Schedule of Workers' Compensation/No-Fault (WCNF)
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INPATIENT EXEMPT UNIT PSYCHIATRIC RATES EFFECTIVE 10/20/2010 - 12/31/2010 (WCNF ONLY)
| (1) | (2) | (3) | (4) | ||
|---|---|---|---|---|---|
| PSYCHIATRIC | |||||
| OPCERT | HOSPITAL NAME | PSYCHIATRIC OPERATING BILLING RATE |
PSYCHIATRIC NON-OPERATING BILLING RATE |
PSYCHIATRIC ECT PAYMENT |
PSYCHIATRIC ALC PER DIEM |
| 1623001 | ADIRONDACK MEDICAL CENTER | $631.27 | $59.92 | $231.32 | $174.66 |
| 0101000 | ALBANY MEDICAL CTR HOSP | $541.95 | $75.12 | $244.44 | $174.66 |
| 0501000 | AUBURN MEMORIAL HOSPITAL | $661.18 | $24.83 | $242.28 | $174.66 |
| 7002001 | BELLEVUE HOSPITAL CENTER | $637.52 | $206.63 | $287.55 | $265.63 |
| 5501000 | BENEDICTINE HOSPITAL | $669.15 | $31.56 | $245.20 | $174.66 |
| 7002002 | BETH ISRAEL MEDICAL CENTER | $704.24 | $264.75 | $317.64 | $265.63 |
| 3535001 | BON SECOURS COMMUNITY HOSP | $571.60 | $12.72 | $257.82 | $174.66 |
| 7000001 | BRONX-LEBANON HOSPITAL CTR | $663.37 | $247.19 | $299.21 | $265.63 |
| 7001002 | BROOKDALE HOSPITAL MED CTR | $652.65 | $127.03 | $294.38 | $265.63 |
| 5123000 | BROOKHAVEN MEMORIAL HOSP | $634.40 | $31.03 | $286.14 | $265.63 |
| 5263000 | CATSKILL REGIONAL MED CTR | $701.59 | $32.75 | $257.09 | $174.66 |
| 5401001 | CAYUGA MEDICAL CENTER | $675.75 | $49.43 | $247.62 | $174.66 |
| 0901001 | CHAMPLAIN VALLEY PHYS | $644.38 | $51.05 | $236.12 | $174.66 |
| 4401000 | CLAXTON-HEPBURN MED CTR | $589.86 | $34.76 | $216.15 | $174.66 |
| 3421000 | CLIFTON SPRINGS HOSPITAL | $432.86 | $24.92 | $195.24 | $174.66 |
| 1001000 | COLUMBIA MEMORIAL HOSPITAL | $629.20 | $25.90 | $230.56 | $174.66 |
| 3301003 | COMMUNITY-GEN/GTR SYRACUSE | $577.15 | $18.59 | $260.32 | $174.66 |
| 7001009 | CONEY ISLAND HOSPITAL | $629.85 | $163.67 | $284.09 | $265.63 |
| 1101000 | CORTLAND REGIONAL MED CTR | $615.78 | $81.94 | $225.64 | $174.66 |
| 5127000 | EASTERN LONG ISLAND HOSPITAL | $617.02 | $53.71 | $278.30 | $265.63 |
| 4601001 | ELLIS HOSPITAL | $523.38 | $41.52 | $236.07 | $174.66 |
| 7003000 | ELMHURST HOSPITAL CTR | $670.53 | $324.03 | $302.44 | $265.63 |
| 1401005 | ERIE COUNTY MEDICAL CENTER | $574.28 | $75.46 | $259.03 | $174.66 |
| 3202003 | FAXTON-ST LUKES HEALTHCARE | $637.10 | $38.69 | $233.45 | $174.66 |
| 7003001 | FLUSHING HOSPITAL | $643.68 | $137.50 | $290.33 | $265.63 |
| 2910000 | FRANKLIN HOSPITAL | $612.35 | $32.05 | $276.19 | $265.63 |
| 2901000 | GLEN COVE HOSPITAL | $703.24 | $48.66 | $317.19 | $265.63 |
| 5601000 | GLENS FALLS HOSPITAL | $624.83 | $59.27 | $228.96 | $174.66 |
| 7002009 | HARLEM HOSPITAL CENTER | $654.71 | $253.71 | $295.30 | $265.63 |
