INPATIENT CASE PAYMENT RATES EFFECTIVE 7/1/2014 - 12/31/2014 (MA HMO ONLY)

(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14)
DISCHARGE RATES STATEWIDE PRICE
-MA HMO
ISAF HIGH COST CC´s IME %´s DME RATE CAPITAL RATE
- PER DISCH
NON-COMPARABLE ADD-ONS CAPITAL RATE
- PER DIEM
STERILIZATION ALC HCRA SURCHARGES
"DEFAULT & CONTRACT"
DISCHARGE CASE
PAYMENT RATE
(INCLUDING PHL
§ 2807-c(33)
- Excluding IME)
"DEFAULT & CONTRACT"
STATEWIDE BASE
PRICE (INCLUDING PHL
§ 2807-c(33))
INSTITUTION SPECIFIC
ADJUSTMENT FACTOR (ISAF)
HIGH COST CHARGE
CONVERTOR (2011)
*Informational Only*
INDIRECT MEDICAL
EDUCATION (IME) %
*Informational Only*
DIRECT MEDICAL
EDUCATION (DME) ADD-ON
CAPITAL PER
DISCHARGE (EXCLUDING
NON-COMPARABLE
ADD-ONS)
AMBULANCE ADD-ON TEACHING ELECTION
AMENDMENT PHYSICIANS
ADD-ON
SCHOOL OF
NURSING ADD-ON
CAPITAL PER DIEM STERILIZATION DURING
DELIVERY (MANAGED
CARE ENROLLEES
OF FIDELIS CARE
ONLY)
ALC PRICE
PER DAY
INDIGENT CARE
AND HEALTH
CARE INITIATIVE
SURCHARGE
OPCERT HOSPITAL NAME **(PER DISCH)** **(PER DAY**) (2290)
1623001 ADIRONDACK MEDICAL CENTER $5,727.16 $6,960.11 0.8374 0.550690 0.00% $0.00 $443.18 $0.00 $0.00 $0.00 $108.24 $764.89 $187.52 7.04%
0101000 ALBANY MEDICAL CTR HOSP $5,803.84 $6,960.11 0.8517 0.329874 19.39% $1,397.18 $1,453.45 $0.00 $0.00 $0.00 $248.40 $775.13 $187.52 7.04%
0101000 ALBANY MEDICAL CTR SO CLINICAL $5,803.84 $6,960.11 0.8517 0.329874 19.39% $1,397.18 $1,453.45 $0.00 $0.00 $0.00 $248.40 $775.13 $187.52 7.04%
1624000 ALICE HYDE MEDICAL CENTER $5,567.93 $6,960.11 0.7729 0.595070 0.00% $0.00 $138.50 $0.00 $0.00 $0.00 $41.80 $743.62 $187.52 7.04%
0701000 ARNOT OGDEN MEDICAL CTR $5,592.12 $6,960.11 0.8116 0.441410 0.00% $0.00 $316.45 $0.00 $0.00 $70.78 $80.14 $746.85 $187.52 7.04%
0501000 AUBURN COMMUNITY HOSPITAL $5,959.04 $6,960.11 0.8414 0.445645 0.00% $0.00 $527.41 $0.00 $0.00 $0.00 $124.54 $795.86 $187.52 7.04%
3801000 AURELIA OSBORN FOX MEM HOSP $5,465.33 $6,960.11 0.7557 0.645624 0.00% $0.00 $411.08 $0.00 $0.00 $0.00 $88.92 $729.92 $187.52 7.04%
7002001 BELLEVUE HOSPITAL CENTER $7,566.96 $6,960.11 1.1058 0.773995 35.27% $1,521.08 $744.69 $0.00 $539.94 $0.00 $126.93 $1,010.60 $254.96 7.04%
1427000 BERTRAND CHAFFEE HOSPITAL $4,888.70 $6,960.11 0.6505 0.597355 0.00% $0.00 $218.27 $0.00 $0.00 $0.00 $48.05 $652.91 $187.52 7.04%
7001041 BETH ISRAEL / KINGS HIGHWAY $9,001.14 $6,960.11 1.1310 0.183347 0.38% $0.00 $192.97 $0.00 $0.00 $0.00 $31.03 $1,202.14 $254.96 7.04%
7002002 BETH ISRAEL MEDICAL CENTER $8,080.50 $6,960.11 1.1082 0.308539 26.62% $676.54 $788.55 $0.00 $0.00 $88.70 $175.26 $1,079.19 $254.96 7.04%
3535001 BON SECOURS COMMUNITY HOSP $6,468.81 $6,960.11 0.9593 0.272206 0.00% $0.00 $498.01 $0.00 $0.00 $0.00 $112.50 $863.94 $254.96 7.04%
7000001 BRONX-LEBANON HOSPITAL CTR $7,235.04 $6,960.11 1.0639 0.862280 27.64% $2,656.81 $523.27 $60.84 $0.00 $0.00 $121.06 $966.27 $254.96 7.04%
7001002 BROOKDALE HOSPITAL MED CTR $7,415.74 $6,960.11 1.0407 0.490403 18.54% $1,257.40 $435.37 $0.00 $0.00 $0.00 $80.00 $990.41 $254.96 7.04%
