|
MS-DRG 43.00: TRAUMATIC INJURY WITHOUT MCC
|
Facility
|
IP
|
$32,905.61
|
|
|
Service Code
|
MSDRG 914
|
| Min. Negotiated Rate |
$12,839.75 |
| Max. Negotiated Rate |
$32,905.61 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$13,384.04
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$23,931.35
|
| Rate for Payer: Aetna Government |
$23,931.35
|
| Rate for Payer: Brighton Health Commercial |
$12,839.75
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$24,409.98
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$15,750.45
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$13,387.88
|
| Rate for Payer: Elderplan Medicare Advantage |
$22,734.78
|
| Rate for Payer: EmblemHealth Commercial |
$23,931.35
|
| Rate for Payer: Fidelis Medicare Advantage |
$23,931.35
|
| Rate for Payer: Group Health Inc Commercial |
$23,931.35
|
| Rate for Payer: Group Health Inc Medicare |
$23,931.35
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$23,931.35
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$23,931.35
|
| Rate for Payer: Healthfirst Medicare Advantage |
$22,256.16
|
| Rate for Payer: Humana Medicare |
$32,905.61
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$23,931.35
|
| Rate for Payer: United Healthcare Commercial |
$17,609.94
|
| Rate for Payer: United Healthcare Medicare Advantage |
$23,931.35
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$23,931.35
|
| Rate for Payer: Wellcare Medicare |
$22,734.78
|
|
|
MS-DRG 43.00: TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC
|
Facility
|
IP
|
$41,244.09
|
|
|
Service Code
|
MSDRG 086
|
| Min. Negotiated Rate |
$18,889.15 |
| Max. Negotiated Rate |
$41,244.09 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$19,420.64
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$29,995.70
|
| Rate for Payer: Aetna Government |
$29,995.70
|
| Rate for Payer: Brighton Health Commercial |
$18,889.15
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$30,595.61
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$23,171.22
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$19,695.53
|
| Rate for Payer: Elderplan Medicare Advantage |
$28,495.92
|
| Rate for Payer: EmblemHealth Commercial |
$29,995.70
|
| Rate for Payer: Fidelis Medicare Advantage |
$29,995.70
|
| Rate for Payer: Group Health Inc Commercial |
$29,995.70
|
| Rate for Payer: Group Health Inc Medicare |
$29,995.70
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$29,995.70
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$29,995.70
|
| Rate for Payer: Healthfirst Medicare Advantage |
$27,896.00
|
| Rate for Payer: Humana Medicare |
$41,244.09
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$29,995.70
|
| Rate for Payer: United Healthcare Commercial |
$25,906.79
|
| Rate for Payer: United Healthcare Medicare Advantage |
$29,995.70
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$29,995.70
|
| Rate for Payer: Wellcare Medicare |
$28,495.92
|
|
|
MS-DRG 43.00: TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC
|
Facility
|
IP
|
$43,104.86
|
|
|
Service Code
|
MSDRG 083
|
| Min. Negotiated Rate |
$20,000.12 |
| Max. Negotiated Rate |
$43,104.86 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$20,000.12
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$31,348.99
|
| Rate for Payer: Aetna Government |
$31,348.99
|
| Rate for Payer: Brighton Health Commercial |
$20,239.10
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$31,975.97
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$24,827.19
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$21,103.11
|
| Rate for Payer: Elderplan Medicare Advantage |
$29,781.54
|
| Rate for Payer: EmblemHealth Commercial |
$31,348.99
|
| Rate for Payer: Fidelis Medicare Advantage |
$31,348.99
|
| Rate for Payer: Group Health Inc Commercial |
$31,348.99
|
| Rate for Payer: Group Health Inc Medicare |
$31,348.99
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$31,348.99
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$31,348.99
|
| Rate for Payer: Healthfirst Medicare Advantage |
$29,154.56
|
| Rate for Payer: Humana Medicare |
$43,104.86
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$31,348.99
|
| Rate for Payer: United Healthcare Commercial |
$27,758.27
|
| Rate for Payer: United Healthcare Medicare Advantage |
$31,348.99
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$31,348.99
|
| Rate for Payer: Wellcare Medicare |
$29,781.54
|
|
|
MS-DRG 43.00: TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC
|
Facility
|
IP
|
$60,615.29
|
|
|
Service Code
|
MSDRG 085
|
| Min. Negotiated Rate |
$32,942.55 |
| Max. Negotiated Rate |