| 5153000 | HUNTINGTON HOSPITAL | $659.13 | $42.31 | $297.30 | $265.63 |
| 7001046 | INTERFAITH MEDICAL CENTER | $656.52 | $93.31 | $296.12 | $265.63 |
| 7000002 | JACOBI MEDICAL CENTER | $691.09 | $188.28 | $311.71 | $265.63 |
| 7003003 | JAMAICA HOSPITAL | $700.31 | $252.32 | $315.87 | $265.63 |
| 5149000 | JOHN T MATHER MEMORIAL HOSP | $640.82 | $34.18 | $289.04 | $265.63 |
| 1401014 | KALEIDA HEALTH | $577.77 | $65.09 | $260.60 | $174.66 |
| 7001016 | KINGS COUNTY HOSPITAL CENTER | $632.03 | $300.27 | $285.07 | $265.63 |
| 7001033 | KINGSBROOK JEWISH MED CTR | $715.33 | $52.28 | $322.64 | $265.63 |
| 7002017 | LENOX HILL HOSPITAL | $648.36 | $172.05 | $292.44 | $265.63 |
| 7000008 | LINCOLN MEDICAL | $643.00 | $274.61 | $290.02 | $265.63 |
| 2902000 | LONG BEACH MEDICAL CENTER | $562.69 | $86.63 | $253.80 | $265.63 |
| 7001017 | LONG ISLAND COLLEGE HOSPITAL | $643.75 | $184.42 | $290.36 | $265.63 |
| 7003004 | LONG ISLAND JEWISH | $677.95 | $122.06 | $305.78 | $265.63 |
| 7001019 | LUTHERAN MEDICAL CENTER | $633.72 | $93.48 | $285.83 | $265.63 |
| 7001020 | MAIMONIDES MEDICAL CENTER | $741.62 | $90.56 | $334.50 | $265.63 |
| 3824000 | MARY IMOGENE BASSETT HOSP | $578.05 | $23.84 | $211.82 | $174.66 |
| 3622000 | MEDINA MEMORIAL HOSPITAL | $496.08 | $19.29 | $181.78 | $174.66 |
| 2909000 | MERCY MEDICAL CENTER | $633.40 | $32.71 | $285.69 | $265.63 |
| 7002021 | METROPOLITAN HOSPITAL CENTER | $636.15 | $305.18 | $286.93 | $265.63 |
| 7000006 | MONTEFIORE MEDICAL CENTER | $699.57 | $576.69 | $315.53 | $265.63 |
| 7002024 | MOUNT SINAI HOSPITAL | $698.13 | $158.27 | $314.89 | $265.63 |
| 5903000 | MOUNT VERNON HOSPITAL | $657.27 | $14.80 | $296.46 | $265.63 |
| 2950002 | NASSAU UNIV MED CTR | $705.49 | $46.65 | $318.20 | $265.63 |
| 3102000 | NIAGARA FALLS MEMORIAL | $483.95 | $36.67 | $218.28 | $174.66 |
| 7000024 | NORTH CENTRAL BRONX HOSPITAL | $710.72 | $151.34 | $320.56 | $265.63 |
| 2951001 | NORTH SHORE UNIVERSITY HOSP | $723.74 | $542.91 | $326.44 | $265.63 |
| 5920000 | NORTHERN WESTCHESTER HOSP | $630.23 | $83.31 | $284.26 | $265.63 |
| 7001021 | NY METHODIST HOSP / BROOKLYN | $665.55 | $153.11 | $300.19 | $265.63 |
| 7002054 | NY PRESBYTERIAN HOSPITAL | $696.76 | $148.13 | $314.27 | $265.63 |
| 7002053 | NYU HOSPITALS CENTER | $666.67 | $501.40 | $300.70 | $265.63 |
| 0401001 | OLEAN GENERAL HOSPITAL | $589.02 | $64.78 | $215.84 | $174.66 |
| 3523000 | ORANGE REGIONAL MED CTR | $620.38 | $33.37 | $279.82 | $174.66 |
| 3702000 | OSWEGO HOSPITAL | $631.04 | $65.24 | $231.23 | $174.66 |
| 5932000 | PHELPS MEMORIAL HOSP | $623.00 | $68.31 | $281.00 | $265.63 |
| 3950000 | PUTNAM COMMUNITY HOSPITAL | $639.01 | $51.66 | $288.22 | $174.66 |
