1623001 |
ADIRONDACK MEDICAL CENTER |
$716.31 |
$60.03 |
$231.32 |
$171.74 |
0101000 |
ALBANY MEDICAL CTR HOSP |
$614.25 |
$207.00 |
$244.16 |
$171.74 |
0501000 |
AUBURN COMMUNITY HOSPITAL |
$750.25 |
$41.05 |
$242.28 |
$171.74 |
7002001 |
BELLEVUE HOSPITAL CENTER |
$657.63 |
$177.09 |
$287.55 |
$261.20 |
7002002 |
BETH ISRAEL MEDICAL CENTER |
$726.46 |
$295.46 |
$317.64 |
$261.20 |
3535001 |
BON SECOURS COMMUNITY HOSP |
$589.64 |
$31.23 |
$257.82 |
$171.74 |
7000001 |
BRONX-LEBANON HOSPITAL CTR |
$684.30 |
$255.48 |
$299.21 |
$261.20 |
7001002 |
BROOKDALE HOSPITAL MED CTR |
$673.25 |
$120.22 |
$294.38 |
$261.20 |
5123000 |
BROOKHAVEN MEMORIAL HOSP |
$654.42 |
$39.38 |
$286.14 |
$261.20 |
5263000 |
CATSKILL REGIONAL MED CTR |
$796.11 |
$31.12 |
$257.09 |
$171.74 |
5401001 |
CAYUGA MEDICAL CENTER |
$766.78 |
$43.59 |
$247.62 |
$171.74 |
0901001 |
CHAMPLAIN VALLEY PHYS |
$731.19 |
$58.01 |
$236.12 |
$171.74 |
4401000 |
CLAXTON-HEPBURN MED CTR |
$669.32 |
$36.57 |
$216.15 |
$171.74 |
3421000 |
CLIFTON SPRINGS HOSPITAL |
$604.58 |
$26.25 |
$195.24 |
$171.74 |
1001000 |
COLUMBIA MEMORIAL HOSPITAL |
$713.96 |
$30.03 |
$230.56 |
$171.74 |
7001009 |
CONEY ISLAND HOSPITAL |
$649.73 |
$175.83 |
$284.09 |
$261.20 |
1101000 |
CORTLAND REGIONAL MED CTR |
$698.73 |
$78.20 |
$225.64 |
$171.74 |
5127000 |
EASTERN LONG ISLAND HOSPITAL |
$636.49 |
$63.69 |
$278.30 |
$261.20 |
3101000 |
EASTERN NIAGARA HOSPITAL |
$571.41 |
$15.04 |
$227.13 |
$171.74 |
4601001 |
ELLIS HOSPITAL |
$593.89 |
$34.53 |
$236.07 |
$171.74 |
7003000 |
ELMHURST HOSPITAL CTR |
$691.69 |
$322.61 |
$302.44 |
$261.20 |
1401005 |
ERIE COUNTY MEDICAL CENTER |
$651.64 |
$60.07 |
$259.03 |
$171.74 |
3202003 |
FAXTON-ST LUKES HEALTHCARE |
$722.92 |
$63.14 |
$233.45 |
$171.74 |
7003001 |
FLUSHING HOSPITAL |
$664.00 |
$152.77 |
$290.33 |
$261.20 |
2910000 |
FRANKLIN HOSPITAL |
$631.67 |
$37.89 |
$276.19 |
$261.20 |
2901000 |
GLEN COVE HOSPITAL |
$725.43 |
$40.72 |
$317.19 |
$261.20 |
5601000 |
GLENS FALLS HOSPITAL |
$709.00 |
$54.46 |
$228.96 |
$171.74 |
7002009 |
HARLEM HOSPITAL CENTER |
$675.37 |
$268.54 |
$295.30 |
$261.20 |
5501000 |
HEALTHALLIANCE HOSP MARYS AVE CAMPUS |
$759.30 |
$22.48 |
$245.20 |
$171.74 |
5153000 |
HUNTINGTON HOSPITAL |
$679.93 |
$42.18 |
$297.30 |
$261.20 |
7001046 |
INTERFAITH MEDICAL CENTER |
$677.24 |
$37.99 |
$296.12 |
$261.20 |
7000002 |
JACOBI MEDICAL CENTER |
$712.90 |