5123000 BROOKHAVEN MEMORIAL HOSP $6,903.93 $6,960.11 1.0249 0.193638 3.05% $121.28 $431.25 $0.00 $0.00 $0.00 $72.95 $922.05 $254.96 7.04%
7001003 BROOKLYN HOSPITAL $7,109.05 $6,960.11 1.0527 0.455530 24.02% $868.02 $435.05 $0.00 $0.00 $0.00 $84.42 $949.45 $254.96 7.04%
0601000 BROOKS MEMORIAL HOSPITAL $5,093.87 $6,960.11 0.7444 0.678877 0.00% $0.00 $208.35 $0.00 $0.00 $0.00 $51.59 $680.31 $187.52 7.04%
4102004 BURDETT CARE CENTER $5,475.12 $6,960.11 0.7728 0.707292 0.00% $0.00 $146.09 $0.00 $0.00 $0.00 $63.81 $731.23 $187.52 7.04%
4429000 CANTON-POTSDAM HOSPITAL $5,581.86 $6,960.11 0.8181 0.571952 0.00% $0.00 $314.35 $0.00 $0.00 $0.00 $103.59 $745.48 $187.52 7.04%
2238001 CARTHAGE AREA HOSPITAL INC $4,977.65 $6,960.11 0.6689 0.581448 0.00% $0.00 $311.05 $0.00 $0.00 $0.00 $87.25 $664.79 $187.52 7.04%
5263000 CATSKILL REGIONAL MED CTR $6,372.49 $6,960.11 0.9159 0.385795 0.00% $0.00 $600.16 $0.00 $0.00 $0.00 $126.53 $851.07 $187.52 7.04%
5401001 CAYUGA MEDICAL CENTER $6,114.50 $6,960.11 0.8478 0.748430 0.00% $0.00 $433.78 $0.00 $0.00 $0.00 $114.49 $816.62 $187.52 7.04%
0901001 CHAMPLAIN VALLEY PHYS $5,883.18 $6,960.11 0.8563 0.410036 0.00% $0.00 $1,009.16 $0.00 $0.00 $0.00 $179.33 $785.72 $187.52 7.04%
0824000 CHENANGO MEMORIAL HOSP $5,268.23 $6,960.11 0.7376 0.470507 0.00% $0.00 $248.49 $0.00 $0.00 $0.00 $77.68 $703.60 $187.52 7.04%
4401000 CLAXTON-HEPBURN MED CTR $5,185.25 $6,960.11 0.7363 0.611839 0.00% $0.00 $485.05 $0.00 $0.00 $0.00 $100.07 $692.51 $187.52 7.04%
3421000 CLIFTON SPRINGS HOSPITAL $4,567.91 $6,960.11 0.6894 0.542357 0.00% $0.00 $318.70 $0.00 $0.00 $0.00 $78.22 $610.06 $187.52 7.04%
4720001 COBLESKILL REGIONAL HOSP $5,454.50 $6,960.11 0.7900 1.064008 0.00% $0.00 $317.35 $0.00 $0.00 $0.00 $30.36 $728.47 $187.52 7.04%
1001000 COLUMBIA MEMORIAL HOSPITAL $5,577.94 $6,960.11 0.8209 0.428438 0.00% $0.00 $419.87 $0.00 $0.00 $0.00 $97.60 $744.96 $187.52 7.04%
2625000 COMMUNITY MEMORIAL HOSPITAL $5,904.45 $6,960.11 0.8712 0.577756 0.00% $0.00 $257.84 $0.00 $0.00 $0.00 $86.24 $788.57 $187.52 7.04%
7001009 CONEY ISLAND HOSPITAL $7,388.70 $6,960.11 1.0779 0.749279 14.88% $1,091.84 $908.38 $0.00 $0.00 $0.00 $151.79 $986.79 $254.96 7.04%
5001000 CORNING HOSPITAL $6,074.67 $6,960.11 0.8494 0.433032 0.00% $0.00 $383.83 $0.00 $0.00 $0.00 $109.67 $811.30 $187.52 7.04%
1101000 CORTLAND REGIONAL MED CTR $5,523.31 $6,960.11 0.7625 0.650282 0.00% $0.00 $493.09 $0.00 $0.00 $0.00 $74.58 $737.66 $187.52 7.04%
3301008 CROUSE HOSPITAL $6,297.07 $6,960.11 0.8831 0.488251 3.96% $189.29 $456.67 $0.00 $0.00 $170.56 $96.26 $841.00 $187.52 7.04%
5127000 EASTERN LONG ISLAND HOSPITAL $7,014.54 $6,960.11 0.9871 0.227798 0.00% $0.00 $654.82 $0.00 $0.00 $0.00 $156.18 $936.82 $254.96 7.04%
3101000 EASTERN NIAGARA HOSPITAL $5,523.41 $6,960.11 0.7803 0.548871 0.00% $0.00 $173.84 $0.00 $0.00 $0.00 $37.06 $737.68 $187.52 7.04%
4601001 ELLIS HOSPITAL $5,905.47 $6,960.11 0.8364 0.280787 4.85% $97.45 $311.13 $0.00 $0.00 $47.25 $68.49 $788.70 $187.52 7.04%
7003000 ELMHURST HOSPITAL CTR $7,680.64 $6,960.11 1.1016 0.679995 24.98% $774.76 $565.01 $0.00 $0.00 $0.00 $128.52 $1,025.78 $254.96 7.04%
