|
MS-DRG 43.00: UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC
|
Facility
|
IP
|
$86,815.99
|
|
|
Service Code
|
MSDRG 739
|
| Min. Negotiated Rate |
$51,131.35 |
| Max. Negotiated Rate |
$86,815.99 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$53,322.34
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$63,138.90
|
| Rate for Payer: Aetna Government |
$63,138.90
|
| Rate for Payer: Brighton Health Commercial |
$51,131.35
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$64,401.68
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$62,722.54
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$53,314.16
|
| Rate for Payer: Elderplan Medicare Advantage |
$59,981.96
|
| Rate for Payer: EmblemHealth Commercial |
$63,138.90
|
| Rate for Payer: Fidelis Medicare Advantage |
$63,138.90
|
| Rate for Payer: Group Health Inc Commercial |
$63,138.90
|
| Rate for Payer: Group Health Inc Medicare |
$63,138.90
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$63,138.90
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$63,138.90
|
| Rate for Payer: Healthfirst Medicare Advantage |
$58,719.18
|
| Rate for Payer: Humana Medicare |
$86,815.99
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$63,138.90
|
| Rate for Payer: United Healthcare Commercial |
$70,127.53
|
| Rate for Payer: United Healthcare Medicare Advantage |
$63,138.90
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$63,138.90
|
| Rate for Payer: Wellcare Medicare |
$59,981.96
|
|
|
MS-DRG 43.00: UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC
|
Facility
|
IP
|
$43,710.45
|
|
|
Service Code
|
MSDRG 741
|
| Min. Negotiated Rate |
$19,158.18 |
| Max. Negotiated Rate |
$43,710.45 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$19,158.18
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$31,789.42
|
| Rate for Payer: Aetna Government |
$31,789.42
|
| Rate for Payer: Brighton Health Commercial |
$20,678.45
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$32,425.21
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$25,366.14
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$21,561.22
|
| Rate for Payer: Elderplan Medicare Advantage |
$30,199.95
|
| Rate for Payer: EmblemHealth Commercial |
$31,789.42
|
| Rate for Payer: Fidelis Medicare Advantage |
$31,789.42
|
| Rate for Payer: Group Health Inc Commercial |
$31,789.42
|
| Rate for Payer: Group Health Inc Medicare |
$31,789.42
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$31,789.42
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$31,789.42
|
| Rate for Payer: Healthfirst Medicare Advantage |
$29,564.16
|
| Rate for Payer: Humana Medicare |
$43,710.45
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$31,789.42
|
| Rate for Payer: United Healthcare Commercial |
$28,360.85
|
| Rate for Payer: United Healthcare Medicare Advantage |
$31,789.42
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$31,789.42
|
| Rate for Payer: Wellcare Medicare |
$30,199.95
|
|
|
MS-DRG 43.00: UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC
|
Facility
|
IP
|
$56,392.08
|
|
|
Service Code
|
MSDRG 737
|
| Min. Negotiated Rate |
$29,103.68 |
| Max. Negotiated Rate |
$56,392.08 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$29,103.68
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$41,012.42
|
| Rate for Payer: Aetna Government |
$41,012.42
|
| Rate for Payer: Brighton Health Commercial |
$29,878.70
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$41,832.67
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$36,652.04
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$31,154.23
|
| Rate for Payer: Elderplan Medicare Advantage |
$38,961.80
|
| Rate for Payer: EmblemHealth Commercial |
$41,012.42
|
| Rate for Payer: Fidelis Medicare Advantage |
$41,012.42
|
| Rate for Payer: Group Health Inc Commercial |
$41,012.42
|
| Rate for Payer: Group Health Inc Medicare |
$41,012.42
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$41,012.42
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$41,012.42
|
| Rate for Payer: Healthfirst Medicare Advantage |
$38,141.55
|
| Rate for Payer: Humana Medicare |
$56,392.08
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$41,012.42
|
| Rate for Payer: United Healthcare Commercial |
$40,979.15
|
| Rate for Payer: United Healthcare Medicare Advantage |
$41,012.42
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$41,012.42
|
| Rate for Payer: Wellcare Medicare |
$38,961.80
|
|
|
MS-DRG 43.00: UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC
|
Facility
|
IP
|
$86,650.12
|
|
|
Service Code
|
MSDRG 736
|
| Min. Negotiated Rate |
