|
MS-DRG 43.00: SPLENIC PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$53,360.11
|
|
|
Service Code
|
MSDRG 801
|
| Min. Negotiated Rate |
$26,389.13 |
| Max. Negotiated Rate |
$53,360.11 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$26,389.13
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$38,807.35
|
| Rate for Payer: Aetna Government |
$38,807.35
|
| Rate for Payer: Brighton Health Commercial |
$27,679.05
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$39,583.50
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$33,953.74
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$28,860.68
|
| Rate for Payer: Elderplan Medicare Advantage |
$36,866.98
|
| Rate for Payer: EmblemHealth Commercial |
$38,807.35
|
| Rate for Payer: Fidelis Medicare Advantage |
$38,807.35
|
| Rate for Payer: Group Health Inc Commercial |
$38,807.35
|
| Rate for Payer: Group Health Inc Medicare |
$38,807.35
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$38,807.35
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$38,807.35
|
| Rate for Payer: Healthfirst Medicare Advantage |
$36,090.84
|
| Rate for Payer: Humana Medicare |
$53,360.11
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$38,807.35
|
| Rate for Payer: United Healthcare Commercial |
$37,962.29
|
| Rate for Payer: United Healthcare Medicare Advantage |
$38,807.35
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$38,807.35
|
| Rate for Payer: Wellcare Medicare |
$36,866.98
|
|
|
MS-DRG 43.00: SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC
|
Facility
|
IP
|
$34,280.69
|
|
|
Service Code
|
MSDRG 537
|
| Min. Negotiated Rate |
$13,837.35 |
| Max. Negotiated Rate |
$34,280.69 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$14,258.42
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$24,931.41
|
| Rate for Payer: Aetna Government |
$24,931.41
|
| Rate for Payer: Brighton Health Commercial |
$13,837.35
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$25,430.04
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$16,974.20
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$14,428.07
|
| Rate for Payer: Elderplan Medicare Advantage |
$23,684.84
|
| Rate for Payer: EmblemHealth Commercial |
$24,931.41
|
| Rate for Payer: Fidelis Medicare Advantage |
$24,931.41
|
| Rate for Payer: Group Health Inc Commercial |
$24,931.41
|
| Rate for Payer: Group Health Inc Medicare |
$24,931.41
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$24,931.41
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$24,931.41
|
| Rate for Payer: Healthfirst Medicare Advantage |
$23,186.21
|
| Rate for Payer: Humana Medicare |
$34,280.69
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$24,931.41
|
| Rate for Payer: United Healthcare Commercial |
$18,978.16
|
| Rate for Payer: United Healthcare Medicare Advantage |
$24,931.41
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$24,931.41
|
| Rate for Payer: Wellcare Medicare |
$23,684.84
|
|
|
MS-DRG 43.00: SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC
|
Facility
|
IP
|
$29,603.78
|
|
|
Service Code
|
MSDRG 538
|
| Min. Negotiated Rate |
$10,444.35 |
| Max. Negotiated Rate |
$29,603.78 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$10,455.68
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$21,530.02
|
| Rate for Payer: Aetna Government |
$21,530.02
|
| Rate for Payer: Brighton Health Commercial |
$10,444.35
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$21,960.62
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$12,812.03
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$10,890.22
|
| Rate for Payer: Elderplan Medicare Advantage |
$20,453.52
|
| Rate for Payer: EmblemHealth Commercial |
$21,530.02
|
| Rate for Payer: Fidelis Medicare Advantage |
$21,530.02
|
| Rate for Payer: Group Health Inc Commercial |
$21,530.02
|
| Rate for Payer: Group Health Inc Medicare |
$21,530.02
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$21,530.02
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$21,530.02
|
| Rate for Payer: Healthfirst Medicare Advantage |
$20,022.92
|
| Rate for Payer: Humana Medicare |
$29,603.78
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$21,530.02
|
| Rate for Payer: United Healthcare Commercial |
$14,324.61
|
| Rate for Payer: United Healthcare Medicare Advantage |
$21,530.02
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$21,530.02
|
| Rate for Payer: Wellcare Medicare |
$20,453.52
|
|
|
MS-DRG 43.00: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC
|
Facility
|
IP
|
$64,059.01
|
|
|
Service Code
|
MSDRG 327
|
| Min. Negotiated Rate |
$35,440.90 |
