43.00: SKIN DEBRIDEMENT WITHOUT CC/MCC
|
Facility
|
IP
|
$38,118.16
|
|
|
Service Code
|
MSDRG 572
|
| Min. Negotiated Rate |
$16,621.35 |
| Max. Negotiated Rate |
$38,118.16 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$16,803.40
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$27,722.30
|
| Rate for Payer: Aetna Government |
$27,722.30
|
| Rate for Payer: Brighton Health Commercial |
$16,621.35
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$28,276.75
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$20,389.32
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$17,330.92
|
| Rate for Payer: Elderplan Medicare Advantage |
$26,336.19
|
| Rate for Payer: EmblemHealth Commercial |
$27,722.30
|
| Rate for Payer: Fidelis Medicare Advantage |
$27,722.30
|
| Rate for Payer: Group Health Inc Commercial |
$27,722.30
|
| Rate for Payer: Group Health Inc Medicare |
$27,722.30
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$27,722.30
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$27,722.30
|
| Rate for Payer: Healthfirst Medicare Advantage |
$25,781.74
|
| Rate for Payer: Humana Medicare |
$38,118.16
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$27,722.30
|
| Rate for Payer: United Healthcare Commercial |
$22,796.47
|
| Rate for Payer: United Healthcare Medicare Advantage |
$27,722.30
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$27,722.30
|
| Rate for Payer: Wellcare Medicare |
$26,336.19
|
|
|
MS-DRG 43.00: SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC
|
Facility
|
IP
|
$68,186.29
|
|
|
Service Code
|
MSDRG 577
|
| Min. Negotiated Rate |
$38,435.15 |
| Max. Negotiated Rate |
$68,186.29 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$39,060.98
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$49,590.03
|
| Rate for Payer: Aetna Government |
$49,590.03
|
| Rate for Payer: Brighton Health Commercial |
$38,435.15
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$50,581.83
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$47,148.19
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$40,075.96
|
| Rate for Payer: Elderplan Medicare Advantage |
$47,110.53
|
| Rate for Payer: EmblemHealth Commercial |
$49,590.03
|
| Rate for Payer: Fidelis Medicare Advantage |
$49,590.03
|
| Rate for Payer: Group Health Inc Commercial |
$49,590.03
|
| Rate for Payer: Group Health Inc Medicare |
$49,590.03
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$49,590.03
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$49,590.03
|
| Rate for Payer: Healthfirst Medicare Advantage |
$46,118.73
|
| Rate for Payer: Humana Medicare |
$68,186.29
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$49,590.03
|
| Rate for Payer: United Healthcare Commercial |
$52,714.47
|
| Rate for Payer: United Healthcare Medicare Advantage |
$49,590.03
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$49,590.03
|
| Rate for Payer: Wellcare Medicare |
$47,110.53
|
|
|
MS-DRG 43.00: SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC
|
Facility
|
IP
|
$113,166.60
|
|
|
Service Code
|
MSDRG 576
|
| Min. Negotiated Rate |
$71,067.40 |
| Max. Negotiated Rate |
$113,166.60 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$83,797.31
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$82,302.98
|
| Rate for Payer: Aetna Government |
$82,302.98
|
| Rate for Payer: Brighton Health Commercial |
$71,067.40
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$83,949.04
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$87,177.99
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$74,101.29
|
| Rate for Payer: Elderplan Medicare Advantage |
$78,187.83
|
| Rate for Payer: EmblemHealth Commercial |
$82,302.98
|
| Rate for Payer: Fidelis Medicare Advantage |
$82,302.98
|
| Rate for Payer: Group Health Inc Commercial |
$82,302.98
|
| Rate for Payer: Group Health Inc Medicare |
$82,302.98
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$82,302.98
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$82,302.98
|
| Rate for Payer: Healthfirst Medicare Advantage |
$76,541.77
|
| Rate for Payer: Humana Medicare |
$113,166.60
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$82,302.98
|
| Rate for Payer: United Healthcare Commercial |
$97,470.16
|
| Rate for Payer: United Healthcare Medicare Advantage |
$82,302.98
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$82,302.98
|
| Rate for Payer: Wellcare Medicare |
$78,187.83
|
|