$51,830.25 |
| Max. Negotiated Rate |
$86,650.12 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$57,316.76
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$63,018.27
|
| Rate for Payer: Aetna Government |
$63,018.27
|
| Rate for Payer: Brighton Health Commercial |
$51,830.25
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$64,278.64
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$63,579.88
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$54,042.90
|
| Rate for Payer: Elderplan Medicare Advantage |
$59,867.36
|
| Rate for Payer: EmblemHealth Commercial |
$63,018.27
|
| Rate for Payer: Fidelis Medicare Advantage |
$63,018.27
|
| Rate for Payer: Group Health Inc Commercial |
$63,018.27
|
| Rate for Payer: Group Health Inc Medicare |
$63,018.27
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$63,018.27
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$63,018.27
|
| Rate for Payer: Healthfirst Medicare Advantage |
$58,606.99
|
| Rate for Payer: Humana Medicare |
$86,650.12
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$63,018.27
|
| Rate for Payer: United Healthcare Commercial |
$71,086.08
|
| Rate for Payer: United Healthcare Medicare Advantage |
$63,018.27
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$63,018.27
|
| Rate for Payer: Wellcare Medicare |
$59,867.36
|
|
|
MS-DRG 43.00: UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC
|
Facility
|
IP
|
$44,557.88
|
|
|
Service Code
|
MSDRG 738
|
| Min. Negotiated Rate |
$20,121.03 |
| Max. Negotiated Rate |
$44,557.88 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$20,121.03
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$32,405.73
|
| Rate for Payer: Aetna Government |
$32,405.73
|
| Rate for Payer: Brighton Health Commercial |
$21,293.25
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$33,053.84
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$26,120.31
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$22,202.27
|
| Rate for Payer: Elderplan Medicare Advantage |
$30,785.44
|
| Rate for Payer: EmblemHealth Commercial |
$32,405.73
|
| Rate for Payer: Fidelis Medicare Advantage |
$32,405.73
|
| Rate for Payer: Group Health Inc Commercial |
$32,405.73
|
| Rate for Payer: Group Health Inc Medicare |
$32,405.73
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$32,405.73
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$32,405.73
|
| Rate for Payer: Healthfirst Medicare Advantage |
$30,137.33
|
| Rate for Payer: Humana Medicare |
$44,557.88
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$32,405.73
|
| Rate for Payer: United Healthcare Commercial |
$29,204.06
|
| Rate for Payer: United Healthcare Medicare Advantage |
$32,405.73
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$32,405.73
|
| Rate for Payer: Wellcare Medicare |
$30,785.44
|
|
|
MS-DRG 43.00: VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$49,926.35
|
|
|
Service Code
|
MSDRG 746
|
| Min. Negotiated Rate |
$1,000.00 |
| Max. Negotiated Rate |
$49,926.35 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$24,714.09
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$36,310.07
|
| Rate for Payer: Aetna Government |
$36,310.07
|
| Rate for Payer: Brighton Health Commercial |
$25,187.95
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$37,036.27
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$30,897.92
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$26,263.23
|
| Rate for Payer: Elderplan Medicare Advantage |
$34,494.57
|
| Rate for Payer: EmblemHealth Commercial |
$36,310.07
|
| Rate for Payer: Fidelis Medicare Advantage |
$36,310.07
|
| Rate for Payer: Group Health Inc Commercial |
$1,000.00
|
| Rate for Payer: Group Health Inc Medicare |
$36,310.07
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$36,310.07
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$36,310.07
|
| Rate for Payer: Healthfirst Medicare Advantage |
$33,768.37
|
| Rate for Payer: Humana Medicare |
$49,926.35
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$36,310.07
|
| Rate for Payer: United Healthcare Commercial |
$34,545.71
|
| Rate for Payer: United Healthcare Medicare Advantage |
$36,310.07
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$36,310.07
|
| Rate for Payer: Wellcare Medicare |
$34,494.57
|
|
|
MS-DRG 43.00: VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$32,389.91
|
|
|
Service Code
|
MSDRG 747
|
| Min. Negotiated Rate |
$1,000.00 |
| Max. Negotiated Rate |
$32,389.91 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$13,081.76
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$23,556.30
|