| Max. Negotiated Rate |
$64,059.01 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$36,824.16
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$46,588.37
|
| Rate for Payer: Aetna Government |
$46,588.37
|
| Rate for Payer: Brighton Health Commercial |
$35,440.90
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$47,520.14
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$43,475.16
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$36,953.88
|
| Rate for Payer: Elderplan Medicare Advantage |
$44,258.95
|
| Rate for Payer: EmblemHealth Commercial |
$46,588.37
|
| Rate for Payer: Fidelis Medicare Advantage |
$46,588.37
|
| Rate for Payer: Group Health Inc Commercial |
$46,588.37
|
| Rate for Payer: Group Health Inc Medicare |
$46,588.37
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$46,588.37
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$46,588.37
|
| Rate for Payer: Healthfirst Medicare Advantage |
$43,327.18
|
| Rate for Payer: Humana Medicare |
$64,059.01
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$46,588.37
|
| Rate for Payer: United Healthcare Commercial |
$48,607.81
|
| Rate for Payer: United Healthcare Medicare Advantage |
$46,588.37
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$46,588.37
|
| Rate for Payer: Wellcare Medicare |
$44,258.95
|
|
|
MS-DRG 43.00: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC
|
Facility
|
IP
|
$114,889.47
|
|
|
Service Code
|
MSDRG 326
|
| Min. Negotiated Rate |
$72,317.30 |
| Max. Negotiated Rate |
$114,889.47 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$74,889.86
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$83,555.98
|
| Rate for Payer: Aetna Government |
$83,555.98
|
| Rate for Payer: Brighton Health Commercial |
$72,317.30
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$85,227.10
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$88,711.23
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$75,404.55
|
| Rate for Payer: Elderplan Medicare Advantage |
$79,378.18
|
| Rate for Payer: EmblemHealth Commercial |
$83,555.98
|
| Rate for Payer: Fidelis Medicare Advantage |
$83,555.98
|
| Rate for Payer: Group Health Inc Commercial |
$83,555.98
|
| Rate for Payer: Group Health Inc Medicare |
$83,555.98
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$83,555.98
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$83,555.98
|
| Rate for Payer: Healthfirst Medicare Advantage |
$77,707.06
|
| Rate for Payer: Humana Medicare |
$114,889.47
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$83,555.98
|
| Rate for Payer: United Healthcare Commercial |
$99,184.42
|
| Rate for Payer: United Healthcare Medicare Advantage |
$83,555.98
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$83,555.98
|
| Rate for Payer: Wellcare Medicare |
$79,378.18
|
|
|
MS-DRG 43.00: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$47,232.14
|
|
|
Service Code
|
MSDRG 328
|
| Min. Negotiated Rate |
$23,233.35 |
| Max. Negotiated Rate |
$47,232.14 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$23,552.19
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$34,350.65
|
| Rate for Payer: Aetna Government |
$34,350.65
|
| Rate for Payer: Brighton Health Commercial |
$23,233.35
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$35,037.66
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$28,500.22
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$24,225.19
|
| Rate for Payer: Elderplan Medicare Advantage |
$32,633.12
|
| Rate for Payer: EmblemHealth Commercial |
$34,350.65
|
| Rate for Payer: Fidelis Medicare Advantage |
$34,350.65
|
| Rate for Payer: Group Health Inc Commercial |
$34,350.65
|
| Rate for Payer: Group Health Inc Medicare |
$34,350.65
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$34,350.65
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$34,350.65
|
| Rate for Payer: Healthfirst Medicare Advantage |
$31,946.10
|
| Rate for Payer: Humana Medicare |
$47,232.14
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$34,350.65
|
| Rate for Payer: United Healthcare Commercial |
$31,864.94
|
| Rate for Payer: United Healthcare Medicare Advantage |
$34,350.65
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$34,350.65
|
| Rate for Payer: Wellcare Medicare |
$32,633.12
|
|
|
MS-DRG 43.00: SYNCOPE AND COLLAPSE
|
Facility
|
IP
|
$32,627.77
|
|
|
Service Code
|
MSDRG 312
|
| Min. Negotiated Rate |
$12,638.20 |
| Max. Negotiated Rate |
$32,627.77 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$12,732.31
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$23,729.29
|
| Rate for Payer: Aetna Government |
$23,729.29
|