$60,615.29 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$33,512.44
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$44,083.85
|
| Rate for Payer: Aetna Government |
$44,083.85
|
| Rate for Payer: Brighton Health Commercial |
$32,942.55
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$44,965.53
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$40,410.44
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$34,348.88
|
| Rate for Payer: Elderplan Medicare Advantage |
$41,879.66
|
| Rate for Payer: EmblemHealth Commercial |
$44,083.85
|
| Rate for Payer: Fidelis Medicare Advantage |
$44,083.85
|
| Rate for Payer: Group Health Inc Commercial |
$44,083.85
|
| Rate for Payer: Group Health Inc Medicare |
$44,083.85
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$44,083.85
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$44,083.85
|
| Rate for Payer: Healthfirst Medicare Advantage |
$40,997.98
|
| Rate for Payer: Humana Medicare |
$60,615.29
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$44,083.85
|
| Rate for Payer: United Healthcare Commercial |
$45,181.28
|
| Rate for Payer: United Healthcare Medicare Advantage |
$44,083.85
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$44,083.85
|
| Rate for Payer: Wellcare Medicare |
$41,879.66
|
|
|
MS-DRG 43.00: TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC
|
Facility
|
IP
|
$60,889.12
|
|
|
Service Code
|
MSDRG 082
|
| Min. Negotiated Rate |
$33,141.20 |
| Max. Negotiated Rate |
$60,889.12 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$33,593.53
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$44,283.00
|
| Rate for Payer: Aetna Government |
$44,283.00
|
| Rate for Payer: Brighton Health Commercial |
$33,141.20
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$45,168.66
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$40,654.13
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$34,556.01
|
| Rate for Payer: Elderplan Medicare Advantage |
$42,068.85
|
| Rate for Payer: EmblemHealth Commercial |
$44,283.00
|
| Rate for Payer: Fidelis Medicare Advantage |
$44,283.00
|
| Rate for Payer: Group Health Inc Commercial |
$44,283.00
|
| Rate for Payer: Group Health Inc Medicare |
$44,283.00
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$44,283.00
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$44,283.00
|
| Rate for Payer: Healthfirst Medicare Advantage |
$41,183.19
|
| Rate for Payer: Humana Medicare |
$60,889.12
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$44,283.00
|
| Rate for Payer: United Healthcare Commercial |
$45,453.73
|
| Rate for Payer: United Healthcare Medicare Advantage |
$44,283.00
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$44,283.00
|
| Rate for Payer: Wellcare Medicare |
$42,068.85
|
|
|
MS-DRG 43.00: TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC
|
Facility
|
IP
|
$33,489.21
|
|
|
Service Code
|
MSDRG 087
|
| Min. Negotiated Rate |
$13,067.02 |
| Max. Negotiated Rate |
$33,489.21 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$13,067.02
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$24,355.79
|
| Rate for Payer: Aetna Government |
$24,355.79
|
| Rate for Payer: Brighton Health Commercial |
$13,263.15
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$24,842.91
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$16,269.83
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$13,829.36
|
| Rate for Payer: Elderplan Medicare Advantage |
$23,138.00
|
| Rate for Payer: EmblemHealth Commercial |
$24,355.79
|
| Rate for Payer: Fidelis Medicare Advantage |
$24,355.79
|
| Rate for Payer: Group Health Inc Commercial |
$24,355.79
|
| Rate for Payer: Group Health Inc Medicare |
$24,355.79
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$24,355.79
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$24,355.79
|
| Rate for Payer: Healthfirst Medicare Advantage |
$22,650.88
|
| Rate for Payer: Humana Medicare |
$33,489.21
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$24,355.79
|
| Rate for Payer: United Healthcare Commercial |
$18,190.64
|
| Rate for Payer: United Healthcare Medicare Advantage |
$24,355.79
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$24,355.79
|
| Rate for Payer: Wellcare Medicare |
$23,138.00
|
|
|
MS-DRG 43.00: TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC
|
Facility
|
IP
|
$34,310.68
|
|
|
Service Code
|
MSDRG 084
|
| Min. Negotiated Rate |
$13,560.98 |
| Max. Negotiated Rate |
$34,310.68 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$13,560.98
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$24,953.22
|