1401005 ERIE COUNTY MEDICAL CENTER $6,105.93 $6,960.11 0.9020 0.548935 20.94% $1,037.79 $795.96 $0.00 $0.00 $0.00 $128.62 $815.47 $187.52 7.04%
3429000 F F THOMPSON HOSPITAL $4,943.23 $6,960.11 0.7290 0.585654 0.00% $0.00 $515.20 $0.00 $0.00 $0.00 $135.06 $660.19 $187.52 7.04%
3202003 FAXTON-ST LUKES HEALTHCARE $5,727.98 $6,960.11 0.8396 0.401787 0.79% $0.03 $448.43 $0.00 $0.00 $0.00 $99.52 $765.00 $187.52 7.04%
7003001 FLUSHING HOSPITAL $7,140.68 $6,960.11 1.0050 0.500323 18.42% $678.66 $412.41 $220.82 $0.00 $0.00 $77.67 $953.67 $254.96 7.04%
7003013 FOREST HILLS HOSPITAL $7,804.34 $6,960.11 1.1350 0.314304 6.17% $200.99 $323.53 $0.00 $0.00 $0.00 $75.51 $1,042.30 $254.96 7.04%
2910000 FRANKLIN HOSPITAL $7,128.13 $6,960.11 1.0325 0.279524 0.86% $51.90 $383.69 $0.00 $0.00 $0.00 $69.63 $951.99 $254.96 7.04%
3402000 GENEVA GENERAL HOSPITAL $5,227.49 $6,960.11 0.7594 0.568222 0.00% $0.00 $373.13 $0.00 $0.00 $80.51 $93.03 $698.15 $187.52 7.04%
2901000 GLEN COVE HOSPITAL $7,928.47 $6,960.11 1.1263 0.303907 4.08% $118.55 $550.17 $0.00 $0.00 $0.00 $105.28 $1,058.88 $254.96 7.04%
5601000 GLENS FALLS HOSPITAL $5,654.03 $6,960.11 0.8031 0.456191 0.00% $0.00 $493.60 $0.00 $0.00 $0.00 $106.56 $755.12 $187.52 7.04%
4329000 GOOD SAMARITAN / SUFFERN $7,275.53 $6,960.11 1.0583 0.220855 0.00% $0.00 $501.06 $0.00 $0.00 $0.00 $126.25 $971.68 $254.96 7.04%
5154001 GOOD SAMARITAN / WEST ISLIP $6,999.08 $6,960.11 1.0250 0.225889 6.56% $209.28 $397.59 $0.00 $0.00 $0.00 $80.43 $934.76 $254.96 7.04%
7002009 HARLEM HOSPITAL CENTER $7,581.24 $6,960.11 1.0535 1.037858 30.48% $2,100.68 $1,185.63 $0.00 $0.00 $0.00 $236.77 $1,012.51 $254.96 7.04%
5501001 HEALTHALLIANCE HOSP BROADWAY CAMPUS $6,156.82 $6,960.11 0.8535 0.255361 5.32% $173.88 $290.84 $0.00 $0.00 $0.00 $62.80 $822.27 $187.52 7.04%
5501000 HEALTHALLIANCE HOSP MARYS AVE CAMPUS $5,940.72 $6,960.11 0.8757 0.343464 2.50% $135.47 $857.05 $0.00 $0.00 $0.00 $160.50 $793.41 $187.52 7.04%
2701001 HIGHLAND HOSP OF ROCHESTER $5,793.27 $6,960.11 0.8421 0.591136 11.26% $247.52 $410.25 $0.00 $0.00 $0.00 $108.26 $773.72 $187.52 7.04%
7002012 HOSPITAL FOR SPECIAL SURGERY $8,083.10 $6,960.11 1.1823 0.391481 21.98% $1,690.05 $1,655.82 $0.00 $0.00 $0.00 $435.16 $1,079.53 $254.96 7.04%
5901000 HUDSON VALLEY HOSPITAL CTR $6,595.08 $6,960.11 0.9520 0.282930 0.00% $0.00 $786.78 $0.00 $0.00 $0.00 $170.18 $880.80 $254.96 7.04%
5153000 HUNTINGTON HOSPITAL $7,297.18 $6,960.11 1.0800 0.320920 0.85% $8.56 $381.36 $0.00 $0.00 $0.00 $86.64 $974.57 $254.96 7.04%
7001046 INTERFAITH MEDICAL CENTER $6,997.36 $6,960.11 0.9996 0.292808 29.59% $1,346.36 $472.87 $0.00 $0.00 $0.00 $84.58 $934.53 $254.96 7.04%
5022000 IRA DAVENPORT MEMORIAL HOSP $5,163.46 $6,960.11 0.7291 0.522758 0.00% $0.00 $382.98 $0.00 $0.00 $0.00 $111.86 $689.60 $187.52 7.04%
7000002 JACOBI MEDICAL CENTER $7,625.59 $6,960.11 1.1100 0.859302 33.28% $2,074.02 $894.10 $0.00 $497.62 $0.00 $182.93 $1,018.43 $254.96 7.04%
7003003 JAMAICA HOSPITAL $7,465.47 $6,960.11 1.0875 0.454197 20.32% $890.12 $204.31 $421.97 $0.00 $0.00 $48.33 $997.05 $254.96 7.04%
