|
MS-DRG 43.00: SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC
|
Facility
|
IP
|
$47,314.11
|
|
|
Service Code
|
MSDRG 578
|
| Min. Negotiated Rate |
$23,292.80 |
| Max. Negotiated Rate |
$47,314.11 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$23,746.82
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$34,410.26
|
| Rate for Payer: Aetna Government |
$34,410.26
|
| Rate for Payer: Brighton Health Commercial |
$23,292.80
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$35,098.47
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$28,573.15
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$24,287.18
|
| Rate for Payer: Elderplan Medicare Advantage |
$32,689.75
|
| Rate for Payer: EmblemHealth Commercial |
$34,410.26
|
| Rate for Payer: Fidelis Medicare Advantage |
$34,410.26
|
| Rate for Payer: Group Health Inc Commercial |
$34,410.26
|
| Rate for Payer: Group Health Inc Medicare |
$34,410.26
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$34,410.26
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$34,410.26
|
| Rate for Payer: Healthfirst Medicare Advantage |
$32,001.54
|
| Rate for Payer: Humana Medicare |
$47,314.11
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$34,410.26
|
| Rate for Payer: United Healthcare Commercial |
$31,946.48
|
| Rate for Payer: United Healthcare Medicare Advantage |
$34,410.26
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$34,410.26
|
| Rate for Payer: Wellcare Medicare |
$32,689.75
|
|
|
MS-DRG 43.00: SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC
|
Facility
|
IP
|
$84,589.48
|
|
|
Service Code
|
MSDRG 574
|
| Min. Negotiated Rate |
$50,218.52 |
| Max. Negotiated Rate |
$84,589.48 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$50,218.52
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$61,519.62
|
| Rate for Payer: Aetna Government |
$61,519.62
|
| Rate for Payer: Brighton Health Commercial |
$50,335.30
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$62,750.01
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$61,746.03
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$52,484.13
|
| Rate for Payer: Elderplan Medicare Advantage |
$58,443.64
|
| Rate for Payer: EmblemHealth Commercial |
$61,519.62
|
| Rate for Payer: Fidelis Medicare Advantage |
$61,519.62
|
| Rate for Payer: Group Health Inc Commercial |
$61,519.62
|
| Rate for Payer: Group Health Inc Medicare |
$61,519.62
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$61,519.62
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$61,519.62
|
| Rate for Payer: Healthfirst Medicare Advantage |
$57,213.25
|
| Rate for Payer: Humana Medicare |
$84,589.48
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$61,519.62
|
| Rate for Payer: United Healthcare Commercial |
$69,035.73
|
| Rate for Payer: United Healthcare Medicare Advantage |
$61,519.62
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$61,519.62
|
| Rate for Payer: Wellcare Medicare |
$58,443.64
|
|
|
MS-DRG 43.00: SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC
|
Facility
|
IP
|
$146,148.83
|
|
|
Service Code
|
MSDRG 573
|
| Min. Negotiated Rate |
$91,685.88 |
| Max. Negotiated Rate |
$146,148.83 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$91,685.88
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$106,290.06
|
| Rate for Payer: Aetna Government |
$106,290.06
|
| Rate for Payer: Brighton Health Commercial |
$94,995.30
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$108,415.86
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$116,530.21
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$99,050.68
|
| Rate for Payer: Elderplan Medicare Advantage |
$100,975.56
|
| Rate for Payer: EmblemHealth Commercial |
$106,290.06
|
| Rate for Payer: Fidelis Medicare Advantage |
$106,290.06
|
| Rate for Payer: Group Health Inc Commercial |
$106,290.06
|
| Rate for Payer: Group Health Inc Medicare |
$106,290.06
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$106,290.06
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$106,290.06
|
| Rate for Payer: Healthfirst Medicare Advantage |
$98,849.76
|
| Rate for Payer: Humana Medicare |
$146,148.83
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$106,290.06
|
| Rate for Payer: United Healthcare Commercial |
$130,287.69
|
| Rate for Payer: United Healthcare Medicare Advantage |
$106,290.06
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$106,290.06
|
| Rate for Payer: Wellcare Medicare |
$100,975.56
|
|
|
MS-DRG 43.00: SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC
|
Facility
|
IP
|
$51,123.57
|
|
|
Service Code
|
MSDRG 575
|