| 7003007 | QUEENS HOSPITAL CENTER | $710.10 | $297.10 | $320.28 | $265.63 |
| 7004010 | RICHMOND UNIV MED CTR | $622.88 | $49.43 | $280.94 | $265.63 |
| 2701003 | ROCHESTER GENERAL HOSPITAL | $528.99 | $57.57 | $238.60 | $174.66 |
| 3201002 | ROME MEMORIAL HOSPITAL | $480.15 | $24.80 | $216.57 | $174.66 |
| 4102002 | SAMARITAN HOSPITAL OF TROY | $495.35 | $30.50 | $223.42 | $174.66 |
| 2201000 | SAMARITAN MEDICAL CENTER | $647.53 | $27.68 | $237.28 | $174.66 |
| 4501000 | SARATOGA HOSPITAL | $518.46 | $62.92 | $233.85 | $174.66 |
| 6120700 | SOLDIERS AND SAILORS MEM HOSP | $514.10 | $29.90 | $188.38 | $174.66 |
| 2950001 | SOUTH NASSAU COMMUNITIES | $600.07 | $87.29 | $270.66 | $265.63 |
| 5154000 | SOUTHSIDE HOSPITAL | $652.16 | $49.00 | $294.15 | $265.63 |
| 7000014 | ST BARNABAS HOSPITAL | $639.63 | $87.75 | $288.50 | $265.63 |
| 5157003 | ST CATHERINE OF SIENA | $659.07 | $60.02 | $297.27 | $265.63 |
| 3202002 | ST ELIZABETH MEDICAL CENTER | $522.76 | $32.47 | $235.79 | $174.66 |
| 1302000 | ST FRANCIS HOSP / POUGH | $538.27 | $92.78 | $242.78 | $174.66 |
| 5002001 | ST JAMES MERCY HOSPITAL | $506.89 | $29.84 | $185.74 | $174.66 |
| 7001024 | ST JOHNS EPISCOPAL SO SHORE | $743.68 | $117.48 | $335.43 | $265.63 |
| 0701001 | ST JOSEPHS HOSP / ELMIRA | $462.83 | $11.60 | $208.75 | $174.66 |
| 3301003 | ST JOSEPHS HOSP HLTH CTR | $550.48 | $34.18 | $248.29 | $174.66 |
| 5907002 | ST JOSEPHS MEDICAL CENTER | $638.26 | $56.15 | $287.88 | $265.63 |
| 7002032 | ST LUKES / ROOSEVELT HOSP | $758.88 | $86.40 | $342.29 | $265.63 |
| 2801001 | ST MARYS HOSP / AMSTERDAM | $579.43 | $19.47 | $212.32 | $174.66 |
| 7001037 | STATE UNIV HOSP / DOWNSTATE | $679.63 | $215.89 | $306.54 | $265.63 |
| 7004003 | STATEN ISLAND UNIV HOSP | $634.09 | $125.67 | $286.00 | $265.63 |
| 2701005 | STRONG MEMORIAL HOSPITAL | $560.45 | $101.24 | $252.79 | $174.66 |
| 4353000 | SUMMIT PARK HOSPITAL | $615.71 | $10.17 | $277.71 | $265.63 |
| 2754001 | THE UNITY HOSPITAL OF ROCHESTER | $482.95 | $35.66 | $217.83 | $174.66 |
| 0427000 | TLC HEALTH NETWORK | $523.30 | $17.69 | $191.75 | $174.66 |
| 0303001 | UNITED HEALTH SERVICES INC | $528.55 | $29.56 | $238.40 | $174.66 |
| 5151001 | UNIV HOSP AT STONY BROOK | $639.01 | $188.24 | $288.22 | $265.63 |
| 3301007 | UNIV HOSP SUNY HLTH SCI CTR | $572.16 | $168.91 | $258.07 | $174.66 |
| 5820000 | WAYNE HEALTH CARE | $481.83 | $32.29 | $217.33 | $174.66 |
| 5957001 | WESTCHESTER MEDICAL CENTER | $709.78 | $144.77 | $320.14 | $265.63 |
| 0602001 | WOMANS CHRISTIAN ASSOC | $568.70 | $19.99 | $208.39 | $174.66 |
| 7001045 | WOODHULL MEDICAL | $633.90 | $118.92 | $285.92 | $265.63 |
| 6027000 | WYOMING CO COMMUNITY HOSP | $595.00 | $36.96 | $218.03 | $174.66 |