| Rate for Payer: Brighton Health Commercial |
$12,638.20
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$24,203.88
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$15,503.21
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$13,177.73
|
| Rate for Payer: Elderplan Medicare Advantage |
$22,542.83
|
| Rate for Payer: EmblemHealth Commercial |
$23,729.29
|
| Rate for Payer: Fidelis Medicare Advantage |
$23,729.29
|
| Rate for Payer: Group Health Inc Commercial |
$23,729.29
|
| Rate for Payer: Group Health Inc Medicare |
$23,729.29
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$23,729.29
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$23,729.29
|
| Rate for Payer: Healthfirst Medicare Advantage |
$22,068.24
|
| Rate for Payer: Humana Medicare |
$32,627.77
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$23,729.29
|
| Rate for Payer: United Healthcare Commercial |
$17,333.51
|
| Rate for Payer: United Healthcare Medicare Advantage |
$23,729.29
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$23,729.29
|
| Rate for Payer: Wellcare Medicare |
$22,542.83
|
|
|
MS-DRG 43.00: TENDONITIS, MYOSITIS AND BURSITIS WITH MCC
|
Facility
|
IP
|
$44,925.68
|
|
|
Service Code
|
MSDRG 557
|
| Min. Negotiated Rate |
$21,560.05 |
| Max. Negotiated Rate |
$44,925.68 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$22,955.02
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$32,673.22
|
| Rate for Payer: Aetna Government |
$32,673.22
|
| Rate for Payer: Brighton Health Commercial |
$21,560.05
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$33,326.68
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$26,447.59
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$22,480.46
|
| Rate for Payer: Elderplan Medicare Advantage |
$31,039.56
|
| Rate for Payer: EmblemHealth Commercial |
$32,673.22
|
| Rate for Payer: Fidelis Medicare Advantage |
$32,673.22
|
| Rate for Payer: Group Health Inc Commercial |
$32,673.22
|
| Rate for Payer: Group Health Inc Medicare |
$32,673.22
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$32,673.22
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$32,673.22
|
| Rate for Payer: Healthfirst Medicare Advantage |
$30,386.09
|
| Rate for Payer: Humana Medicare |
$44,925.68
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$32,673.22
|
| Rate for Payer: United Healthcare Commercial |
$29,569.98
|
| Rate for Payer: United Healthcare Medicare Advantage |
$32,673.22
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$32,673.22
|
| Rate for Payer: Wellcare Medicare |
$31,039.56
|
|
|
MS-DRG 43.00: TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC
|
Facility
|
IP
|
$33,059.48
|
|
|
Service Code
|
MSDRG 558
|
| Min. Negotiated Rate |
$12,951.40 |
| Max. Negotiated Rate |
$33,059.48 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$12,952.01
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$24,043.26
|
| Rate for Payer: Aetna Government |
$24,043.26
|
| Rate for Payer: Brighton Health Commercial |
$12,951.40
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$24,524.13
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$15,887.41
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$13,504.30
|
| Rate for Payer: Elderplan Medicare Advantage |
$22,841.10
|
| Rate for Payer: EmblemHealth Commercial |
$24,043.26
|
| Rate for Payer: Fidelis Medicare Advantage |
$24,043.26
|
| Rate for Payer: Group Health Inc Commercial |
$24,043.26
|
| Rate for Payer: Group Health Inc Medicare |
$24,043.26
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$24,043.26
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$24,043.26
|
| Rate for Payer: Healthfirst Medicare Advantage |
$22,360.23
|
| Rate for Payer: Humana Medicare |
$33,059.48
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$24,043.26
|
| Rate for Payer: United Healthcare Commercial |
$17,763.07
|
| Rate for Payer: United Healthcare Medicare Advantage |
$24,043.26
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$24,043.26
|
| Rate for Payer: Wellcare Medicare |
$22,841.10
|
|
|
MS-DRG 43.00: TESTES PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$56,855.77
|
|
|
Service Code
|
MSDRG 711
|
| Min. Negotiated Rate |
$30,215.10 |
| Max. Negotiated Rate |
$56,855.77 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$31,302.16
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$41,349.65
|
| Rate for Payer: Aetna Government |
$41,349.65
|
| Rate for Payer: Brighton Health Commercial |
$30,215.10
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$42,176.64
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$37,064.70