| Min. Negotiated Rate |
$23,687.20 |
| Max. Negotiated Rate |
$51,123.57 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$30,168.27
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$37,180.78
|
| Rate for Payer: Aetna Government |
$37,180.78
|
| Rate for Payer: Brighton Health Commercial |
$23,687.20
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$37,924.40
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$29,056.96
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$24,698.41
|
| Rate for Payer: Elderplan Medicare Advantage |
$35,321.74
|
| Rate for Payer: EmblemHealth Commercial |
$37,180.78
|
| Rate for Payer: Fidelis Medicare Advantage |
$37,180.78
|
| Rate for Payer: Group Health Inc Commercial |
$37,180.78
|
| Rate for Payer: Group Health Inc Medicare |
$37,180.78
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$37,180.78
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$37,180.78
|
| Rate for Payer: Healthfirst Medicare Advantage |
$34,578.13
|
| Rate for Payer: Humana Medicare |
$51,123.57
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$37,180.78
|
| Rate for Payer: United Healthcare Commercial |
$32,487.40
|
| Rate for Payer: United Healthcare Medicare Advantage |
$37,180.78
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$37,180.78
|
| Rate for Payer: Wellcare Medicare |
$35,321.74
|
|
|
MS-DRG 43.00: SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC
|
Facility
|
IP
|
$51,061.60
|
|
|
Service Code
|
MSDRG 623
|
| Min. Negotiated Rate |
$26,011.55 |
| Max. Negotiated Rate |
$51,061.60 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$27,446.34
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$37,135.71
|
| Rate for Payer: Aetna Government |
$37,135.71
|
| Rate for Payer: Brighton Health Commercial |
$26,011.55
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$37,878.42
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$31,908.22
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$27,121.99
|
| Rate for Payer: Elderplan Medicare Advantage |
$35,278.92
|
| Rate for Payer: EmblemHealth Commercial |
$37,135.71
|
| Rate for Payer: Fidelis Medicare Advantage |
$37,135.71
|
| Rate for Payer: Group Health Inc Commercial |
$37,135.71
|
| Rate for Payer: Group Health Inc Medicare |
$37,135.71
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$37,135.71
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$37,135.71
|
| Rate for Payer: Healthfirst Medicare Advantage |
$34,536.21
|
| Rate for Payer: Humana Medicare |
$51,061.60
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$37,135.71
|
| Rate for Payer: United Healthcare Commercial |
$35,675.29
|
| Rate for Payer: United Healthcare Medicare Advantage |
$37,135.71
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$37,135.71
|
| Rate for Payer: Wellcare Medicare |
$35,278.92
|
|
|
MS-DRG 43.00: SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC
|
Facility
|
IP
|
$86,344.31
|
|
|
Service Code
|
MSDRG 622
|
| Min. Negotiated Rate |
$51,608.40 |
| Max. Negotiated Rate |
$86,344.31 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$56,408.47
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$62,795.86
|
| Rate for Payer: Aetna Government |
$62,795.86
|
| Rate for Payer: Brighton Health Commercial |
$51,608.40
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$64,051.78
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$63,307.74
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$53,811.58
|
| Rate for Payer: Elderplan Medicare Advantage |
$59,656.07
|
| Rate for Payer: EmblemHealth Commercial |
$62,795.86
|
| Rate for Payer: Fidelis Medicare Advantage |
$62,795.86
|
| Rate for Payer: Group Health Inc Commercial |
$62,795.86
|
| Rate for Payer: Group Health Inc Medicare |
$62,795.86
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$62,795.86
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$62,795.86
|
| Rate for Payer: Healthfirst Medicare Advantage |
$58,400.15
|
| Rate for Payer: Humana Medicare |
$86,344.31
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$62,795.86
|
| Rate for Payer: United Healthcare Commercial |
$70,781.81
|
| Rate for Payer: United Healthcare Medicare Advantage |
$62,795.86
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$62,795.86
|
| Rate for Payer: Wellcare Medicare |
$59,656.07
|
|
|
MS-DRG 43.00: SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC
|
Facility
|
IP
|
$40,228.76
|
|
|
Service Code
|
MSDRG 624
|
| Min. Negotiated Rate |
$16,433.30 |
| Max. Negotiated Rate |
$40,228.76 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$16,433.30