| Rate for Payer: Aetna Government |
$23,556.30
|
| Rate for Payer: Brighton Health Commercial |
$12,172.75
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$24,027.43
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$14,932.25
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$12,692.41
|
| Rate for Payer: Elderplan Medicare Advantage |
$22,378.49
|
| Rate for Payer: EmblemHealth Commercial |
$23,556.30
|
| Rate for Payer: Fidelis Medicare Advantage |
$23,556.30
|
| Rate for Payer: Group Health Inc Commercial |
$1,000.00
|
| Rate for Payer: Group Health Inc Medicare |
$23,556.30
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$23,556.30
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$23,556.30
|
| Rate for Payer: Healthfirst Medicare Advantage |
$21,907.36
|
| Rate for Payer: Humana Medicare |
$32,389.91
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$23,556.30
|
| Rate for Payer: United Healthcare Commercial |
$16,695.14
|
| Rate for Payer: United Healthcare Medicare Advantage |
$23,556.30
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$23,556.30
|
| Rate for Payer: Wellcare Medicare |
$22,378.49
|
|
|
MS-DRG 43.00: VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C
|
Facility
|
IP
|
$36,625.15
|
|
|
Service Code
|
MSDRG 768
|
| Min. Negotiated Rate |
$6,326.00 |
| Max. Negotiated Rate |
$36,625.15 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$17,960.88
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$26,636.47
|
| Rate for Payer: Aetna Government |
$26,636.47
|
| Rate for Payer: Brighton Health Commercial |
$15,538.20
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$27,169.20
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$19,060.62
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$16,201.53
|
| Rate for Payer: Elderplan Medicare Advantage |
$25,304.65
|
| Rate for Payer: EmblemHealth Commercial |
$7,000.00
|
| Rate for Payer: Fidelis Medicare Advantage |
$26,636.47
|
| Rate for Payer: Group Health Inc Commercial |
$7,000.00
|
| Rate for Payer: Group Health Inc Medicare |
$26,636.47
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$26,636.47
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$26,636.47
|
| Rate for Payer: Healthfirst Medicare Advantage |
$24,771.92
|
| Rate for Payer: Humana Medicare |
$36,625.15
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$26,636.47
|
| Rate for Payer: United Healthcare Commercial |
$6,326.00
|
| Rate for Payer: United Healthcare Medicare Advantage |
$26,636.47
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$26,636.47
|
| Rate for Payer: Wellcare Medicare |
$25,304.65
|
|
|
MS-DRG 43.00: VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC
|
Facility
|
IP
|
$30,277.35
|
|
|
Service Code
|
MSDRG 806
|
| Min. Negotiated Rate |
$10,933.00 |
| Max. Negotiated Rate |
$30,277.35 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$11,010.09
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$22,019.89
|
| Rate for Payer: Aetna Government |
$22,019.89
|
| Rate for Payer: Brighton Health Commercial |
$10,933.00
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$22,460.29
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$13,411.45
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$11,399.73
|
| Rate for Payer: Elderplan Medicare Advantage |
$20,918.90
|
| Rate for Payer: EmblemHealth Commercial |
$22,019.89
|
| Rate for Payer: Fidelis Medicare Advantage |
$22,019.89
|
| Rate for Payer: Group Health Inc Commercial |
$22,019.89
|
| Rate for Payer: Group Health Inc Medicare |
$22,019.89
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$22,019.89
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$22,019.89
|
| Rate for Payer: Healthfirst Medicare Advantage |
$20,478.50
|
| Rate for Payer: Humana Medicare |
$30,277.35
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$22,019.89
|
| Rate for Payer: United Healthcare Commercial |
$14,994.80
|
| Rate for Payer: United Healthcare Medicare Advantage |
$22,019.89
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$22,019.89
|
| Rate for Payer: Wellcare Medicare |
$20,918.90
|
|
|
MS-DRG 43.00: VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC
|
Facility
|
IP
|
$36,777.03
|
|
|
Service Code
|
MSDRG 805
|
| Min. Negotiated Rate |
$14,865.91 |
| Max. Negotiated Rate |
$36,777.03 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$14,865.91
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$26,746.93
|
| Rate for Payer: Aetna Government |
$26,746.93
|
| Rate for Payer: Brighton Health Commercial |
$15,648.40
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$27,281.87