| Rate for Payer: Aetna Government |
$24,953.22
|
| Rate for Payer: Brighton Health Commercial |
$13,859.10
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$25,452.28
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$17,000.88
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$14,450.75
|
| Rate for Payer: Elderplan Medicare Advantage |
$23,705.56
|
| Rate for Payer: EmblemHealth Commercial |
$24,953.22
|
| Rate for Payer: Fidelis Medicare Advantage |
$24,953.22
|
| Rate for Payer: Group Health Inc Commercial |
$24,953.22
|
| Rate for Payer: Group Health Inc Medicare |
$24,953.22
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$24,953.22
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$24,953.22
|
| Rate for Payer: Healthfirst Medicare Advantage |
$23,206.49
|
| Rate for Payer: Humana Medicare |
$34,310.68
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$24,953.22
|
| Rate for Payer: United Healthcare Commercial |
$19,007.99
|
| Rate for Payer: United Healthcare Medicare Advantage |
$24,953.22
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$24,953.22
|
| Rate for Payer: Wellcare Medicare |
$23,705.56
|
|
|
MS-DRG 43.00: TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC
|
Facility
|
IP
|
$44,629.85
|
|
|
Service Code
|
MSDRG 604
|
| Min. Negotiated Rate |
$21,345.45 |
| Max. Negotiated Rate |
$44,629.85 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$22,208.92
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$32,458.07
|
| Rate for Payer: Aetna Government |
$32,458.07
|
| Rate for Payer: Brighton Health Commercial |
$21,345.45
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$33,107.23
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$26,184.35
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$22,256.69
|
| Rate for Payer: Elderplan Medicare Advantage |
$30,835.17
|
| Rate for Payer: EmblemHealth Commercial |
$32,458.07
|
| Rate for Payer: Fidelis Medicare Advantage |
$32,458.07
|
| Rate for Payer: Group Health Inc Commercial |
$32,458.07
|
| Rate for Payer: Group Health Inc Medicare |
$32,458.07
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$32,458.07
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$32,458.07
|
| Rate for Payer: Healthfirst Medicare Advantage |
$30,186.01
|
| Rate for Payer: Humana Medicare |
$44,629.85
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$32,458.07
|
| Rate for Payer: United Healthcare Commercial |
$29,275.65
|
| Rate for Payer: United Healthcare Medicare Advantage |
$32,458.07
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$32,458.07
|
| Rate for Payer: Wellcare Medicare |
$30,835.17
|
|
|
MS-DRG 43.00: TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC
|
Facility
|
IP
|
$33,515.20
|
|
|
Service Code
|
MSDRG 605
|
| Min. Negotiated Rate |
$13,282.00 |
| Max. Negotiated Rate |
$33,515.20 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$13,400.26
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$24,374.69
|
| Rate for Payer: Aetna Government |
$24,374.69
|
| Rate for Payer: Brighton Health Commercial |
$13,282.00
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$24,862.18
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$16,292.96
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$13,849.01
|
| Rate for Payer: Elderplan Medicare Advantage |
$23,155.96
|
| Rate for Payer: EmblemHealth Commercial |
$24,374.69
|
| Rate for Payer: Fidelis Medicare Advantage |
$24,374.69
|
| Rate for Payer: Group Health Inc Commercial |
$24,374.69
|
| Rate for Payer: Group Health Inc Medicare |
$24,374.69
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$24,374.69
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$24,374.69
|
| Rate for Payer: Healthfirst Medicare Advantage |
$22,668.46
|
| Rate for Payer: Humana Medicare |
$33,515.20
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$24,374.69
|
| Rate for Payer: United Healthcare Commercial |
$18,216.49
|
| Rate for Payer: United Healthcare Medicare Advantage |
$24,374.69
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$24,374.69
|
| Rate for Payer: Wellcare Medicare |
$23,155.96
|
|
|
MS-DRG 43.00: ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC
|
Facility
|
IP
|
$126,457.82
|
|
|
Service Code
|
MSDRG 278
|
| Min. Negotiated Rate |
$65,768.60 |
| Max. Negotiated Rate |
$126,457.82 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$65,768.60
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$91,969.32
|
| Rate for Payer: Aetna Government |
$91,969.32
|
| Rate for Payer: Brighton Health Commercial |
$80,709.90
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$93,808.71