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$29,257.28
|
| Rate for Payer: Aetna Government |
$29,257.28
|
| Rate for Payer: Brighton Health Commercial |
$18,152.55
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$29,842.43
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$22,267.63
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$18,927.49
|
| Rate for Payer: Elderplan Medicare Advantage |
$27,794.42
|
| Rate for Payer: EmblemHealth Commercial |
$29,257.28
|
| Rate for Payer: Fidelis Medicare Advantage |
$29,257.28
|
| Rate for Payer: Group Health Inc Commercial |
$29,257.28
|
| Rate for Payer: Group Health Inc Medicare |
$29,257.28
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$29,257.28
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$29,257.28
|
| Rate for Payer: Healthfirst Medicare Advantage |
$27,209.27
|
| Rate for Payer: Humana Medicare |
$40,228.76
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$29,257.28
|
| Rate for Payer: United Healthcare Commercial |
$24,896.54
|
| Rate for Payer: United Healthcare Medicare Advantage |
$29,257.28
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$29,257.28
|
| Rate for Payer: Wellcare Medicare |
$27,794.42
|
|
|
MS-DRG 43.00: SKIN GRAFTS FOR INJURIES WITH CC/MCC
|
Facility
|
IP
|
$88,620.80
|
|
|
Service Code
|
MSDRG 904
|
| Min. Negotiated Rate |
$48,012.67 |
| Max. Negotiated Rate |
$88,620.80 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$48,012.67
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$64,451.49
|
| Rate for Payer: Aetna Government |
$64,451.49
|
| Rate for Payer: Brighton Health Commercial |
$53,259.95
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$65,740.52
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$65,333.69
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$55,533.64
|
| Rate for Payer: Elderplan Medicare Advantage |
$61,228.92
|
| Rate for Payer: EmblemHealth Commercial |
$64,451.49
|
| Rate for Payer: Fidelis Medicare Advantage |
$64,451.49
|
| Rate for Payer: Group Health Inc Commercial |
$64,451.49
|
| Rate for Payer: Group Health Inc Medicare |
$64,451.49
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$64,451.49
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$64,451.49
|
| Rate for Payer: Healthfirst Medicare Advantage |
$59,939.89
|
| Rate for Payer: Humana Medicare |
$88,620.80
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$64,451.49
|
| Rate for Payer: United Healthcare Commercial |
$73,046.94
|
| Rate for Payer: United Healthcare Medicare Advantage |
$64,451.49
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$64,451.49
|
| Rate for Payer: Wellcare Medicare |
$61,228.92
|
|
|
MS-DRG 43.00: SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC
|
Facility
|
IP
|
$44,855.72
|
|
|
Service Code
|
MSDRG 905
|
| Min. Negotiated Rate |
$20,761.10 |
| Max. Negotiated Rate |
$44,855.72 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$23,351.66
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$32,622.34
|
| Rate for Payer: Aetna Government |
$32,622.34
|
| Rate for Payer: Brighton Health Commercial |
$20,761.10
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$33,274.79
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$25,467.53
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$21,647.40
|
| Rate for Payer: Elderplan Medicare Advantage |
$30,991.22
|
| Rate for Payer: EmblemHealth Commercial |
$32,622.34
|
| Rate for Payer: Fidelis Medicare Advantage |
$32,622.34
|
| Rate for Payer: Group Health Inc Commercial |
$32,622.34
|
| Rate for Payer: Group Health Inc Medicare |
$32,622.34
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$32,622.34
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$32,622.34
|
| Rate for Payer: Healthfirst Medicare Advantage |
$30,338.78
|
| Rate for Payer: Humana Medicare |
$44,855.72
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$32,622.34
|
| Rate for Payer: United Healthcare Commercial |
$28,474.21
|
| Rate for Payer: United Healthcare Medicare Advantage |
$32,622.34
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$32,622.34
|
| Rate for Payer: Wellcare Medicare |
$30,991.22
|
|
|
MS-DRG 43.00: SKIN ULCERS WITH CC
|
Facility
|
IP
|
$38,917.61
|
|
|
Service Code
|
MSDRG 593
|
| Min. Negotiated Rate |
$17,201.35 |
| Max. Negotiated Rate |
$38,917.61 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$17,839.98
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$28,303.72
|
| Rate for Payer: Aetna Government |
$28,303.72
|
| Rate for Payer: Brighton Health Commercial |
$17,201.35
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$28,869.79