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$19,195.81
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$16,316.44
|
| Rate for Payer: Elderplan Medicare Advantage |
$25,409.58
|
| Rate for Payer: EmblemHealth Commercial |
$26,746.93
|
| Rate for Payer: Fidelis Medicare Advantage |
$26,746.93
|
| Rate for Payer: Group Health Inc Commercial |
$26,746.93
|
| Rate for Payer: Group Health Inc Medicare |
$26,746.93
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$26,746.93
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$26,746.93
|
| Rate for Payer: Healthfirst Medicare Advantage |
$24,874.64
|
| Rate for Payer: Humana Medicare |
$36,777.03
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$26,746.93
|
| Rate for Payer: United Healthcare Commercial |
$21,462.05
|
| Rate for Payer: United Healthcare Medicare Advantage |
$26,746.93
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$26,746.93
|
| Rate for Payer: Wellcare Medicare |
$25,409.58
|
|
|
MS-DRG 43.00: VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC
|
Facility
|
IP
|
$28,682.36
|
|
|
Service Code
|
MSDRG 807
|
| Min. Negotiated Rate |
$9,647.65 |
| Max. Negotiated Rate |
$28,682.36 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$9,647.65
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$20,859.90
|
| Rate for Payer: Aetna Government |
$20,859.90
|
| Rate for Payer: Brighton Health Commercial |
$9,775.90
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$21,277.10
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$11,992.04
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$10,193.24
|
| Rate for Payer: Elderplan Medicare Advantage |
$19,816.90
|
| Rate for Payer: EmblemHealth Commercial |
$20,859.90
|
| Rate for Payer: Fidelis Medicare Advantage |
$20,859.90
|
| Rate for Payer: Group Health Inc Commercial |
$20,859.90
|
| Rate for Payer: Group Health Inc Medicare |
$20,859.90
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$20,859.90
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$20,859.90
|
| Rate for Payer: Healthfirst Medicare Advantage |
$19,399.71
|
| Rate for Payer: Humana Medicare |
$28,682.36
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$20,859.90
|
| Rate for Payer: United Healthcare Commercial |
$13,407.82
|
| Rate for Payer: United Healthcare Medicare Advantage |
$20,859.90
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$20,859.90
|
| Rate for Payer: Wellcare Medicare |
$19,816.90
|
|
|
MS-DRG 43.00: VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC
|
Facility
|
IP
|
$35,202.09
|
|
|
Service Code
|
MSDRG 797
|
| Min. Negotiated Rate |
$14,505.80 |
| Max. Negotiated Rate |
$35,202.09 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$14,684.55
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$25,601.52
|
| Rate for Payer: Aetna Government |
$25,601.52
|
| Rate for Payer: Brighton Health Commercial |
$14,505.80
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$26,113.55
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$17,794.18
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$15,125.06
|
| Rate for Payer: Elderplan Medicare Advantage |
$24,321.44
|
| Rate for Payer: EmblemHealth Commercial |
$25,601.52
|
| Rate for Payer: Fidelis Medicare Advantage |
$25,601.52
|
| Rate for Payer: Group Health Inc Commercial |
$25,601.52
|
| Rate for Payer: Group Health Inc Medicare |
$25,601.52
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$25,601.52
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$25,601.52
|
| Rate for Payer: Healthfirst Medicare Advantage |
$23,809.41
|
| Rate for Payer: Humana Medicare |
$35,202.09
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$25,601.52
|
| Rate for Payer: United Healthcare Commercial |
$19,894.95
|
| Rate for Payer: United Healthcare Medicare Advantage |
$25,601.52
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$25,601.52
|
| Rate for Payer: Wellcare Medicare |
$24,321.44
|
|
|
MS-DRG 43.00: VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC
|
Facility
|
IP
|
$38,531.89
|
|
|
Service Code
|
MSDRG 796
|
| Min. Negotiated Rate |
$16,921.50 |
| Max. Negotiated Rate |
$38,531.89 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$20,914.31
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$28,023.19
|
| Rate for Payer: Aetna Government |
$28,023.19
|
| Rate for Payer: Brighton Health Commercial |
$16,921.50
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$28,583.65
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$20,757.51
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$17,643.88
|
| Rate for Payer: Elderplan Medicare Advantage |