5149000 JOHN T MATHER MEMORIAL HOSP $7,167.45 $6,960.11 1.0229 0.294673 0.00% $0.00 $582.61 $0.00 $0.00 $0.00 $104.81 $957.25 $254.96 7.04%
0228000 JONES MEMORIAL HOSPITAL $5,156.50 $6,960.11 0.7001 0.535979 0.00% $0.00 $342.08 $0.00 $0.00 $0.00 $106.53 $688.67 $187.52 7.04%
1401014 KALEIDA HEALTH $6,410.08 $6,960.11 0.9443 0.427742 12.98% $342.18 $853.84 $0.00 $0.00 $0.00 $154.10 $856.09 $187.52 7.04%
1401014 KALEIDA HEALTH (MILLARD) $6,410.08 $6,960.11 0.9443 0.427742 12.98% $342.18 $853.84 $0.00 $0.00 $0.00 $154.10 $856.09 $187.52 7.04%
1401002 KALEIDA HLTH/WOMAN&CHILDRENS $6,507.59 $6,960.11 0.9516 0.440617 23.93% $480.66 $294.65 $0.00 $0.00 $0.00 $64.98 $869.12 $187.52 7.04%
1404000 KENMORE MERCY HOSPITAL $6,007.56 $6,960.11 0.8711 0.450264 0.00% $0.00 $406.67 $0.00 $0.00 $0.00 $100.35 $802.34 $187.52 7.04%
7001016 KINGS COUNTY HOSPITAL CENTER $7,107.38 $6,960.11 1.0327 0.974490 29.74% $2,401.35 $919.23 $0.00 $748.57 $0.00 $172.48 $949.22 $254.96 7.04%
7001033 KINGSBROOK JEWISH MED CTR $8,635.44 $6,960.11 1.0762 0.293080 10.31% $640.69 $454.78 $0.00 $0.00 $0.00 $82.26 $1,153.30 $254.96 7.04%
5922000 LAWRENCE HOSPITAL $6,963.80 $6,960.11 0.9741 0.348137 0.00% $0.00 $486.61 $0.00 $0.00 $0.00 $100.53 $930.05 $254.96 7.04%
7002017 LENOX HILL HOSPITAL $7,340.43 $6,960.11 1.0842 0.247374 17.95% $549.39 $1,033.34 $216.16 $0.00 $0.00 $233.59 $980.35 $254.96 7.04%
2424000 LEWIS COUNTY GENERAL HOSP $5,622.60 $6,960.11 0.8118 0.779088 0.00% $0.00 $433.07 $0.00 $0.00 $0.00 $134.28 $750.92 $187.52 7.04%
7000008 LINCOLN MEDICAL $7,419.32 $6,960.11 1.0851 0.946222 29.22% $1,223.23 $464.97 $0.00 $0.00 $0.00 $122.65 $990.88 $254.96 7.04%
7003004 LONG ISLAND JEWISH $7,715.88 $6,960.11 1.1306 0.262745 28.17% $1,384.90 $794.22 $0.00 $0.00 $0.00 $169.60 $1,030.49 $254.96 7.04%
7001019 LUTHERAN MEDICAL CENTER $6,301.01 $6,960.11 1.0319 0.510266 33.06% $2,044.92 $269.29 $269.03 $0.00 $0.00 $62.17 $841.53 $254.96 7.04%
7001020 MAIMONIDES MEDICAL CENTER $8,227.18 $6,960.11 1.1460 0.286038 24.42% $942.25 $830.31 $108.80 $0.00 $0.00 $178.42 $1,098.78 $254.96 7.04%
3824000 MARY IMOGENE BASSETT HOSP $5,338.42 $6,960.11 0.7968 0.473270 12.30% $563.71 $515.45 $0.00 $0.00 $0.00 $106.49 $712.97 $187.52 7.04%
4402000 MASSENA MEMORIAL HOSPITAL $5,542.47 $6,960.11 0.7946 0.651479 0.00% $0.00 $405.67 $0.00 $0.00 $0.00 $102.81 $740.22 $187.52 7.04%
3622000 MEDINA MEMORIAL HOSPITAL $4,433.72 $6,960.11 0.6394 0.658814 0.00% $0.00 $104.25 $0.00 $0.00 $0.00 $21.37 $592.14 $187.52 7.04%
0101003 MEMORIAL HOSP OF ALBANY $5,455.57 $6,960.11 0.7926 0.444638 0.00% $0.00 $378.11 $0.00 $0.00 $217.34 $83.24 $728.62 $187.52 7.04%
1401008 MERCY HOSPITAL OF BUFFALO $6,018.58 $6,960.11 0.8971 0.463990 2.80% $59.83 $426.01 $0.00 $0.00 $0.00 $97.84 $803.81 $187.52 7.04%
2909000 MERCY MEDICAL CENTER $7,046.02 $6,960.11 0.9825 0.286411 0.03% $9.15 $497.33 $0.00 $0.00 $0.00 $92.96 $941.03 $254.96 7.04%
7002021 METROPOLITAN HOSPITAL CENTER $7,709.42 $6,960.11 1.0610 0.874182 34.19% $1,016.96 $248.61 $0.00 $0.00 $0.00 $73.29 $1,029.63 $254.96 7.04%