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$21,100.80
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$17,935.68
|
| Rate for Payer: Elderplan Medicare Advantage |
$26,888.53
|
| Rate for Payer: EmblemHealth Commercial |
$28,303.72
|
| Rate for Payer: Fidelis Medicare Advantage |
$28,303.72
|
| Rate for Payer: Group Health Inc Commercial |
$28,303.72
|
| Rate for Payer: Group Health Inc Medicare |
$28,303.72
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$28,303.72
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$28,303.72
|
| Rate for Payer: Healthfirst Medicare Advantage |
$26,322.46
|
| Rate for Payer: Humana Medicare |
$38,917.61
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$28,303.72
|
| Rate for Payer: United Healthcare Commercial |
$23,591.95
|
| Rate for Payer: United Healthcare Medicare Advantage |
$28,303.72
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$28,303.72
|
| Rate for Payer: Wellcare Medicare |
$26,888.53
|
|
|
MS-DRG 43.00: SKIN ULCERS WITH MCC
|
Facility
|
IP
|
$53,887.74
|
|
|
Service Code
|
MSDRG 592
|
| Min. Negotiated Rate |
$28,061.85 |
| Max. Negotiated Rate |
$53,887.74 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$30,818.52
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$39,191.08
|
| Rate for Payer: Aetna Government |
$39,191.08
|
| Rate for Payer: Brighton Health Commercial |
$28,061.85
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$39,974.90
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$34,423.32
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$29,259.82
|
| Rate for Payer: Elderplan Medicare Advantage |
$37,231.53
|
| Rate for Payer: EmblemHealth Commercial |
$39,191.08
|
| Rate for Payer: Fidelis Medicare Advantage |
$39,191.08
|
| Rate for Payer: Group Health Inc Commercial |
$39,191.08
|
| Rate for Payer: Group Health Inc Medicare |
$39,191.08
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$39,191.08
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$39,191.08
|
| Rate for Payer: Healthfirst Medicare Advantage |
$36,447.70
|
| Rate for Payer: Humana Medicare |
$53,887.74
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$39,191.08
|
| Rate for Payer: United Healthcare Commercial |
$38,487.31
|
| Rate for Payer: United Healthcare Medicare Advantage |
$39,191.08
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$39,191.08
|
| Rate for Payer: Wellcare Medicare |
$37,231.53
|
|
|
MS-DRG 43.00: SKIN ULCERS WITHOUT CC/MCC
|
Facility
|
IP
|
$32,531.83
|
|
|
Service Code
|
MSDRG 594
|
| Min. Negotiated Rate |
$11,610.21 |
| Max. Negotiated Rate |
$32,531.83 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$11,610.21
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$23,659.51
|
| Rate for Payer: Aetna Government |
$23,659.51
|
| Rate for Payer: Brighton Health Commercial |
$12,568.60
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$24,132.70
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$15,417.83
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$13,105.16
|
| Rate for Payer: Elderplan Medicare Advantage |
$22,476.53
|
| Rate for Payer: EmblemHealth Commercial |
$23,659.51
|
| Rate for Payer: Fidelis Medicare Advantage |
$23,659.51
|
| Rate for Payer: Group Health Inc Commercial |
$23,659.51
|
| Rate for Payer: Group Health Inc Medicare |
$23,659.51
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$23,659.51
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$23,659.51
|
| Rate for Payer: Healthfirst Medicare Advantage |
$22,003.34
|
| Rate for Payer: Humana Medicare |
$32,531.83
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$23,659.51
|
| Rate for Payer: United Healthcare Commercial |
$17,238.05
|
| Rate for Payer: United Healthcare Medicare Advantage |
$23,659.51
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$23,659.51
|
| Rate for Payer: Wellcare Medicare |
$22,476.53
|
|
|
MS-DRG 43.00: SOFT TISSUE PROCEDURES WITH CC
|
Facility
|
IP
|
$50,146.18
|
|
|
Service Code
|
MSDRG 501
|
| Min. Negotiated Rate |
$25,347.45 |
| Max. Negotiated Rate |
$50,146.18 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$25,592.90
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$36,469.95
|
| Rate for Payer: Aetna Government |
$36,469.95
|
| Rate for Payer: Brighton Health Commercial |
$25,347.45
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$37,199.35
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$31,093.58
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$26,429.54
|
| Rate for Payer: Elderplan Medicare Advantage |
$34,646.45
|
| Rate for Payer: EmblemHealth Commercial |
$36,469.95