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$99,006.39
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$84,155.43
|
| Rate for Payer: Elderplan Medicare Advantage |
$87,370.85
|
| Rate for Payer: EmblemHealth Commercial |
$91,969.32
|
| Rate for Payer: Fidelis Medicare Advantage |
$91,969.32
|
| Rate for Payer: Group Health Inc Commercial |
$91,969.32
|
| Rate for Payer: Group Health Inc Medicare |
$91,969.32
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$91,969.32
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$91,969.32
|
| Rate for Payer: Healthfirst Medicare Advantage |
$85,531.47
|
| Rate for Payer: Humana Medicare |
$126,457.82
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$91,969.32
|
| Rate for Payer: United Healthcare Commercial |
$110,695.02
|
| Rate for Payer: United Healthcare Medicare Advantage |
$91,969.32
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$91,969.32
|
| Rate for Payer: Wellcare Medicare |
$87,370.85
|
|
|
MS-DRG 43.00: ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC
|
Facility
|
IP
|
$87,287.70
|
|
|
Service Code
|
MSDRG 279
|
| Min. Negotiated Rate |
$47,192.85 |
| Max. Negotiated Rate |
$87,287.70 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$47,192.85
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$63,481.96
|
| Rate for Payer: Aetna Government |
$63,481.96
|
| Rate for Payer: Brighton Health Commercial |
$52,292.80
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$64,751.60
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$64,147.29
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$54,525.20
|
| Rate for Payer: Elderplan Medicare Advantage |
$60,307.86
|
| Rate for Payer: EmblemHealth Commercial |
$63,481.96
|
| Rate for Payer: Fidelis Medicare Advantage |
$63,481.96
|
| Rate for Payer: Group Health Inc Commercial |
$63,481.96
|
| Rate for Payer: Group Health Inc Medicare |
$63,481.96
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$63,481.96
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$63,481.96
|
| Rate for Payer: Healthfirst Medicare Advantage |
$59,038.22
|
| Rate for Payer: Humana Medicare |
$87,287.70
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$63,481.96
|
| Rate for Payer: United Healthcare Commercial |
$71,720.48
|
| Rate for Payer: United Healthcare Medicare Advantage |
$63,481.96
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$63,481.96
|
| Rate for Payer: Wellcare Medicare |
$60,307.86
|
|
|
MS-DRG 43.00: ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM
|
Facility
|
IP
|
$74,695.99
|
|
|
Service Code
|
MSDRG 173
|
| Min. Negotiated Rate |
$43,157.80 |
| Max. Negotiated Rate |
$74,695.99 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$45,340.88
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$54,324.36
|
| Rate for Payer: Aetna Government |
$54,324.36
|
| Rate for Payer: Brighton Health Commercial |
$43,157.80
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$55,410.85
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$52,941.44
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$45,000.22
|
| Rate for Payer: Elderplan Medicare Advantage |
$51,608.14
|
| Rate for Payer: EmblemHealth Commercial |
$54,324.36
|
| Rate for Payer: Fidelis Medicare Advantage |
$54,324.36
|
| Rate for Payer: Group Health Inc Commercial |
$54,324.36
|
| Rate for Payer: Group Health Inc Medicare |
$54,324.36
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$54,324.36
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$54,324.36
|
| Rate for Payer: Healthfirst Medicare Advantage |
$50,521.65
|
| Rate for Payer: Humana Medicare |
$74,695.99
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$54,324.36
|
| Rate for Payer: United Healthcare Commercial |
$59,191.67
|
| Rate for Payer: United Healthcare Medicare Advantage |
$54,324.36
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$54,324.36
|
| Rate for Payer: Wellcare Medicare |
$51,608.14
|
|
|
MS-DRG 43.00: UNCOMPLICATED PEPTIC ULCER WITH MCC
|
Facility
|
IP
|
$42,803.08
|
|
|
Service Code
|
MSDRG 383
|
| Min. Negotiated Rate |
$20,020.15 |
| Max. Negotiated Rate |
$42,803.08 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$20,616.46
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$31,129.51
|
| Rate for Payer: Aetna Government |
$31,129.51
|
| Rate for Payer: Brighton Health Commercial |
$20,020.15
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$31,752.10
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$24,558.61
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$20,874.82
|
| Rate for Payer: Elderplan Medicare Advantage |
$29,573.03