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$31,504.99
|
| Rate for Payer: Elderplan Medicare Advantage |
$39,282.17
|
| Rate for Payer: EmblemHealth Commercial |
$41,349.65
|
| Rate for Payer: Fidelis Medicare Advantage |
$41,349.65
|
| Rate for Payer: Group Health Inc Commercial |
$41,349.65
|
| Rate for Payer: Group Health Inc Medicare |
$41,349.65
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$41,349.65
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$41,349.65
|
| Rate for Payer: Healthfirst Medicare Advantage |
$38,455.17
|
| Rate for Payer: Humana Medicare |
$56,855.77
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$41,349.65
|
| Rate for Payer: United Healthcare Commercial |
$41,440.53
|
| Rate for Payer: United Healthcare Medicare Advantage |
$41,349.65
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$41,349.65
|
| Rate for Payer: Wellcare Medicare |
$39,282.17
|
|
|
MS-DRG 43.00: TESTES PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$37,186.76
|
|
|
Service Code
|
MSDRG 712
|
| Min. Negotiated Rate |
$15,945.65 |
| Max. Negotiated Rate |
$37,186.76 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$17,522.96
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$27,044.92
|
| Rate for Payer: Aetna Government |
$27,044.92
|
| Rate for Payer: Brighton Health Commercial |
$15,945.65
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$27,585.82
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$19,560.44
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$16,626.38
|
| Rate for Payer: Elderplan Medicare Advantage |
$25,692.67
|
| Rate for Payer: EmblemHealth Commercial |
$27,044.92
|
| Rate for Payer: Fidelis Medicare Advantage |
$27,044.92
|
| Rate for Payer: Group Health Inc Commercial |
$27,044.92
|
| Rate for Payer: Group Health Inc Medicare |
$27,044.92
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$27,044.92
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$27,044.92
|
| Rate for Payer: Healthfirst Medicare Advantage |
$25,151.78
|
| Rate for Payer: Humana Medicare |
$37,186.76
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$27,044.92
|
| Rate for Payer: United Healthcare Commercial |
$21,869.73
|
| Rate for Payer: United Healthcare Medicare Advantage |
$27,044.92
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$27,044.92
|
| Rate for Payer: Wellcare Medicare |
$25,692.67
|
|
|
MS-DRG 43.00: THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC
|
Facility
|
IP
|
$45,175.49
|
|
|
Service Code
|
MSDRG 626
|
| Min. Negotiated Rate |
$21,741.30 |
| Max. Negotiated Rate |
$45,175.49 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$21,998.07
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$32,854.90
|
| Rate for Payer: Aetna Government |
$32,854.90
|
| Rate for Payer: Brighton Health Commercial |
$21,741.30
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$33,512.00
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$26,669.93
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$22,669.44
|
| Rate for Payer: Elderplan Medicare Advantage |
$31,212.15
|
| Rate for Payer: EmblemHealth Commercial |
$32,854.90
|
| Rate for Payer: Fidelis Medicare Advantage |
$32,854.90
|
| Rate for Payer: Group Health Inc Commercial |
$32,854.90
|
| Rate for Payer: Group Health Inc Medicare |
$32,854.90
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$32,854.90
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$32,854.90
|
| Rate for Payer: Healthfirst Medicare Advantage |
$30,555.06
|
| Rate for Payer: Humana Medicare |
$45,175.49
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$32,854.90
|
| Rate for Payer: United Healthcare Commercial |
$29,818.57
|
| Rate for Payer: United Healthcare Medicare Advantage |
$32,854.90
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$32,854.90
|
| Rate for Payer: Wellcare Medicare |
$31,212.15
|
|
|
MS-DRG 43.00: THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC
|
Facility
|
IP
|
$75,569.42
|
|
|
Service Code
|
MSDRG 625
|
| Min. Negotiated Rate |
$43,073.09 |
| Max. Negotiated Rate |
$75,569.42 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$43,073.09
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$54,959.58
|
| Rate for Payer: Aetna Government |
$54,959.58
|
| Rate for Payer: Brighton Health Commercial |
$43,791.45
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$56,058.77
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$53,718.73
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$45,660.92
|
| Rate for Payer: Elderplan Medicare Advantage |
$52,211.60
|
| Rate for Payer: EmblemHealth Commercial |
$54,959.58