|
| Rate for Payer: Fidelis Medicare Advantage |
$36,469.95
|
| Rate for Payer: Group Health Inc Commercial |
$36,469.95
|
| Rate for Payer: Group Health Inc Medicare |
$36,469.95
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$36,469.95
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$36,469.95
|
| Rate for Payer: Healthfirst Medicare Advantage |
$33,917.05
|
| Rate for Payer: Humana Medicare |
$50,146.18
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$36,469.95
|
| Rate for Payer: United Healthcare Commercial |
$34,764.46
|
| Rate for Payer: United Healthcare Medicare Advantage |
$36,469.95
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$36,469.95
|
| Rate for Payer: Wellcare Medicare |
$34,646.45
|
|
|
MS-DRG 43.00: SOFT TISSUE PROCEDURES WITH MCC
|
Facility
|
IP
|
$78,461.51
|
|
|
Service Code
|
MSDRG 500
|
| Min. Negotiated Rate |
$45,889.60 |
| Max. Negotiated Rate |
$78,461.51 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$47,815.09
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$57,062.92
|
| Rate for Payer: Aetna Government |
$57,062.92
|
| Rate for Payer: Brighton Health Commercial |
$45,889.60
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$58,204.18
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$56,292.52
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$47,848.64
|
| Rate for Payer: Elderplan Medicare Advantage |
$54,209.77
|
| Rate for Payer: EmblemHealth Commercial |
$57,062.92
|
| Rate for Payer: Fidelis Medicare Advantage |
$57,062.92
|
| Rate for Payer: Group Health Inc Commercial |
$57,062.92
|
| Rate for Payer: Group Health Inc Medicare |
$57,062.92
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$57,062.92
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$57,062.92
|
| Rate for Payer: Healthfirst Medicare Advantage |
$53,068.52
|
| Rate for Payer: Humana Medicare |
$78,461.51
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$57,062.92
|
| Rate for Payer: United Healthcare Commercial |
$62,938.38
|
| Rate for Payer: United Healthcare Medicare Advantage |
$57,062.92
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$57,062.92
|
| Rate for Payer: Wellcare Medicare |
$54,209.77
|
|
|
MS-DRG 43.00: SOFT TISSUE PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$42,107.53
|
|
|
Service Code
|
MSDRG 502
|
| Min. Negotiated Rate |
$19,515.55 |
| Max. Negotiated Rate |
$42,107.53 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$20,387.91
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$30,623.66
|
| Rate for Payer: Aetna Government |
$30,623.66
|
| Rate for Payer: Brighton Health Commercial |
$19,515.55
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$31,236.13
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$23,939.62
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$20,348.68
|
| Rate for Payer: Elderplan Medicare Advantage |
$29,092.48
|
| Rate for Payer: EmblemHealth Commercial |
$30,623.66
|
| Rate for Payer: Fidelis Medicare Advantage |
$30,623.66
|
| Rate for Payer: Group Health Inc Commercial |
$30,623.66
|
| Rate for Payer: Group Health Inc Medicare |
$30,623.66
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$30,623.66
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$30,623.66
|
| Rate for Payer: Healthfirst Medicare Advantage |
$28,480.00
|
| Rate for Payer: Humana Medicare |
$42,107.53
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$30,623.66
|
| Rate for Payer: United Healthcare Commercial |
$26,765.91
|
| Rate for Payer: United Healthcare Medicare Advantage |
$30,623.66
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$30,623.66
|
| Rate for Payer: Wellcare Medicare |
$29,092.48
|
|
|
MS-DRG 43.00: SPINAL DISORDERS AND INJURIES WITH CC/MCC
|
Facility
|
IP
|
$51,409.37
|
|
|
Service Code
|
MSDRG 052
|
| Min. Negotiated Rate |
$25,821.60 |
| Max. Negotiated Rate |
$51,409.37 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$28,671.65
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$37,388.63
|
| Rate for Payer: Aetna Government |
$37,388.63
|
| Rate for Payer: Brighton Health Commercial |
$25,821.60
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$38,136.40
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$31,675.21
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$26,923.93
|
| Rate for Payer: Elderplan Medicare Advantage |
$35,519.20
|
| Rate for Payer: EmblemHealth Commercial |
$37,388.63
|
| Rate for Payer: Fidelis Medicare Advantage |
$37,388.63
|
| Rate for Payer: Group Health Inc Commercial |
$37,388.63
|
| Rate for Payer: Group Health Inc Medicare |
$37,388.63