|
| Rate for Payer: EmblemHealth Commercial |
$31,129.51
|
| Rate for Payer: Fidelis Medicare Advantage |
$31,129.51
|
| Rate for Payer: Group Health Inc Commercial |
$31,129.51
|
| Rate for Payer: Group Health Inc Medicare |
$31,129.51
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$31,129.51
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$31,129.51
|
| Rate for Payer: Healthfirst Medicare Advantage |
$28,950.44
|
| Rate for Payer: Humana Medicare |
$42,803.08
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$31,129.51
|
| Rate for Payer: United Healthcare Commercial |
$27,457.98
|
| Rate for Payer: United Healthcare Medicare Advantage |
$31,129.51
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$31,129.51
|
| Rate for Payer: Wellcare Medicare |
$29,573.03
|
|
|
MS-DRG 43.00: UNCOMPLICATED PEPTIC ULCER WITHOUT MCC
|
Facility
|
IP
|
$32,292.00
|
|
|
Service Code
|
MSDRG 384
|
| Min. Negotiated Rate |
$12,394.60 |
| Max. Negotiated Rate |
$32,292.00 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$12,912.20
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$23,485.09
|
| Rate for Payer: Aetna Government |
$23,485.09
|
| Rate for Payer: Brighton Health Commercial |
$12,394.60
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$23,954.79
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$15,204.39
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$12,923.73
|
| Rate for Payer: Elderplan Medicare Advantage |
$22,310.84
|
| Rate for Payer: EmblemHealth Commercial |
$23,485.09
|
| Rate for Payer: Fidelis Medicare Advantage |
$23,485.09
|
| Rate for Payer: Group Health Inc Commercial |
$23,485.09
|
| Rate for Payer: Group Health Inc Medicare |
$23,485.09
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$23,485.09
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$23,485.09
|
| Rate for Payer: Healthfirst Medicare Advantage |
$21,841.13
|
| Rate for Payer: Humana Medicare |
$32,292.00
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$23,485.09
|
| Rate for Payer: United Healthcare Commercial |
$16,999.41
|
| Rate for Payer: United Healthcare Medicare Advantage |
$23,485.09
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$23,485.09
|
| Rate for Payer: Wellcare Medicare |
$22,310.84
|
|
|
MS-DRG 43.00: UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC
|
Facility
|
IP
|
$49,142.87
|
|
|
Service Code
|
MSDRG 256
|
| Min. Negotiated Rate |
$24,177.38 |
| Max. Negotiated Rate |
$49,142.87 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$24,177.38
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$35,740.27
|
| Rate for Payer: Aetna Government |
$35,740.27
|
| Rate for Payer: Brighton Health Commercial |
$24,619.55
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$36,455.08
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$30,200.67
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$25,670.57
|
| Rate for Payer: Elderplan Medicare Advantage |
$33,953.26
|
| Rate for Payer: EmblemHealth Commercial |
$35,740.27
|
| Rate for Payer: Fidelis Medicare Advantage |
$35,740.27
|
| Rate for Payer: Group Health Inc Commercial |
$35,740.27
|
| Rate for Payer: Group Health Inc Medicare |
$35,740.27
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$35,740.27
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$35,740.27
|
| Rate for Payer: Healthfirst Medicare Advantage |
$33,238.45
|
| Rate for Payer: Humana Medicare |
$49,142.87
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$35,740.27
|
| Rate for Payer: United Healthcare Commercial |
$33,766.14
|
| Rate for Payer: United Healthcare Medicare Advantage |
$35,740.27
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$35,740.27
|
| Rate for Payer: Wellcare Medicare |
$33,953.26
|
|
|
MS-DRG 43.00: UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC
|
Facility
|
IP
|
$69,119.68
|
|
|
Service Code
|
MSDRG 255
|
| Min. Negotiated Rate |
$39,112.30 |
| Max. Negotiated Rate |
$69,119.68 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$40,510.41
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$50,268.86
|
| Rate for Payer: Aetna Government |
$50,268.86
|
| Rate for Payer: Brighton Health Commercial |
$39,112.30
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$51,274.24
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$47,978.84
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$40,782.02
|
| Rate for Payer: Elderplan Medicare Advantage |
$47,755.42
|
| Rate for Payer: EmblemHealth Commercial |
$50,268.86
|
| Rate for Payer: Fidelis Medicare Advantage |
$50,268.86
|
| Rate for Payer: Group Health Inc Commercial |
$50,268.86