$26,622.03
|
| Rate for Payer: EmblemHealth Commercial |
$28,023.19
|
| Rate for Payer: Fidelis Medicare Advantage |
$28,023.19
|
| Rate for Payer: Group Health Inc Commercial |
$28,023.19
|
| Rate for Payer: Group Health Inc Medicare |
$28,023.19
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$28,023.19
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$28,023.19
|
| Rate for Payer: Healthfirst Medicare Advantage |
$26,061.57
|
| Rate for Payer: Humana Medicare |
$38,531.89
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$28,023.19
|
| Rate for Payer: United Healthcare Commercial |
$23,208.13
|
| Rate for Payer: United Healthcare Medicare Advantage |
$28,023.19
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$28,023.19
|
| Rate for Payer: Wellcare Medicare |
$26,622.03
|
|
|
MS-DRG 43.00: VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC
|
Facility
|
IP
|
$34,336.65
|
|
|
Service Code
|
MSDRG 798
|
| Min. Negotiated Rate |
$11,961.14 |
| Max. Negotiated Rate |
$34,336.65 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$11,961.14
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$24,972.11
|
| Rate for Payer: Aetna Government |
$24,972.11
|
| Rate for Payer: Brighton Health Commercial |
$13,877.95
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$25,471.55
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$17,024.00
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$14,470.40
|
| Rate for Payer: Elderplan Medicare Advantage |
$23,723.50
|
| Rate for Payer: EmblemHealth Commercial |
$24,972.11
|
| Rate for Payer: Fidelis Medicare Advantage |
$24,972.11
|
| Rate for Payer: Group Health Inc Commercial |
$24,972.11
|
| Rate for Payer: Group Health Inc Medicare |
$24,972.11
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$24,972.11
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$24,972.11
|
| Rate for Payer: Healthfirst Medicare Advantage |
$23,224.06
|
| Rate for Payer: Humana Medicare |
$34,336.65
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$24,972.11
|
| Rate for Payer: United Healthcare Commercial |
$19,033.85
|
| Rate for Payer: United Healthcare Medicare Advantage |
$24,972.11
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$24,972.11
|
| Rate for Payer: Wellcare Medicare |
$23,723.50
|
|
|
MS-DRG 43.00: VEIN LIGATION AND STRIPPING
|
Facility
|
IP
|
$76,314.93
|
|
|
Service Code
|
MSDRG 263
|
| Min. Negotiated Rate |
$41,657.57 |
| Max. Negotiated Rate |
$76,314.93 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$41,657.57
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$55,501.77
|
| Rate for Payer: Aetna Government |
$55,501.77
|
| Rate for Payer: Brighton Health Commercial |
$44,332.30
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$56,611.81
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$54,382.19
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$46,224.86
|
| Rate for Payer: Elderplan Medicare Advantage |
$52,726.68
|
| Rate for Payer: EmblemHealth Commercial |
$55,501.77
|
| Rate for Payer: Fidelis Medicare Advantage |
$55,501.77
|
| Rate for Payer: Group Health Inc Commercial |
$55,501.77
|
| Rate for Payer: Group Health Inc Medicare |
$55,501.77
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$55,501.77
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$55,501.77
|
| Rate for Payer: Healthfirst Medicare Advantage |
$51,616.65
|
| Rate for Payer: Humana Medicare |
$76,314.93
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$55,501.77
|
| Rate for Payer: United Healthcare Commercial |
$60,802.51
|
| Rate for Payer: United Healthcare Medicare Advantage |
$55,501.77
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$55,501.77
|
| Rate for Payer: Wellcare Medicare |
$52,726.68
|
|
|
MS-DRG 43.00: VENTRICULAR SHUNT PROCEDURES WITH CC
|
Facility
|
IP
|
$57,799.16
|
|
|
Service Code
|
MSDRG 032
|
| Min. Negotiated Rate |
$30,899.50 |
| Max. Negotiated Rate |
$57,799.16 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$31,757.78
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$42,035.75
|
| Rate for Payer: Aetna Government |
$42,035.75
|
| Rate for Payer: Brighton Health Commercial |
$30,899.50
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$42,876.46
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$37,904.25
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$32,218.61
|
| Rate for Payer: Elderplan Medicare Advantage |
$39,933.96
|
| Rate for Payer: EmblemHealth Commercial |
$42,035.75
|
| Rate for Payer: Fidelis Medicare Advantage |
$42,035.75
|
| Rate for Payer: Group Health Inc Commercial |
$42,035.75