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$37,388.63
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$37,388.63
|
| Rate for Payer: Healthfirst Medicare Advantage |
$34,771.43
|
| Rate for Payer: Humana Medicare |
$51,409.37
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$37,388.63
|
| Rate for Payer: United Healthcare Commercial |
$35,414.77
|
| Rate for Payer: United Healthcare Medicare Advantage |
$37,388.63
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$37,388.63
|
| Rate for Payer: Wellcare Medicare |
$35,519.20
|
|
|
MS-DRG 43.00: SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC
|
Facility
|
IP
|
$34,778.36
|
|
|
Service Code
|
MSDRG 053
|
| Min. Negotiated Rate |
$14,198.40 |
| Max. Negotiated Rate |
$34,778.36 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$14,506.13
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$25,293.35
|
| Rate for Payer: Aetna Government |
$25,293.35
|
| Rate for Payer: Brighton Health Commercial |
$14,198.40
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$25,799.22
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$17,417.10
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$14,804.53
|
| Rate for Payer: Elderplan Medicare Advantage |
$24,028.68
|
| Rate for Payer: EmblemHealth Commercial |
$25,293.35
|
| Rate for Payer: Fidelis Medicare Advantage |
$25,293.35
|
| Rate for Payer: Group Health Inc Commercial |
$25,293.35
|
| Rate for Payer: Group Health Inc Medicare |
$25,293.35
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$25,293.35
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$25,293.35
|
| Rate for Payer: Healthfirst Medicare Advantage |
$23,522.82
|
| Rate for Payer: Humana Medicare |
$34,778.36
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$25,293.35
|
| Rate for Payer: United Healthcare Commercial |
$19,473.35
|
| Rate for Payer: United Healthcare Medicare Advantage |
$25,293.35
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$25,293.35
|
| Rate for Payer: Wellcare Medicare |
$24,028.68
|
|
|
MS-DRG 43.00: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC
|
Facility
|
IP
|
$134,390.60
|
|
|
Service Code
|
MSDRG 457
|
| Min. Negotiated Rate |
$86,464.95 |
| Max. Negotiated Rate |
$134,390.60 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$89,580.30
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$97,738.62
|
| Rate for Payer: Aetna Government |
$97,738.62
|
| Rate for Payer: Brighton Health Commercial |
$86,464.95
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$99,693.39
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$106,066.08
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$90,156.17
|
| Rate for Payer: Elderplan Medicare Advantage |
$92,851.69
|
| Rate for Payer: EmblemHealth Commercial |
$97,738.62
|
| Rate for Payer: Fidelis Medicare Advantage |
$97,738.62
|
| Rate for Payer: Group Health Inc Commercial |
$97,738.62
|
| Rate for Payer: Group Health Inc Medicare |
$97,738.62
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$97,738.62
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$97,738.62
|
| Rate for Payer: Healthfirst Medicare Advantage |
$90,896.92
|
| Rate for Payer: Humana Medicare |
$134,390.60
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$97,738.62
|
| Rate for Payer: United Healthcare Commercial |
$118,588.17
|
| Rate for Payer: United Healthcare Medicare Advantage |
$97,738.62
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$97,738.62
|
| Rate for Payer: Wellcare Medicare |
$92,851.69
|
|
|
MS-DRG 43.00: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC
|
Facility
|
IP
|
$183,164.38
|
|
|
Service Code
|
MSDRG 456
|
| Min. Negotiated Rate |
$121,849.30 |
| Max. Negotiated Rate |
$183,164.38 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$124,291.50
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$133,210.46
|
| Rate for Payer: Aetna Government |
$133,210.46
|
| Rate for Payer: Brighton Health Commercial |
$121,849.30
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$135,874.67
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$149,471.86
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$127,051.09
|
| Rate for Payer: Elderplan Medicare Advantage |
$126,549.94
|
| Rate for Payer: EmblemHealth Commercial |
$133,210.46
|
| Rate for Payer: Fidelis Medicare Advantage |
$133,210.46
|
| Rate for Payer: Group Health Inc Commercial |
$133,210.46
|
| Rate for Payer: Group Health Inc Medicare |
$133,210.46
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$133,210.46
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$133,210.46
|
| Rate for Payer: Healthfirst Medicare Advantage |