|
| Rate for Payer: Group Health Inc Medicare |
$50,268.86
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$50,268.86
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$50,268.86
|
| Rate for Payer: Healthfirst Medicare Advantage |
$46,750.04
|
| Rate for Payer: Humana Medicare |
$69,119.68
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$50,268.86
|
| Rate for Payer: United Healthcare Commercial |
$53,643.19
|
| Rate for Payer: United Healthcare Medicare Advantage |
$50,268.86
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$50,268.86
|
| Rate for Payer: Wellcare Medicare |
$47,755.42
|
|
|
MS-DRG 43.00: UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC
|
Facility
|
IP
|
$37,036.85
|
|
|
Service Code
|
MSDRG 257
|
| Min. Negotiated Rate |
$14,612.30 |
| Max. Negotiated Rate |
$37,036.85 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$14,612.30
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$26,935.89
|
| Rate for Payer: Aetna Government |
$26,935.89
|
| Rate for Payer: Brighton Health Commercial |
$15,836.90
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$27,474.61
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$19,427.04
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$16,512.98
|
| Rate for Payer: Elderplan Medicare Advantage |
$25,589.10
|
| Rate for Payer: EmblemHealth Commercial |
$26,935.89
|
| Rate for Payer: Fidelis Medicare Advantage |
$26,935.89
|
| Rate for Payer: Group Health Inc Commercial |
$26,935.89
|
| Rate for Payer: Group Health Inc Medicare |
$26,935.89
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$26,935.89
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$26,935.89
|
| Rate for Payer: Healthfirst Medicare Advantage |
$25,050.38
|
| Rate for Payer: Humana Medicare |
$37,036.85
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$26,935.89
|
| Rate for Payer: United Healthcare Commercial |
$21,720.58
|
| Rate for Payer: United Healthcare Medicare Advantage |
$26,935.89
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$26,935.89
|
| Rate for Payer: Wellcare Medicare |
$25,589.10
|
|
|
MS-DRG 43.00: URETHRAL PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$51,083.60
|
|
|
Service Code
|
MSDRG 671
|
| Min. Negotiated Rate |
$25,241.97 |
| Max. Negotiated Rate |
$51,083.60 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$25,241.97
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$37,151.71
|
| Rate for Payer: Aetna Government |
$37,151.71
|
| Rate for Payer: Brighton Health Commercial |
$26,027.50
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$37,894.74
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$31,927.79
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$27,138.62
|
| Rate for Payer: Elderplan Medicare Advantage |
$35,294.12
|
| Rate for Payer: EmblemHealth Commercial |
$37,151.71
|
| Rate for Payer: Fidelis Medicare Advantage |
$37,151.71
|
| Rate for Payer: Group Health Inc Commercial |
$37,151.71
|
| Rate for Payer: Group Health Inc Medicare |
$37,151.71
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$37,151.71
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$37,151.71
|
| Rate for Payer: Healthfirst Medicare Advantage |
$34,551.09
|
| Rate for Payer: Humana Medicare |
$51,083.60
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$37,151.71
|
| Rate for Payer: United Healthcare Commercial |
$35,697.17
|
| Rate for Payer: United Healthcare Medicare Advantage |
$37,151.71
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$37,151.71
|
| Rate for Payer: Wellcare Medicare |
$35,294.12
|
|
|
MS-DRG 43.00: URETHRAL PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$36,783.02
|
|
|
Service Code
|
MSDRG 672
|
| Min. Negotiated Rate |
$13,605.21 |
| Max. Negotiated Rate |
$36,783.02 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$13,605.21
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$26,751.29
|
| Rate for Payer: Aetna Government |
$26,751.29
|
| Rate for Payer: Brighton Health Commercial |
$15,652.75
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$27,286.32
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$19,201.14
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$16,320.97
|
| Rate for Payer: Elderplan Medicare Advantage |
$25,413.73
|
| Rate for Payer: EmblemHealth Commercial |
$26,751.29
|
| Rate for Payer: Fidelis Medicare Advantage |
$26,751.29
|
| Rate for Payer: Group Health Inc Commercial |
$26,751.29
|
| Rate for Payer: Group Health Inc Medicare |
$26,751.29
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$26,751.29
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$26,751.29