5957001 MID-HUDSON VALLEY DIV OF WESTCHESTER MED CTR $7,818.96 $6,960.11 1.1410 0.303204 22.03% $2,009.13 $2,244.08 $0.00 $0.00 $0.00 $295.75 $1,044.26 $254.96 7.04%
7000006 MONTEFIORE MEDICAL CENTER $7,609.08 $6,960.11 1.1132 0.272430 28.56% $3,077.35 $730.99 $0.00 $0.00 $0.00 $125.68 $1,016.23 $254.96 7.04%
5903001 MONTEFIORE MOUNT VERNON HOSP $7,367.61 $6,960.11 1.0154 0.539888 11.01% $1,105.03 $305.71 $0.00 $0.00 $0.00 $54.50 $983.98 $254.96 7.04%
5904001 MONTEFIORE NEW ROCHELLE HOSP $6,549.21 $6,960.11 1.0106 0.528855 11.38% $957.49 $476.72 $0.00 $0.00 $81.35 $109.01 $874.68 $254.96 7.04%
7002024 MOUNT SINAI HOSPITAL $7,390.07 $6,960.11 1.0801 0.384940 24.86% $1,428.61 $693.24 $0.00 $0.00 $0.00 $136.54 $986.98 $254.96 7.04%
7002024 MOUNT SINAI HOSPITAL OF QUEENS $7,390.07 $6,960.11 1.0801 0.384940 24.86% $1,428.61 $693.24 $0.00 $0.00 $0.00 $136.54 $986.98 $254.96 7.04%
3121001 MOUNT ST MARYS HOSPITAL $5,922.56 $6,960.11 0.8399 0.587047 0.00% $0.00 $231.67 $0.00 $0.00 $0.00 $53.88 $790.98 $187.52 7.04%
2950002 NASSAU UNIV MED CTR $7,215.73 $6,960.11 1.1122 0.501971 25.88% $1,622.28 $392.05 $120.86 $0.00 $0.00 $87.78 $963.69 $254.96 7.04%
1701000 NATHAN LITTAUER HOSPITAL $5,366.59 $6,960.11 0.7562 0.439216 0.00% $0.00 $237.61 $0.00 $0.00 $0.00 $69.58 $716.73 $187.52 7.04%
7002054 NEW YORK DOWNTOWN HOSPITAL $7,747.99 $6,960.11 1.1302 0.364115 26.54% $1,541.94 $1,184.64 $282.79 $0.00 $0.00 $215.72 $1,034.78 $254.96 7.04%
3102000 NIAGARA FALLS MEMORIAL $5,364.16 $6,960.11 0.7814 0.545618 2.26% $146.77 $464.64 $0.00 $0.00 $0.00 $128.07 $716.41 $187.52 7.04%
2527000 NICHOLAS H NOYES MEMORIAL $5,066.65 $6,960.11 0.7217 0.442823 0.00% $0.00 $412.98 $0.00 $0.00 $0.00 $120.79 $676.67 $187.52 7.04%
7000024 NORTH CENTRAL BRONX HOSPITAL $7,669.84 $6,960.11 1.0688 0.741199 12.07% $926.28 $531.27 $0.00 $420.38 $0.00 $125.36 $1,024.34 $254.96 7.04%
2951001 NORTH SHORE UNIVERSITY HOSP $8,136.71 $6,960.11 1.1350 0.254440 15.84% $854.55 $694.59 $574.23 $0.00 $0.00 $133.04 $1,086.69 $254.96 7.04%
1327000 NORTHERN DUTCHESS HOSPITAL $6,644.95 $6,960.11 0.9658 0.366251 0.00% $0.00 $369.20 $0.00 $0.00 $0.00 $104.84 $887.46 $254.96 7.04%
5920000 NORTHERN WESTCHESTER HOSP $6,980.96 $6,960.11 0.9786 0.509174 0.00% $0.00 $709.35 $0.00 $0.00 $0.00 $181.01 $932.34 $254.96 7.04%
7001008 NY COMMUNITY / BROOKLYN $7,803.61 $6,960.11 1.0923 0.517469 0.00% $0.00 $345.85 $0.00 $0.00 $0.00 $58.29 $1,042.21 $254.96 7.04%
7002026 NY EYE AND EAR INFIRMARY $7,554.13 $6,960.11 0.9806 0.444781 31.64% $738.94 $606.90 $0.00 $0.00 $0.00 $320.48 $1,008.89 $254.96 7.04%
7003010 NY MED CTR OF QUEENS $7,390.01 $6,960.11 1.0850 0.404466 18.22% $722.60 $813.36 $215.84 $0.00 $0.00 $151.64 $986.97 $254.96 7.04%
7001021 NY METHODIST HOSP / BROOKLYN $7,256.58 $6,960.11 1.0639 0.445267 18.07% $874.92 $306.78 $0.00 $0.00 $0.00 $63.73 $969.15 $254.96 7.04%
7002054 NY PRESBYTERIAN HOSPITAL $7,747.99 $6,960.11 1.1302 0.364115 26.54% $1,541.94 $1,184.64 $282.79 $0.00 $0.00 $215.72 $1,034.78 $254.96 7.04%