$249.57 |
$311.71 |
$261.20 |
7003003 |
JAMAICA HOSPITAL |
$722.41 |
$235.62 |
$315.87 |
$261.20 |
5149000 |
JOHN T MATHER MEMORIAL HOSP |
$661.04 |
$68.87 |
$289.04 |
$261.20 |
7001016 |
KINGS COUNTY HOSPITAL CENTER |
$651.98 |
$326.58 |
$285.07 |
$261.20 |
7001033 |
KINGSBROOK JEWISH MED CTR |
$737.90 |
$50.82 |
$322.64 |
$261.20 |
7002017 |
LENOX HILL HOSPITAL |
$668.82 |
$190.30 |
$292.44 |
$261.20 |
7000008 |
LINCOLN MEDICAL |
$663.29 |
$293.16 |
$290.02 |
$261.20 |
7003004 |
LONG ISLAND JEWISH |
$699.34 |
$143.79 |
$305.78 |
$261.20 |
7001019 |
LUTHERAN MEDICAL CENTER |
$653.71 |
$100.59 |
$285.83 |
$261.20 |
7001020 |
MAIMONIDES MEDICAL CENTER |
$765.02 |
$103.03 |
$334.50 |
$261.20 |
3824000 |
MARY IMOGENE BASSETT HOSP |
$655.92 |
$36.89 |
$211.82 |
$171.74 |
2909000 |
MERCY MEDICAL CENTER |
$653.39 |
$45.80 |
$285.69 |
$261.20 |
7002021 |
METROPOLITAN HOSPITAL CENTER |
$656.22 |
$291.47 |
$286.93 |
$261.20 |
7000006 |
MONTEFIORE MEDICAL CENTER |
$721.64 |
$593.74 |
$315.53 |
$261.20 |
5903001 |
MONTEFIORE MOUNT VERNON HOSP |
$678.01 |
$18.38 |
$296.46 |
$261.20 |
7002024 |
MOUNT SINAI HOSPITAL |
$720.16 |
$157.76 |
$314.89 |
$261.20 |
2950002 |
NASSAU UNIV MED CTR |
$727.75 |
$55.56 |
$318.20 |
$261.20 |
3102000 |
NIAGARA FALLS MEMORIAL |
$549.14 |
$27.95 |
$218.28 |
$171.74 |
7000024 |
NORTH CENTRAL BRONX HOSPITAL |
$733.15 |
$143.51 |
$320.56 |
$261.20 |
2951001 |
NORTH SHORE UNIVERSITY HOSP |
$746.58 |
$519.80 |
$326.44 |
$261.20 |
5920000 |
NORTHERN WESTCHESTER HOSP |
$650.11 |
$110.92 |
$284.26 |
$261.20 |
4324000 |
NYACK HOSPITAL |
$626.59 |
$21.36 |
$273.98 |
$261.20 |
7001021 |
NY METHODIST HOSP / BROOKLYN |
$686.55 |
$148.33 |
$300.19 |
$261.20 |
7002054 |
NY PRESBYTERIAN HOSPITAL |
$718.75 |
$156.55 |
$314.27 |
$261.20 |
7002053 |
NYU HOSPITALS CENTER |
$687.71 |
$626.57 |
$300.70 |
$261.20 |
0401001 |
OLEAN GENERAL HOSPITAL |
$668.37 |
$54.48 |
$215.84 |
$171.74 |
3523000 |
ORANGE REGIONAL MED CTR |
$639.96 |
$127.94 |
$279.82 |
$171.74 |
3702000 |
OSWEGO HOSPITAL |
$716.05 |
$56.12 |
$231.23 |
$171.74 |
5932000 |
PHELPS MEMORIAL HOSP |
$642.66 |
$72.40 |
$281.00 |
$261.20 |
3950000 |
PUTNAM COMMUNITY HOSPITAL |
$659.18 |
$32.44 |
$288.22 |
$171.74 |
7003007 |
QUEENS HOSPITAL CENTER |
$732.50 |
$291.39 |
$320.28 |
$261.20 |
7004010 |
RICHMOND UNIV MED CTR |
$642.53 |
$40.39 |
$280.94 |
$261.20 |
2701003 |
ROCHESTER GENERAL HOSPITAL |