|
| Rate for Payer: Healthfirst Medicare Advantage |
$24,878.70
|
| Rate for Payer: Humana Medicare |
$36,783.02
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$26,751.29
|
| Rate for Payer: United Healthcare Commercial |
$21,468.02
|
| Rate for Payer: United Healthcare Medicare Advantage |
$26,751.29
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$26,751.29
|
| Rate for Payer: Wellcare Medicare |
$25,413.73
|
|
|
MS-DRG 43.00: URETHRAL STRICTURE
|
Facility
|
IP
|
$36,749.05
|
|
|
Service Code
|
MSDRG 697
|
| Min. Negotiated Rate |
$15,628.10 |
| Max. Negotiated Rate |
$36,749.05 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$16,412.66
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$26,726.58
|
| Rate for Payer: Aetna Government |
$26,726.58
|
| Rate for Payer: Brighton Health Commercial |
$15,628.10
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$27,261.11
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$19,170.90
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$16,295.27
|
| Rate for Payer: Elderplan Medicare Advantage |
$25,390.25
|
| Rate for Payer: EmblemHealth Commercial |
$26,726.58
|
| Rate for Payer: Fidelis Medicare Advantage |
$26,726.58
|
| Rate for Payer: Group Health Inc Commercial |
$26,726.58
|
| Rate for Payer: Group Health Inc Medicare |
$26,726.58
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$26,726.58
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$26,726.58
|
| Rate for Payer: Healthfirst Medicare Advantage |
$24,855.72
|
| Rate for Payer: Humana Medicare |
$36,749.05
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$26,726.58
|
| Rate for Payer: United Healthcare Commercial |
$21,434.21
|
| Rate for Payer: United Healthcare Medicare Advantage |
$26,726.58
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$26,726.58
|
| Rate for Payer: Wellcare Medicare |
$25,390.25
|
|
|
MS-DRG 43.00: URINARY STONES WITH MCC
|
Facility
|
IP
|
$42,079.54
|
|
|
Service Code
|
MSDRG 693
|
| Min. Negotiated Rate |
$19,495.25 |
| Max. Negotiated Rate |
$42,079.54 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$20,883.34
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$30,603.30
|
| Rate for Payer: Aetna Government |
$30,603.30
|
| Rate for Payer: Brighton Health Commercial |
$19,495.25
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$31,215.37
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$23,914.72
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$20,327.51
|
| Rate for Payer: Elderplan Medicare Advantage |
$29,073.13
|
| Rate for Payer: EmblemHealth Commercial |
$30,603.30
|
| Rate for Payer: Fidelis Medicare Advantage |
$30,603.30
|
| Rate for Payer: Group Health Inc Commercial |
$30,603.30
|
| Rate for Payer: Group Health Inc Medicare |
$30,603.30
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$30,603.30
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$30,603.30
|
| Rate for Payer: Healthfirst Medicare Advantage |
$28,461.07
|
| Rate for Payer: Humana Medicare |
$42,079.54
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$30,603.30
|
| Rate for Payer: United Healthcare Commercial |
$26,738.07
|
| Rate for Payer: United Healthcare Medicare Advantage |
$30,603.30
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$30,603.30
|
| Rate for Payer: Wellcare Medicare |
$29,073.13
|
|
|
MS-DRG 43.00: URINARY STONES WITHOUT MCC
|
Facility
|
IP
|
$30,830.95
|
|
|
Service Code
|
MSDRG 694
|
| Min. Negotiated Rate |
$11,334.65 |
| Max. Negotiated Rate |
$30,830.95 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$11,540.91
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$22,422.51
|
| Rate for Payer: Aetna Government |
$22,422.51
|
| Rate for Payer: Brighton Health Commercial |
$11,334.65
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$22,870.96
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$13,904.15
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$11,818.53
|
| Rate for Payer: Elderplan Medicare Advantage |
$21,301.38
|
| Rate for Payer: EmblemHealth Commercial |
$22,422.51
|
| Rate for Payer: Fidelis Medicare Advantage |
$22,422.51
|
| Rate for Payer: Group Health Inc Commercial |
$22,422.51
|
| Rate for Payer: Group Health Inc Medicare |
$22,422.51
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$22,422.51
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$22,422.51
|
| Rate for Payer: Healthfirst Medicare Advantage |
$20,852.93
|
| Rate for Payer: Humana Medicare |
$30,830.95
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$22,422.51
|
| Rate for Payer: United Healthcare Commercial |
$15,545.67
|