7002054 NY PRESBYTERIAN HOSPITAL (ALLEN) $7,747.99 $6,960.11 1.1302 0.364115 26.54% $1,541.94 $1,184.64 $282.79 $0.00 $0.00 $215.72 $1,034.78 $254.96 7.04%
7002054 NY PRESBYTERIAN HOSPITAL (PRESBY) $7,747.99 $6,960.11 1.1302 0.364115 26.54% $1,541.94 $1,184.64 $282.79 $0.00 $0.00 $215.72 $1,034.78 $254.96 7.04%
4324000 NYACK HOSPITAL $6,700.68 $6,960.11 0.9587 0.221363 0.00% $0.00 $320.93 $0.00 $0.00 $0.00 $69.95 $894.91 $254.96 7.04%
7002053 NYU HOSPITALS CENTER $7,305.54 $6,960.11 1.0547 0.313593 22.19% $1,495.30 $2,133.71 $0.00 $0.00 $0.00 $488.02 $975.69 $254.96 7.04%
7002053 NYU HOSPITALS CENTER/HOSP FOR JOINT DIS $7,305.54 $6,960.11 1.0547 0.313593 22.19% $1,495.30 $2,133.71 $0.00 $0.00 $0.00 $488.02 $975.69 $254.96 7.04%
0401001 OLEAN GENERAL HOSPITAL $5,138.04 $6,960.11 0.7463 0.594815 1.10% $12.32 $527.41 $0.00 $0.00 $0.00 $98.91 $686.21 $187.52 7.04%
2601001 ONEIDA HEALTHCARE $5,188.78 $6,960.11 0.7618 0.483423 0.00% $0.00 $534.54 $0.00 $0.00 $0.00 $147.94 $692.98 $187.52 7.04%
3523000 ORANGE REGIONAL MED CTR $6,889.40 $6,960.11 0.9946 0.286532 0.00% $0.00 $1,187.77 $0.00 $0.00 $0.00 $280.18 $920.11 $254.96 7.04%
3702000 OSWEGO HOSPITAL $5,686.24 $6,960.11 0.7821 0.542099 0.00% $0.00 $652.26 $0.00 $0.00 $0.00 $160.30 $759.42 $187.52 7.04%
0301001 OUR LADY OF LOURDES MEMORIAL $5,636.76 $6,960.11 0.8242 0.477509 3.30% $9.37 $300.04 $0.00 $0.00 $0.00 $72.09 $752.81 $187.52 7.04%
5155000 PECONIC BAY MED CTR $6,951.99 $6,960.11 1.0128 0.272183 3.73% $72.73 $525.76 $0.00 $0.00 $0.00 $117.49 $928.47 $254.96 7.04%
5932000 PHELPS MEMORIAL HOSP $6,574.82 $6,960.11 1.0142 0.364645 6.37% $124.45 $774.54 $0.00 $0.00 $0.00 $179.72 $878.10 $254.96 7.04%
2952005 PLAINVIEW HOSPITAL $7,486.13 $6,960.11 1.0962 0.322045 6.34% $171.07 $307.28 $0.00 $0.00 $0.00 $62.48 $999.81 $254.96 7.04%
3950000 PUTNAM COMMUNITY HOSPITAL $7,054.93 $6,960.11 1.0153 0.322545 0.00% $0.00 $608.72 $0.00 $0.00 $0.00 $139.38 $942.22 $254.96 7.04%
7003007 QUEENS HOSPITAL CENTER $7,802.11 $6,960.11 1.1427 0.797790 19.86% $930.52 $734.32 $0.00 $351.88 $0.00 $152.40 $1,042.01 $254.96 7.04%
7004010 RICHMOND UNIV MED CTR $6,785.88 $6,960.11 0.9926 0.309371 14.22% $849.96 $359.20 $376.76 $0.00 $0.00 $72.86 $906.28 $254.96 7.04%
2701003 ROCHESTER GENERAL HOSPITAL $5,745.13 $6,960.11 0.8156 0.436120 9.91% $345.20 $671.78 $0.00 $0.00 $2.21 $135.43 $767.29 $187.52 7.04%
3201002 ROME HOSPITAL AND MURPHY $5,539.34 $6,960.11 0.8040 0.454182 0.00% $0.00 $320.40 $0.00 $0.00 $0.00 $78.21 $739.80 $187.52 7.04%
4102002 SAMARITAN HOSPITAL OF TROY $5,447.95 $6,960.11 0.7728 0.398224 0.00% $0.00 $293.67 $0.00 $0.00 $117.90 $68.04 $727.60 $187.52 7.04%
2201000 SAMARITAN MEDICAL CENTER $5,672.09 $6,960.11 0.8022 0.552261 2.56% $65.21 $453.72 $0.00 $0.00 $0.00 $117.16 $757.53 $187.52 7.04%
4501000 SARATOGA HOSPITAL $5,787.70 $6,960.11 0.8480 0.393532 0.00% $0.00 $422.12 $0.00 $0.00 $0.00 $80.04 $772.97 $187.52 7.04%
7000014 SBH HEALTH SYSTEM $6,946.98 $6,960.11 1.0233 0.300863 31.35% $1,129.39 $471.48 $0.00 $0.00 $0.00 $96.28 $927.80 $254.96 7.04%