|
| Rate for Payer: Group Health Inc Medicare |
$42,035.75
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$42,035.75
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$42,035.75
|
| Rate for Payer: Healthfirst Medicare Advantage |
$39,093.25
|
| Rate for Payer: Humana Medicare |
$57,799.16
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$42,035.75
|
| Rate for Payer: United Healthcare Commercial |
$42,379.20
|
| Rate for Payer: United Healthcare Medicare Advantage |
$42,035.75
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$42,035.75
|
| Rate for Payer: Wellcare Medicare |
$39,933.96
|
|
|
MS-DRG 43.00: VENTRICULAR SHUNT PROCEDURES WITH MCC
|
Facility
|
IP
|
$104,758.13
|
|
|
Service Code
|
MSDRG 031
|
| Min. Negotiated Rate |
$60,699.27 |
| Max. Negotiated Rate |
$104,758.13 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$60,699.27
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$76,187.73
|
| Rate for Payer: Aetna Government |
$76,187.73
|
| Rate for Payer: Brighton Health Commercial |
$64,967.25
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$77,711.48
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$79,694.97
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$67,740.72
|
| Rate for Payer: Elderplan Medicare Advantage |
$72,378.34
|
| Rate for Payer: EmblemHealth Commercial |
$76,187.73
|
| Rate for Payer: Fidelis Medicare Advantage |
$76,187.73
|
| Rate for Payer: Group Health Inc Commercial |
$76,187.73
|
| Rate for Payer: Group Health Inc Medicare |
$76,187.73
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$76,187.73
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$76,187.73
|
| Rate for Payer: Healthfirst Medicare Advantage |
$70,854.59
|
| Rate for Payer: Humana Medicare |
$104,758.13
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$76,187.73
|
| Rate for Payer: United Healthcare Commercial |
$89,103.70
|
| Rate for Payer: United Healthcare Medicare Advantage |
$76,187.73
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$76,187.73
|
| Rate for Payer: Wellcare Medicare |
$72,378.34
|
|
|
MS-DRG 43.00: VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$48,443.31
|
|
|
Service Code
|
MSDRG 033
|
| Min. Negotiated Rate |
$23,929.66 |
| Max. Negotiated Rate |
$48,443.31 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$23,929.66
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$35,231.50
|
| Rate for Payer: Aetna Government |
$35,231.50
|
| Rate for Payer: Brighton Health Commercial |
$24,112.05
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$35,936.13
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$29,578.12
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$25,141.40
|
| Rate for Payer: Elderplan Medicare Advantage |
$33,469.93
|
| Rate for Payer: EmblemHealth Commercial |
$35,231.50
|
| Rate for Payer: Fidelis Medicare Advantage |
$35,231.50
|
| Rate for Payer: Group Health Inc Commercial |
$35,231.50
|
| Rate for Payer: Group Health Inc Medicare |
$35,231.50
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$35,231.50
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$35,231.50
|
| Rate for Payer: Healthfirst Medicare Advantage |
$32,765.29
|
| Rate for Payer: Humana Medicare |
$48,443.31
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$35,231.50
|
| Rate for Payer: United Healthcare Commercial |
$33,070.09
|
| Rate for Payer: United Healthcare Medicare Advantage |
$35,231.50
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$35,231.50
|
| Rate for Payer: Wellcare Medicare |
$33,469.93
|
|
|
MS-DRG 43.00: VIRAL ILLNESS WITH MCC
|
Facility
|
IP
|
$45,153.50
|
|
|
Service Code
|
MSDRG 865
|
| Min. Negotiated Rate |
$21,725.35 |
| Max. Negotiated Rate |
$45,153.50 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$24,180.33
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$32,838.91
|
| Rate for Payer: Aetna Government |
$32,838.91
|
| Rate for Payer: Brighton Health Commercial |
$21,725.35
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$33,495.69
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$26,650.37
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$22,652.81
|
| Rate for Payer: Elderplan Medicare Advantage |
$31,196.96
|
| Rate for Payer: EmblemHealth Commercial |
$32,838.91
|
| Rate for Payer: Fidelis Medicare Advantage |
$32,838.91
|
| Rate for Payer: Group Health Inc Commercial |
$32,838.91
|
| Rate for Payer: Group Health Inc Medicare |
$32,838.91
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$32,838.91
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$32,838.91
|
| Rate for Payer: Healthfirst Medicare Advantage |