$123,885.73
|
| Rate for Payer: Humana Medicare |
$183,164.38
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$133,210.46
|
| Rate for Payer: United Healthcare Commercial |
$167,118.42
|
| Rate for Payer: United Healthcare Medicare Advantage |
$133,210.46
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$133,210.46
|
| Rate for Payer: Wellcare Medicare |
$126,549.94
|
|
|
MS-DRG 43.00: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC
|
Facility
|
IP
|
$98,604.21
|
|
|
Service Code
|
MSDRG 458
|
| Min. Negotiated Rate |
$60,502.70 |
| Max. Negotiated Rate |
$98,604.21 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$66,809.60
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$71,712.15
|
| Rate for Payer: Aetna Government |
$71,712.15
|
| Rate for Payer: Brighton Health Commercial |
$60,502.70
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$73,146.39
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$74,218.33
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$63,085.58
|
| Rate for Payer: Elderplan Medicare Advantage |
$68,126.54
|
| Rate for Payer: EmblemHealth Commercial |
$71,712.15
|
| Rate for Payer: Fidelis Medicare Advantage |
$71,712.15
|
| Rate for Payer: Group Health Inc Commercial |
$71,712.15
|
| Rate for Payer: Group Health Inc Medicare |
$71,712.15
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$71,712.15
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$71,712.15
|
| Rate for Payer: Healthfirst Medicare Advantage |
$66,692.30
|
| Rate for Payer: Humana Medicare |
$98,604.21
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$71,712.15
|
| Rate for Payer: United Healthcare Commercial |
$82,980.50
|
| Rate for Payer: United Healthcare Medicare Advantage |
$71,712.15
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$71,712.15
|
| Rate for Payer: Wellcare Medicare |
$68,126.54
|
|
|
MS-DRG 43.00: SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS
|
Facility
|
IP
|
$83,394.26
|
|
|
Service Code
|
MSDRG 029
|
| Min. Negotiated Rate |
$49,468.20 |
| Max. Negotiated Rate |
$83,394.26 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$50,548.81
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$60,650.37
|
| Rate for Payer: Aetna Government |
$60,650.37
|
| Rate for Payer: Brighton Health Commercial |
$49,468.20
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$61,863.38
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$60,682.37
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$51,580.01
|
| Rate for Payer: Elderplan Medicare Advantage |
$57,617.85
|
| Rate for Payer: EmblemHealth Commercial |
$60,650.37
|
| Rate for Payer: Fidelis Medicare Advantage |
$60,650.37
|
| Rate for Payer: Group Health Inc Commercial |
$60,650.37
|
| Rate for Payer: Group Health Inc Medicare |
$60,650.37
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$60,650.37
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$60,650.37
|
| Rate for Payer: Healthfirst Medicare Advantage |
$56,404.84
|
| Rate for Payer: Humana Medicare |
$83,394.26
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$60,650.37
|
| Rate for Payer: United Healthcare Commercial |
$67,846.49
|
| Rate for Payer: United Healthcare Medicare Advantage |
$60,650.37
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$60,650.37
|
| Rate for Payer: Wellcare Medicare |
$57,617.85
|
|
|
MS-DRG 43.00: SPINAL PROCEDURES WITH MCC
|
Facility
|
IP
|
$135,294.02
|
|
|
Service Code
|
MSDRG 028
|
| Min. Negotiated Rate |
$87,120.35 |
| Max. Negotiated Rate |
$135,294.02 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$88,854.84
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$98,395.65
|
| Rate for Payer: Aetna Government |
$98,395.65
|
| Rate for Payer: Brighton Health Commercial |
$87,120.35
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$100,363.56
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$106,870.05
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$90,839.55
|
| Rate for Payer: Elderplan Medicare Advantage |
$93,475.87
|
| Rate for Payer: EmblemHealth Commercial |
$98,395.65
|
| Rate for Payer: Fidelis Medicare Advantage |
$98,395.65
|
| Rate for Payer: Group Health Inc Commercial |
$98,395.65
|
| Rate for Payer: Group Health Inc Medicare |
$98,395.65
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$98,395.65
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$98,395.65
|
| Rate for Payer: Healthfirst Medicare Advantage |
$91,507.95
|
| Rate for Payer: Humana Medicare |
$135,294.02
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$98,395.65
|
| Rate for Payer: United Healthcare Commercial |