|
| Rate for Payer: Fidelis Medicare Advantage |
$54,959.58
|
| Rate for Payer: Group Health Inc Commercial |
$54,959.58
|
| Rate for Payer: Group Health Inc Medicare |
$54,959.58
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$54,959.58
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$54,959.58
|
| Rate for Payer: Healthfirst Medicare Advantage |
$51,112.41
|
| Rate for Payer: Humana Medicare |
$75,569.42
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$54,959.58
|
| Rate for Payer: United Healthcare Commercial |
$60,060.73
|
| Rate for Payer: United Healthcare Medicare Advantage |
$54,959.58
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$54,959.58
|
| Rate for Payer: Wellcare Medicare |
$52,211.60
|
|
|
MS-DRG 43.00: THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$41,755.74
|
|
|
Service Code
|
MSDRG 627
|
| Min. Negotiated Rate |
$18,224.82 |
| Max. Negotiated Rate |
$41,755.74 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$18,224.82
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$30,367.81
|
| Rate for Payer: Aetna Government |
$30,367.81
|
| Rate for Payer: Brighton Health Commercial |
$19,260.35
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$30,975.17
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$23,626.57
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$20,082.58
|
| Rate for Payer: Elderplan Medicare Advantage |
$28,849.42
|
| Rate for Payer: EmblemHealth Commercial |
$30,367.81
|
| Rate for Payer: Fidelis Medicare Advantage |
$30,367.81
|
| Rate for Payer: Group Health Inc Commercial |
$30,367.81
|
| Rate for Payer: Group Health Inc Medicare |
$30,367.81
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$30,367.81
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$30,367.81
|
| Rate for Payer: Healthfirst Medicare Advantage |
$28,242.06
|
| Rate for Payer: Humana Medicare |
$41,755.74
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$30,367.81
|
| Rate for Payer: United Healthcare Commercial |
$26,415.90
|
| Rate for Payer: United Healthcare Medicare Advantage |
$30,367.81
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$30,367.81
|
| Rate for Payer: Wellcare Medicare |
$28,849.42
|
|
|
MS-DRG 43.00: TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC
|
Facility
|
IP
|
$99,471.62
|
|
|
Service Code
|
MSDRG 012
|
| Min. Negotiated Rate |
$59,052.25 |
| Max. Negotiated Rate |
$99,471.62 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$59,052.25
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$72,343.00
|
| Rate for Payer: Aetna Government |
$72,343.00
|
| Rate for Payer: Brighton Health Commercial |
$61,132.00
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$73,789.86
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$74,990.29
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$63,741.75
|
| Rate for Payer: Elderplan Medicare Advantage |
$68,725.85
|
| Rate for Payer: EmblemHealth Commercial |
$72,343.00
|
| Rate for Payer: Fidelis Medicare Advantage |
$72,343.00
|
| Rate for Payer: Group Health Inc Commercial |
$72,343.00
|
| Rate for Payer: Group Health Inc Medicare |
$72,343.00
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$72,343.00
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$72,343.00
|
| Rate for Payer: Healthfirst Medicare Advantage |
$67,278.99
|
| Rate for Payer: Humana Medicare |
$99,471.62
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$72,343.00
|
| Rate for Payer: United Healthcare Commercial |
$83,843.59
|
| Rate for Payer: United Healthcare Medicare Advantage |
$72,343.00
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$72,343.00
|
| Rate for Payer: Wellcare Medicare |
$68,725.85
|
|
|
MS-DRG 43.00: TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC
|
Facility
|
IP
|
$124,217.29
|
|
|
Service Code
|
MSDRG 011
|
| Min. Negotiated Rate |
$76,029.64 |
| Max. Negotiated Rate |
$124,217.29 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$76,029.64
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$90,339.85
|
| Rate for Payer: Aetna Government |
$90,339.85
|
| Rate for Payer: Brighton Health Commercial |
$79,084.45
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$92,146.65
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$97,012.46
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$82,460.59
|
| Rate for Payer: Elderplan Medicare Advantage |
$85,822.86
|
| Rate for Payer: EmblemHealth Commercial |
$90,339.85
|
| Rate for Payer: Fidelis Medicare Advantage |
$90,339.85
|
| Rate for Payer: Group Health Inc Commercial |
$90,339.85
|
| Rate for Payer: Group Health Inc Medicare |
$90,339.85