4102003 SETON HEALTH SYSTEMS $5,388.28 $6,960.11 0.8040 0.356760 0.00% $0.00 $388.48 $0.00 $0.00 $0.00 $80.19 $719.63 $187.52 7.04%
1401013 SISTERS OF CHARITY HOSPITAL $5,852.02 $6,960.11 0.8522 0.468327 4.94% $172.44 $336.96 $0.00 $0.00 $0.00 $75.00 $781.56 $187.52 7.04%
2950001 SOUTH NASSAU COMMUNITIES $6,672.61 $6,960.11 0.9679 0.303927 3.34% $126.63 $615.19 $0.00 $0.00 $0.00 $119.17 $891.16 $254.96 7.04%
5126000 SOUTHAMPTON HOSPITAL $6,311.40 $6,960.11 1.0044 0.337423 11.96% $368.70 $735.21 $0.00 $0.00 $0.00 $200.71 $842.92 $254.96 7.04%
5154000 SOUTHSIDE HOSPITAL $7,392.68 $6,960.11 1.0844 0.321029 3.75% $112.21 $512.80 $0.00 $0.00 $0.00 $119.98 $987.32 $254.96 7.04%
3529000 ST ANTHONY COMMUNITY HOSP $6,279.68 $6,960.11 0.9649 0.277194 0.00% $0.00 $541.29 $0.00 $0.00 $0.00 $128.10 $838.68 $254.96 7.04%
5157003 ST CATHERINE OF SIENA $7,211.42 $6,960.11 1.0560 0.233955 0.00% $0.00 $497.91 $0.00 $0.00 $0.00 $99.83 $963.12 $254.96 7.04%
5149001 ST CHARLES HOSPITAL $6,795.96 $6,960.11 0.9786 0.262866 1.18% $0.00 $472.04 $0.00 $0.00 $0.00 $105.85 $907.63 $254.96 7.04%
3202002 ST ELIZABETH MEDICAL CENTER $5,660.13 $6,960.11 0.8072 0.447837 5.84% $297.40 $475.22 $0.00 $0.00 $137.97 $92.64 $755.94 $187.52 7.04%
5957001 ST FRANCIS HOSP / POUGH $7,818.96 $6,960.11 1.1410 0.303204 22.03% $2,009.13 $2,244.08 $0.00 $0.00 $0.00 $295.75 $1,044.26 $254.96 7.04%
2953000 ST FRANCIS HOSP / ROSLYN $7,536.10 $6,960.11 1.0915 0.264425 0.09% $6.15 $1,489.00 $0.00 $0.00 $0.00 $245.76 $1,006.48 $254.96 7.04%
5002001 ST JAMES MERCY HOSPITAL $4,511.03 $6,960.11 0.6710 0.470863 0.00% $0.00 $173.43 $0.00 $0.00 $0.00 $59.59 $602.47 $187.52 7.04%
7001024 ST JOHNS EPISCOPAL SO SHORE $7,639.85 $6,960.11 1.0138 0.388042 28.47% $1,051.18 $262.87 $0.00 $0.00 $0.00 $48.57 $1,020.34 $254.96 7.04%
5907001 ST JOHNS RIVERSIDE HOSPITAL $6,813.27 $6,960.11 1.0008 0.331763 0.00% $0.00 $302.72 $0.00 $0.00 $188.18 $60.31 $909.94 $254.96 7.04%
2952006 ST JOSEPH HOSPITAL $7,039.39 $6,960.11 1.0196 0.292909 0.10% $6.77 $478.96 $0.00 $0.00 $0.00 $90.23 $940.14 $254.96 7.04%
0701001 ST JOSEPHS HOSP / ELMIRA $5,127.87 $6,960.11 0.7570 0.390802 0.00% $0.00 $423.83 $0.00 $0.00 $0.00 $90.44 $684.85 $187.52 7.04%
3301003 ST JOSEPHS HOSP HLTH CTR $5,990.93 $6,960.11 0.8693 0.436160 6.16% $95.99 $673.41 $0.00 $0.00 $142.37 $134.85 $800.12 $187.52 7.04%
5907002 ST JOSEPHS MEDICAL CENTER $7,166.31 $6,960.11 0.9716 0.507587 8.44% $162.34 $784.88 $0.00 $0.00 $0.00 $144.68 $957.09 $254.96 7.04%
7002032 ST LUKES / ROOSEVELT HOSP $8,492.94 $6,960.11 1.1643 0.340470 25.10% $1,071.27 $993.24 $159.29 $0.00 $0.00 $220.88 $1,134.27 $254.96 7.04%
3522000 ST LUKES CORNWALL $6,603.29 $6,960.11 0.9797 0.281003 0.00% $0.00 $603.56 $0.00 $0.00 $0.00 $147.40 $881.90 $254.96 7.04%
2801001 ST MARYS HEALTHCARE $5,207.11 $6,960.11 0.7462 0.455570 0.00% $0.00 $203.70 $0.00 $0.00 $0.00 $52.48 $695.43 $187.52 7.04%
0101004 ST PETERS HOSPITAL $5,919.75 $6,960.11 0.8412 0.319609 2.42% $78.01 $693.30 $0.00 $0.00 $0.00 $152.17 $790.61 $187.52 7.04%