$600.25 |
$70.70 |
$238.60 |
$171.74 |
3201002 |
ROME MEMORIAL HOSPITAL |
$670.63 |
$23.95 |
$216.57 |
$171.74 |
4102002 |
SAMARITAN HOSPITAL OF TROY |
$562.08 |
$22.28 |
$223.42 |
$171.74 |
2201000 |
SAMARITAN MEDICAL CENTER |
$734.76 |
$43.93 |
$237.28 |
$171.74 |
4501000 |
SARATOGA HOSPITAL |
$588.30 |
$38.64 |
$233.85 |
$171.74 |
6120700 |
SOLDIERS AND SAILORS MEM HOSP |
$583.35 |
$61.39 |
$188.38 |
$171.74 |
2950001 |
SOUTH NASSAU COMMUNITIES |
$619.01 |
$86.43 |
$270.66 |
$261.20 |
5154000 |
SOUTHSIDE HOSPITAL |
$672.74 |
$61.01 |
$294.15 |
$261.20 |
7000014 |
ST BARNABAS HOSPITAL |
$659.82 |
$109.21 |
$288.50 |
$261.20 |
5157003 |
ST CATHERINE OF SIENA |
$679.87 |
$60.29 |
$297.27 |
$261.20 |
3202002 |
ST ELIZABETH MEDICAL CENTER |
$730.15 |
$27.12 |
$235.79 |
$171.74 |
1302000 |
ST FRANCIS HOSP / POUGH |
$555.26 |
$70.16 |
$242.78 |
$171.74 |
7001024 |
ST JOHNS EPISCOPAL SO SHORE |
$767.14 |
$123.89 |
$335.43 |
$261.20 |
0701001 |
ST JOSEPHS HOSP / ELMIRA |
$646.44 |
$14.69 |
$208.75 |
$171.74 |
3301003 |
ST JOSEPHS HOSP HLTH CTR |
$624.64 |
$52.70 |
$248.29 |
$171.74 |
5907002 |
ST JOSEPHS MEDICAL CENTER |
$658.41 |
$44.96 |
$287.88 |
$261.20 |
7002032 |
ST LUKES / ROOSEVELT HOSP |
$782.82 |
$133.07 |
$342.29 |
$261.20 |
2801001 |
ST MARYS HOSP / AMSTERDAM |
$657.49 |
$22.66 |
$212.32 |
$171.74 |
7001037 |
STATE UNIV HOSP / DOWNSTATE |
$701.08 |
$218.90 |
$306.54 |
$261.20 |
7004003 |
STATEN ISLAND UNIV HOSP |
$654.10 |
$107.64 |
$286.00 |
$261.20 |
2701005 |
STRONG MEMORIAL HOSPITAL |
$635.95 |
$105.43 |
$252.79 |
$171.74 |
2754001 |
THE UNITY HOSP OF ROCHESTER |
$548.01 |
$49.81 |
$217.83 |
$171.74 |
0427000 |
TLC HEALTH NETWORK |
$593.79 |
$35.63 |
$191.75 |
$171.74 |
0303001 |
UNITED HEALTH SERVICES INC |
$599.76 |
$38.70 |
$238.40 |
$171.74 |
5151001 |
UNIV HOSP AT STONY BROOK |
$659.18 |
$187.49 |
$288.22 |
$261.20 |
3301007 |
UNIV HOSP SUNY HLTH SCI CTR |
$649.24 |
$155.76 |
$258.07 |
$171.74 |
3301003 |
UPSTATE UNIV HOSP/COMM GEN |
$654.90 |
$33.99 |
$260.32 |
$171.74 |
5820000 |
WAYNE HEALTH CARE |
$672.98 |
$48.62 |
$217.33 |
$171.74 |
5957001 |
WESTCHESTER MEDICAL CENTER |
$732.18 |
$163.34 |
$320.14 |
$261.20 |
0602001 |
WOMANS CHRISTIAN ASSOC |
$645.31 |
$32.27 |
$208.39 |
$171.74 |
7001045 |
WOODHULL MEDICAL |
$653.91 |
$110.05 |
$285.92 |
$261.20 |
6027000 |
WYOMING CO COMMUNITY HOSP |
$675.15 |
$52.43 |
$218.03 |
$171.74 |