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$90,339.85
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$90,339.85
|
| Rate for Payer: Healthfirst Medicare Advantage |
$84,016.06
|
| Rate for Payer: Humana Medicare |
$124,217.29
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$90,339.85
|
| Rate for Payer: United Healthcare Commercial |
$108,465.69
|
| Rate for Payer: United Healthcare Medicare Advantage |
$90,339.85
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$90,339.85
|
| Rate for Payer: Wellcare Medicare |
$85,822.86
|
|
|
MS-DRG 43.00: TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC
|
Facility
|
IP
|
$72,805.25
|
|
|
Service Code
|
MSDRG 013
|
| Min. Negotiated Rate |
$39,600.65 |
| Max. Negotiated Rate |
$72,805.25 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$39,600.65
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$52,949.27
|
| Rate for Payer: Aetna Government |
$52,949.27
|
| Rate for Payer: Brighton Health Commercial |
$41,786.10
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$54,008.26
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$51,258.78
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$43,569.96
|
| Rate for Payer: Elderplan Medicare Advantage |
$50,301.81
|
| Rate for Payer: EmblemHealth Commercial |
$52,949.27
|
| Rate for Payer: Fidelis Medicare Advantage |
$52,949.27
|
| Rate for Payer: Group Health Inc Commercial |
$52,949.27
|
| Rate for Payer: Group Health Inc Medicare |
$52,949.27
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$52,949.27
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$52,949.27
|
| Rate for Payer: Healthfirst Medicare Advantage |
$49,242.82
|
| Rate for Payer: Humana Medicare |
$72,805.25
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$52,949.27
|
| Rate for Payer: United Healthcare Commercial |
$57,310.36
|
| Rate for Payer: United Healthcare Medicare Advantage |
$52,949.27
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$52,949.27
|
| Rate for Payer: Wellcare Medicare |
$50,301.81
|
|
|
MS-DRG 43.00: TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES
|
Facility
|
IP
|
$292,052.47
|
|
|
Service Code
|
MSDRG 004
|
| Min. Negotiated Rate |
$197,533.67 |
| Max. Negotiated Rate |
$292,052.47 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$216,751.50
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$212,401.80
|
| Rate for Payer: Aetna Government |
$212,401.80
|
| Rate for Payer: Brighton Health Commercial |
$200,845.30
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$216,649.84
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$246,375.82
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$209,419.46
|
| Rate for Payer: Elderplan Medicare Advantage |
$201,781.71
|
| Rate for Payer: EmblemHealth Commercial |
$212,401.80
|
| Rate for Payer: Fidelis Medicare Advantage |
$212,401.80
|
| Rate for Payer: Group Health Inc Commercial |
$212,401.80
|
| Rate for Payer: Group Health Inc Medicare |
$212,401.80
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$212,401.80
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$212,401.80
|
| Rate for Payer: Healthfirst Medicare Advantage |
$197,533.67
|
| Rate for Payer: Humana Medicare |
$292,052.47
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$212,401.80
|
| Rate for Payer: United Healthcare Commercial |
$275,462.79
|
| Rate for Payer: United Healthcare Medicare Advantage |
$212,401.80
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$212,401.80
|
| Rate for Payer: Wellcare Medicare |
$201,781.71
|
|
|
MS-DRG 43.00: TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC
|
Facility
|
IP
|
$31,172.74
|
|
|
Service Code
|
MSDRG 069
|
| Min. Negotiated Rate |
$11,582.60 |
| Max. Negotiated Rate |
$31,172.74 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$11,776.83
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$22,671.08
|
| Rate for Payer: Aetna Government |
$22,671.08
|
| Rate for Payer: Brighton Health Commercial |
$11,582.60
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$23,124.50
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$14,208.31
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$12,077.07
|
| Rate for Payer: Elderplan Medicare Advantage |
$21,537.53
|
| Rate for Payer: EmblemHealth Commercial |
$22,671.08
|
| Rate for Payer: Fidelis Medicare Advantage |
$22,671.08
|
| Rate for Payer: Group Health Inc Commercial |
$22,671.08
|
| Rate for Payer: Group Health Inc Medicare |
$22,671.08
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$22,671.08
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$22,671.08
|