$119,487.06
|
| Rate for Payer: United Healthcare Medicare Advantage |
$98,395.65
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$98,395.65
|
| Rate for Payer: Wellcare Medicare |
$93,475.87
|
|
|
MS-DRG 43.00: SPINAL PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$59,082.32
|
|
|
Service Code
|
MSDRG 030
|
| Min. Negotiated Rate |
$31,830.40 |
| Max. Negotiated Rate |
$59,082.32 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$34,193.66
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$42,968.96
|
| Rate for Payer: Aetna Government |
$42,968.96
|
| Rate for Payer: Brighton Health Commercial |
$31,830.40
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$43,828.34
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$39,046.18
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$33,189.25
|
| Rate for Payer: Elderplan Medicare Advantage |
$40,820.51
|
| Rate for Payer: EmblemHealth Commercial |
$42,968.96
|
| Rate for Payer: Fidelis Medicare Advantage |
$42,968.96
|
| Rate for Payer: Group Health Inc Commercial |
$42,968.96
|
| Rate for Payer: Group Health Inc Medicare |
$42,968.96
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$42,968.96
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$42,968.96
|
| Rate for Payer: Healthfirst Medicare Advantage |
$39,961.13
|
| Rate for Payer: Humana Medicare |
$59,082.32
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$42,968.96
|
| Rate for Payer: United Healthcare Commercial |
$43,655.94
|
| Rate for Payer: United Healthcare Medicare Advantage |
$42,968.96
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$42,968.96
|
| Rate for Payer: Wellcare Medicare |
$40,820.51
|
|
|
MS-DRG 43.00: SPLENIC PROCEDURES WITH CC
|
Facility
|
IP
|
$71,358.22
|
|
|
Service Code
|
MSDRG 800
|
| Min. Negotiated Rate |
$40,736.30 |
| Max. Negotiated Rate |
$71,358.22 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$41,546.99
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$51,896.89
|
| Rate for Payer: Aetna Government |
$51,896.89
|
| Rate for Payer: Brighton Health Commercial |
$40,736.30
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$52,934.83
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$49,970.99
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$42,475.35
|
| Rate for Payer: Elderplan Medicare Advantage |
$49,302.05
|
| Rate for Payer: EmblemHealth Commercial |
$51,896.89
|
| Rate for Payer: Fidelis Medicare Advantage |
$51,896.89
|
| Rate for Payer: Group Health Inc Commercial |
$51,896.89
|
| Rate for Payer: Group Health Inc Medicare |
$51,896.89
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$51,896.89
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$51,896.89
|
| Rate for Payer: Healthfirst Medicare Advantage |
$48,264.11
|
| Rate for Payer: Humana Medicare |
$71,358.22
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$51,896.89
|
| Rate for Payer: United Healthcare Commercial |
$55,870.54
|
| Rate for Payer: United Healthcare Medicare Advantage |
$51,896.89
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$51,896.89
|
| Rate for Payer: Wellcare Medicare |
$49,302.05
|
|
|
MS-DRG 43.00: SPLENIC PROCEDURES WITH MCC
|
Facility
|
IP
|
$105,725.51
|
|
|
Service Code
|
MSDRG 799
|
| Min. Negotiated Rate |
$65,669.05 |
| Max. Negotiated Rate |
$105,725.51 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$73,055.58
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$76,891.28
|
| Rate for Payer: Aetna Government |
$76,891.28
|
| Rate for Payer: Brighton Health Commercial |
$65,669.05
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$78,429.11
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$80,555.86
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$68,472.48
|
| Rate for Payer: Elderplan Medicare Advantage |
$73,046.72
|
| Rate for Payer: EmblemHealth Commercial |
$76,891.28
|
| Rate for Payer: Fidelis Medicare Advantage |
$76,891.28
|
| Rate for Payer: Group Health Inc Commercial |
$76,891.28
|
| Rate for Payer: Group Health Inc Medicare |
$76,891.28
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$76,891.28
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$76,891.28
|
| Rate for Payer: Healthfirst Medicare Advantage |
$71,508.89
|
| Rate for Payer: Humana Medicare |
$105,725.51
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$76,891.28
|
| Rate for Payer: United Healthcare Commercial |
$90,066.23
|
| Rate for Payer: United Healthcare Medicare Advantage |
$76,891.28
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$76,891.28
|
| Rate for Payer: Wellcare Medicare |
$73,046.72
|
|