$30,540.19
|
| Rate for Payer: Humana Medicare |
$45,153.50
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$32,838.91
|
| Rate for Payer: United Healthcare Commercial |
$29,796.69
|
| Rate for Payer: United Healthcare Medicare Advantage |
$32,838.91
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$32,838.91
|
| Rate for Payer: Wellcare Medicare |
$31,196.96
|
|
|
MS-DRG 43.00: VIRAL ILLNESS WITHOUT MCC
|
Facility
|
IP
|
$32,587.83
|
|
|
Service Code
|
MSDRG 866
|
| Min. Negotiated Rate |
$12,609.20 |
| Max. Negotiated Rate |
$32,587.83 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$13,531.49
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$23,700.24
|
| Rate for Payer: Aetna Government |
$23,700.24
|
| Rate for Payer: Brighton Health Commercial |
$12,609.20
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$24,174.24
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$15,467.64
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$13,147.49
|
| Rate for Payer: Elderplan Medicare Advantage |
$22,515.23
|
| Rate for Payer: EmblemHealth Commercial |
$23,700.24
|
| Rate for Payer: Fidelis Medicare Advantage |
$23,700.24
|
| Rate for Payer: Group Health Inc Commercial |
$23,700.24
|
| Rate for Payer: Group Health Inc Medicare |
$23,700.24
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$23,700.24
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$23,700.24
|
| Rate for Payer: Healthfirst Medicare Advantage |
$22,041.22
|
| Rate for Payer: Humana Medicare |
$32,587.83
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$23,700.24
|
| Rate for Payer: United Healthcare Commercial |
$17,293.74
|
| Rate for Payer: United Healthcare Medicare Advantage |
$23,700.24
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$23,700.24
|
| Rate for Payer: Wellcare Medicare |
$22,515.23
|
|
|
MS-DRG 43.00: VIRAL MENINGITIS WITH CC/MCC
|
Facility
|
IP
|
$53,531.97
|
|
|
Service Code
|
MSDRG 075
|
| Min. Negotiated Rate |
$27,803.75 |
| Max. Negotiated Rate |
$53,531.97 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$28,218.98
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$38,932.34
|
| Rate for Payer: Aetna Government |
$38,932.34
|
| Rate for Payer: Brighton Health Commercial |
$27,803.75
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$39,710.99
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$34,106.71
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$28,990.70
|
| Rate for Payer: Elderplan Medicare Advantage |
$36,985.72
|
| Rate for Payer: EmblemHealth Commercial |
$38,932.34
|
| Rate for Payer: Fidelis Medicare Advantage |
$38,932.34
|
| Rate for Payer: Group Health Inc Commercial |
$38,932.34
|
| Rate for Payer: Group Health Inc Medicare |
$38,932.34
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$38,932.34
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$38,932.34
|
| Rate for Payer: Healthfirst Medicare Advantage |
$36,207.08
|
| Rate for Payer: Humana Medicare |
$53,531.97
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$38,932.34
|
| Rate for Payer: United Healthcare Commercial |
$38,133.32
|
| Rate for Payer: United Healthcare Medicare Advantage |
$38,932.34
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$38,932.34
|
| Rate for Payer: Wellcare Medicare |
$36,985.72
|
|
|
MS-DRG 43.00: VIRAL MENINGITIS WITHOUT CC/MCC
|
Facility
|
IP
|
$31,700.38
|
|
|
Service Code
|
MSDRG 076
|
| Min. Negotiated Rate |
$10,857.60 |
| Max. Negotiated Rate |
$31,700.38 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$13,602.26
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$23,054.82
|
| Rate for Payer: Aetna Government |
$23,054.82
|
| Rate for Payer: Brighton Health Commercial |
$10,857.60
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$23,515.92
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$13,318.96
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$11,321.11
|
| Rate for Payer: Elderplan Medicare Advantage |
$21,902.08
|
| Rate for Payer: EmblemHealth Commercial |
$23,054.82
|
| Rate for Payer: Fidelis Medicare Advantage |
$23,054.82
|
| Rate for Payer: Group Health Inc Commercial |
$23,054.82
|
| Rate for Payer: Group Health Inc Medicare |
$23,054.82
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$23,054.82
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$23,054.82
|
| Rate for Payer: Healthfirst Medicare Advantage |
$21,440.98
|
| Rate for Payer: Humana Medicare |
$31,700.38
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$23,054.82
|
| Rate for Payer: United Healthcare Commercial |
$14,891.39
|
| Rate for Payer: United Healthcare Medicare Advantage |