| Rate for Payer: Healthfirst Medicare Advantage |
$21,084.10
|
| Rate for Payer: Humana Medicare |
$31,172.74
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$22,671.08
|
| Rate for Payer: United Healthcare Commercial |
$15,885.74
|
| Rate for Payer: United Healthcare Medicare Advantage |
$22,671.08
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$22,671.08
|
| Rate for Payer: Wellcare Medicare |
$21,537.53
|
|
|
MS-DRG 43.00: TRANSURETHRAL PROCEDURES WITH CC
|
Facility
|
IP
|
$46,226.79
|
|
|
Service Code
|
MSDRG 669
|
| Min. Negotiated Rate |
$22,504.00 |
| Max. Negotiated Rate |
$46,226.79 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$22,627.68
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$33,619.48
|
| Rate for Payer: Aetna Government |
$33,619.48
|
| Rate for Payer: Brighton Health Commercial |
$22,504.00
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$34,291.87
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$27,605.53
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$23,464.70
|
| Rate for Payer: Elderplan Medicare Advantage |
$31,938.51
|
| Rate for Payer: EmblemHealth Commercial |
$33,619.48
|
| Rate for Payer: Fidelis Medicare Advantage |
$33,619.48
|
| Rate for Payer: Group Health Inc Commercial |
$33,619.48
|
| Rate for Payer: Group Health Inc Medicare |
$33,619.48
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$33,619.48
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$33,619.48
|
| Rate for Payer: Healthfirst Medicare Advantage |
$31,266.12
|
| Rate for Payer: Humana Medicare |
$46,226.79
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$33,619.48
|
| Rate for Payer: United Healthcare Commercial |
$30,864.62
|
| Rate for Payer: United Healthcare Medicare Advantage |
$33,619.48
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$33,619.48
|
| Rate for Payer: Wellcare Medicare |
$31,938.51
|
|
|
MS-DRG 43.00: TRANSURETHRAL PROCEDURES WITH MCC
|
Facility
|
IP
|
$73,568.74
|
|
|
Service Code
|
MSDRG 668
|
| Min. Negotiated Rate |
$41,551.41 |
| Max. Negotiated Rate |
$73,568.74 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$41,551.41
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$53,504.54
|
| Rate for Payer: Aetna Government |
$53,504.54
|
| Rate for Payer: Brighton Health Commercial |
$42,340.00
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$54,574.63
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$51,938.24
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$44,147.51
|
| Rate for Payer: Elderplan Medicare Advantage |
$50,829.31
|
| Rate for Payer: EmblemHealth Commercial |
$53,504.54
|
| Rate for Payer: Fidelis Medicare Advantage |
$53,504.54
|
| Rate for Payer: Group Health Inc Commercial |
$53,504.54
|
| Rate for Payer: Group Health Inc Medicare |
$53,504.54
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$53,504.54
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$53,504.54
|
| Rate for Payer: Healthfirst Medicare Advantage |
$49,759.22
|
| Rate for Payer: Humana Medicare |
$73,568.74
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$53,504.54
|
| Rate for Payer: United Healthcare Commercial |
$58,070.04
|
| Rate for Payer: United Healthcare Medicare Advantage |
$53,504.54
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$53,504.54
|
| Rate for Payer: Wellcare Medicare |
$50,829.31
|
|
|
MS-DRG 43.00: TRANSURETHRAL PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$34,740.38
|
|
|
Service Code
|
MSDRG 670
|
| Min. Negotiated Rate |
$14,170.85 |
| Max. Negotiated Rate |
$34,740.38 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$14,193.54
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$25,265.73
|
| Rate for Payer: Aetna Government |
$25,265.73
|
| Rate for Payer: Brighton Health Commercial |
$14,170.85
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$25,771.04
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$17,383.30
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$14,775.81
|
| Rate for Payer: Elderplan Medicare Advantage |
$24,002.44
|
| Rate for Payer: EmblemHealth Commercial |
$25,265.73
|
| Rate for Payer: Fidelis Medicare Advantage |
$25,265.73
|
| Rate for Payer: Group Health Inc Commercial |
$25,265.73
|
| Rate for Payer: Group Health Inc Medicare |
$25,265.73
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$25,265.73
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$25,265.73
|
| Rate for Payer: Healthfirst Medicare Advantage |
$23,497.13
|
| Rate for Payer: Humana Medicare |
$34,740.38
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$25,265.73
|
| Rate for Payer: United Healthcare Commercial |