7001037 STATE UNIV HOSP / DOWNSTATE $6,682.11 $6,960.11 1.1106 0.700687 25.92% $3,558.63 $1,310.01 $0.00 $0.00 $0.00 $235.56 $892.43 $254.96 7.04%
7004003 STATEN ISLAND UNIV HOSP $7,061.77 $6,960.11 1.0293 0.325427 18.37% $573.19 $259.07 $144.21 $0.00 $0.00 $56.96 $943.13 $254.96 7.04%
2701005 STRONG MEMORIAL HOSPITAL $6,026.56 $6,960.11 0.8764 0.536664 31.27% $1,107.15 $749.90 $0.00 $0.00 $0.00 $120.89 $804.87 $187.52 7.04%
2754001 THE UNITY HOSPITAL $5,274.23 $6,960.11 0.7642 0.502218 8.03% $228.79 $771.94 $0.00 $0.00 $0.00 $185.29 $704.40 $187.52 7.04%
0427000 TLC HEALTH NETWORK $4,834.25 $6,960.11 0.7015 0.609655 0.00% $0.00 $387.12 $0.00 $0.00 $0.00 $73.05 $645.64 $187.52 7.04%
1227001 TRI-TOWN REGIONAL HEALTHCARE $6,003.79 $6,960.11 0.8626 0.000000 0.00% $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $801.83 $187.52 7.04%
0303001 UNITED HEALTH SERVICES INC $5,833.72 $6,960.11 0.8542 0.459060 7.31% $353.55 $389.17 $0.00 $0.00 $0.00 $82.62 $779.12 $187.52 7.04%
1801000 UNITED MEMORIAL MED CTR $5,281.92 $6,960.11 0.7560 0.442346 0.00% $0.00 $464.97 $0.00 $0.00 $0.00 $120.47 $705.42 $187.52 7.04%
5151001 UNIV HOSP AT STONY BROOK $6,950.60 $6,960.11 1.0181 0.358170 26.81% $1,302.82 $686.35 $248.87 $0.00 $0.00 $129.14 $928.28 $254.96 7.04%
3301007 UNIV HOSP SUNY HLTH SCI CTR $6,620.48 $6,960.11 0.9392 0.470865 20.71% $738.21 $918.52 $0.00 $0.00 $0.00 $169.73 $884.19 $187.52 7.04%
3301007 UPSTATE UNIV HOSPITAL AT COMM GEN $6,620.48 $6,960.11 0.9392 0.470865 20.71% $738.21 $918.52 $0.00 $0.00 $0.00 $169.73 $884.19 $187.52 7.04%
1302001 VASSAR BROTHERS MED CTR $6,843.63 $6,960.11 1.0064 0.280449 0.00% $0.00 $662.95 $0.00 $0.00 $0.00 $136.43 $914.00 $254.96 7.04%
5820000 WAYNE HEALTH CARE $5,633.26 $6,960.11 0.8253 0.439657 0.00% $0.00 $427.99 $0.00 $0.00 $0.00 $104.45 $752.35 $187.52 7.04%
5957001 WESTCHESTER MEDICAL CENTER $7,818.96 $6,960.11 1.1410 0.303204 22.03% $2,009.13 $2,244.08 $0.00 $0.00 $0.00 $295.75 $1,044.26 $254.96 7.04%
0632000 WESTFIELD MEMORIAL HOSP $4,723.52 $6,960.11 0.7029 0.628960 0.00% $0.00 $362.14 $0.00 $0.00 $0.00 $368.49 $630.85 $187.52 7.04%
5902001 WHITE PLAINS HOSPITAL $7,120.47 $6,960.11 0.9862 0.419909 0.00% $0.00 $445.53 $0.00 $0.00 $0.00 $100.40 $950.97 $254.96 7.04%
2908000 WINTHROP UNIVERSITY HOSPITAL $7,129.74 $6,960.11 1.0394 0.303881 16.78% $942.86 $653.86 $0.00 $0.00 $0.00 $133.35 $952.21 $254.96 7.04%
0602001 WOMANS CHRISTIAN ASSOC $5,118.98 $6,960.11 0.7224 0.471825 0.00% $0.00 $426.70 $0.00 $0.00 $0.00 $97.39 $683.66 $187.52 7.04%
7001045 WOODHULL MEDICAL $6,938.72 $6,960.11 1.0415 0.908330 19.40% $1,872.34 $495.34 $0.00 $633.03 $0.00 $103.20 $926.70 $254.96 7.04%
7001035 WYCKOFF HEIGHTS HOSPITAL $7,168.05 $6,960.11 1.0022 0.407080 20.13% $679.39 $576.86 $151.70 $0.00 $0.00 $128.76 $957.32 $254.96 7.04%
6027000 WYOMING CO COMMUNITY HOSP $5,414.36 $6,960.11 0.7890 0.954952 0.00% $0.00 $537.30 $0.00 $0.00 $0.00 $122.36 $723.11 $187.52 7.04%
* Note: Effective 1/1/2011, Maimonides Capital per Discharge rate no longer includes a High Cost Outlier add-on.