$23,054.82
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$23,054.82
|
| Rate for Payer: Wellcare Medicare |
$21,902.08
|
|
|
MS-DRG 43.00: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC
|
Facility
|
IP
|
$77,460.16
|
|
|
Service Code
|
MSDRG 464
|
| Min. Negotiated Rate |
$44,255.64 |
| Max. Negotiated Rate |
$77,460.16 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$44,255.64
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$56,334.66
|
| Rate for Payer: Aetna Government |
$56,334.66
|
| Rate for Payer: Brighton Health Commercial |
$45,163.15
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$57,461.35
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$55,401.39
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$47,091.18
|
| Rate for Payer: Elderplan Medicare Advantage |
$53,517.93
|
| Rate for Payer: EmblemHealth Commercial |
$56,334.66
|
| Rate for Payer: Fidelis Medicare Advantage |
$56,334.66
|
| Rate for Payer: Group Health Inc Commercial |
$56,334.66
|
| Rate for Payer: Group Health Inc Medicare |
$56,334.66
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$56,334.66
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$56,334.66
|
| Rate for Payer: Healthfirst Medicare Advantage |
$52,391.23
|
| Rate for Payer: Humana Medicare |
$77,460.16
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$56,334.66
|
| Rate for Payer: United Healthcare Commercial |
$61,942.04
|
| Rate for Payer: United Healthcare Medicare Advantage |
$56,334.66
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$56,334.66
|
| Rate for Payer: Wellcare Medicare |
$53,517.93
|
|
|
MS-DRG 43.00: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC
|
Facility
|
IP
|
$129,122.08
|
|
|
Service Code
|
MSDRG 463
|
| Min. Negotiated Rate |
$82,642.75 |
| Max. Negotiated Rate |
$129,122.08 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$83,511.26
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$93,906.97
|
| Rate for Payer: Aetna Government |
$93,906.97
|
| Rate for Payer: Brighton Health Commercial |
$82,642.75
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$95,785.11
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$101,377.41
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$86,170.80
|
| Rate for Payer: Elderplan Medicare Advantage |
$89,211.62
|
| Rate for Payer: EmblemHealth Commercial |
$93,906.97
|
| Rate for Payer: Fidelis Medicare Advantage |
$93,906.97
|
| Rate for Payer: Group Health Inc Commercial |
$93,906.97
|
| Rate for Payer: Group Health Inc Medicare |
$93,906.97
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$93,906.97
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$93,906.97
|
| Rate for Payer: Healthfirst Medicare Advantage |
$87,333.48
|
| Rate for Payer: Humana Medicare |
$129,122.08
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$93,906.97
|
| Rate for Payer: United Healthcare Commercial |
$113,345.96
|
| Rate for Payer: United Healthcare Medicare Advantage |
$93,906.97
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$93,906.97
|
| Rate for Payer: Wellcare Medicare |
$89,211.62
|
|
|
MS-DRG 43.00: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC
|
Facility
|
IP
|
$51,657.22
|
|
|
Service Code
|
MSDRG 465
|
| Min. Negotiated Rate |
$26,443.65 |
| Max. Negotiated Rate |
$51,657.22 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$27,584.95
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$37,568.89
|
| Rate for Payer: Aetna Government |
$37,568.89
|
| Rate for Payer: Brighton Health Commercial |
$26,443.65
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$38,320.27
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$32,438.28
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$27,572.54
|
| Rate for Payer: Elderplan Medicare Advantage |
$35,690.45
|
| Rate for Payer: EmblemHealth Commercial |
$37,568.89
|
| Rate for Payer: Fidelis Medicare Advantage |
$37,568.89
|
| Rate for Payer: Group Health Inc Commercial |
$37,568.89
|
| Rate for Payer: Group Health Inc Medicare |
$37,568.89
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$37,568.89
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$37,568.89
|
| Rate for Payer: Healthfirst Medicare Advantage |
$34,939.07
|
| Rate for Payer: Humana Medicare |
$51,657.22
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$37,568.89
|
| Rate for Payer: United Healthcare Commercial |
$36,267.92
|
| Rate for Payer: United Healthcare Medicare Advantage |
$37,568.89
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$37,568.89
|
| Rate for Payer: Wellcare Medicare |
$35,690.45
|
|