$19,435.57
|
| Rate for Payer: United Healthcare Medicare Advantage |
$25,265.73
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$25,265.73
|
| Rate for Payer: Wellcare Medicare |
$24,002.44
|
|
|
MS-DRG 43.00: TRANSURETHRAL PROSTATECTOMY WITH CC/MCC
|
Facility
|
IP
|
$45,255.43
|
|
|
Service Code
|
MSDRG 713
|
| Min. Negotiated Rate |
$21,390.57 |
| Max. Negotiated Rate |
$45,255.43 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$21,390.57
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$32,913.04
|
| Rate for Payer: Aetna Government |
$32,913.04
|
| Rate for Payer: Brighton Health Commercial |
$21,799.30
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$33,571.30
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$26,741.08
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$22,729.92
|
| Rate for Payer: Elderplan Medicare Advantage |
$31,267.39
|
| Rate for Payer: EmblemHealth Commercial |
$32,913.04
|
| Rate for Payer: Fidelis Medicare Advantage |
$32,913.04
|
| Rate for Payer: Group Health Inc Commercial |
$32,913.04
|
| Rate for Payer: Group Health Inc Medicare |
$32,913.04
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$32,913.04
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$32,913.04
|
| Rate for Payer: Healthfirst Medicare Advantage |
$30,609.13
|
| Rate for Payer: Humana Medicare |
$45,255.43
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$32,913.04
|
| Rate for Payer: United Healthcare Commercial |
$29,898.12
|
| Rate for Payer: United Healthcare Medicare Advantage |
$32,913.04
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$32,913.04
|
| Rate for Payer: Wellcare Medicare |
$31,267.39
|
|
|
MS-DRG 43.00: TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC
|
Facility
|
IP
|
$36,341.32
|
|
|
Service Code
|
MSDRG 714
|
| Min. Negotiated Rate |
$14,133.08 |
| Max. Negotiated Rate |
$36,341.32 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$14,133.08
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$26,430.05
|
| Rate for Payer: Aetna Government |
$26,430.05
|
| Rate for Payer: Brighton Health Commercial |
$15,332.30
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$26,958.65
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$18,808.05
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$15,986.84
|
| Rate for Payer: Elderplan Medicare Advantage |
$25,108.55
|
| Rate for Payer: EmblemHealth Commercial |
$26,430.05
|
| Rate for Payer: Fidelis Medicare Advantage |
$26,430.05
|
| Rate for Payer: Group Health Inc Commercial |
$26,430.05
|
| Rate for Payer: Group Health Inc Medicare |
$26,430.05
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$26,430.05
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$26,430.05
|
| Rate for Payer: Healthfirst Medicare Advantage |
$24,579.95
|
| Rate for Payer: Humana Medicare |
$36,341.32
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$26,430.05
|
| Rate for Payer: United Healthcare Commercial |
$21,028.51
|
| Rate for Payer: United Healthcare Medicare Advantage |
$26,430.05
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$26,430.05
|
| Rate for Payer: Wellcare Medicare |
$25,108.55
|
|
|
MS-DRG 43.00: TRAUMATIC INJURY WITH MCC
|
Facility
|
IP
|
$47,877.69
|
|
|
Service Code
|
MSDRG 913
|
| Min. Negotiated Rate |
$22,036.40 |
| Max. Negotiated Rate |
$47,877.69 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$22,036.40
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$34,820.14
|
| Rate for Payer: Aetna Government |
$34,820.14
|
| Rate for Payer: Brighton Health Commercial |
$23,701.70
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$35,516.54
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$29,074.74
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$24,713.53
|
| Rate for Payer: Elderplan Medicare Advantage |
$33,079.13
|
| Rate for Payer: EmblemHealth Commercial |
$34,820.14
|
| Rate for Payer: Fidelis Medicare Advantage |
$34,820.14
|
| Rate for Payer: Group Health Inc Commercial |
$34,820.14
|
| Rate for Payer: Group Health Inc Medicare |
$34,820.14
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$34,820.14
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$34,820.14
|
| Rate for Payer: Healthfirst Medicare Advantage |
$32,382.73
|
| Rate for Payer: Humana Medicare |
$47,877.69
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$34,820.14
|
| Rate for Payer: United Healthcare Commercial |
$32,507.29
|
| Rate for Payer: United Healthcare Medicare Advantage |
$34,820.14
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$34,820.14
|
| Rate for Payer: Wellcare Medicare |
$33,079.13
|
|