| Rate for Payer: United Healthcare Medicare Advantage |
$22,422.51
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$22,422.51
|
| Rate for Payer: Wellcare Medicare |
$21,301.38
|
|
|
MS-DRG 43.00: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC
|
Facility
|
IP
|
$51,879.07
|
|
|
Service Code
|
MSDRG 742
|
| Min. Negotiated Rate |
$26,274.12 |
| Max. Negotiated Rate |
$51,879.07 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$26,274.12
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$37,730.23
|
| Rate for Payer: Aetna Government |
$37,730.23
|
| Rate for Payer: Brighton Health Commercial |
$26,604.60
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$38,484.83
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$32,635.72
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$27,740.36
|
| Rate for Payer: Elderplan Medicare Advantage |
$35,843.72
|
| Rate for Payer: EmblemHealth Commercial |
$37,730.23
|
| Rate for Payer: Fidelis Medicare Advantage |
$37,730.23
|
| Rate for Payer: Group Health Inc Commercial |
$37,730.23
|
| Rate for Payer: Group Health Inc Medicare |
$37,730.23
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$37,730.23
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$37,730.23
|
| Rate for Payer: Healthfirst Medicare Advantage |
$35,089.11
|
| Rate for Payer: Humana Medicare |
$51,879.07
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$37,730.23
|
| Rate for Payer: United Healthcare Commercial |
$36,488.67
|
| Rate for Payer: United Healthcare Medicare Advantage |
$37,730.23
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$37,730.23
|
| Rate for Payer: Wellcare Medicare |
$35,843.72
|
|
|
MS-DRG 43.00: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC
|
Facility
|
IP
|
$40,004.88
|
|
|
Service Code
|
MSDRG 743
|
| Min. Negotiated Rate |
$1,000.00 |
| Max. Negotiated Rate |
$40,004.88 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$17,133.69
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$29,094.46
|
| Rate for Payer: Aetna Government |
$29,094.46
|
| Rate for Payer: Brighton Health Commercial |
$17,990.15
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$29,676.35
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$22,068.42
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$18,758.16
|
| Rate for Payer: Elderplan Medicare Advantage |
$27,639.74
|
| Rate for Payer: EmblemHealth Commercial |
$29,094.46
|
| Rate for Payer: Fidelis Medicare Advantage |
$29,094.46
|
| Rate for Payer: Group Health Inc Commercial |
$1,000.00
|
| Rate for Payer: Group Health Inc Medicare |
$29,094.46
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$29,094.46
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$29,094.46
|
| Rate for Payer: Healthfirst Medicare Advantage |
$27,057.85
|
| Rate for Payer: Humana Medicare |
$40,004.88
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$29,094.46
|
| Rate for Payer: United Healthcare Commercial |
$24,673.80
|
| Rate for Payer: United Healthcare Medicare Advantage |
$29,094.46
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$29,094.46
|
| Rate for Payer: Wellcare Medicare |
$27,639.74
|
|
|
MS-DRG 43.00: UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC
|
Facility
|
IP
|
$51,375.39
|
|
|
Service Code
|
MSDRG 740
|
| Min. Negotiated Rate |
$26,239.20 |
| Max. Negotiated Rate |
$51,375.39 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$26,349.32
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$37,363.92
|
| Rate for Payer: Aetna Government |
$37,363.92
|
| Rate for Payer: Brighton Health Commercial |
$26,239.20
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$38,111.20
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$32,187.48
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$27,359.36
|
| Rate for Payer: Elderplan Medicare Advantage |
$35,495.72
|
| Rate for Payer: EmblemHealth Commercial |
$37,363.92
|
| Rate for Payer: Fidelis Medicare Advantage |
$37,363.92
|
| Rate for Payer: Group Health Inc Commercial |
$37,363.92
|
| Rate for Payer: Group Health Inc Medicare |
$37,363.92
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$37,363.92
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$37,363.92
|
| Rate for Payer: Healthfirst Medicare Advantage |
$34,748.45
|
| Rate for Payer: Humana Medicare |
$51,375.39
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$37,363.92
|
| Rate for Payer: United Healthcare Commercial |
$35,987.52
|
| Rate for Payer: United Healthcare Medicare Advantage |
$37,363.92
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$37,363.92
|
| Rate for Payer: Wellcare Medicare |
$35,495.72
|
|
