''INPATIENT CASE PAYMENT RATES EFFECTIVE 1/1/2014 - 3/31/2014 (WCNF ONLY)

(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
DISCHARGE RATE STATEWIDE PRICE ISAF HIGH COST CC´s IME %´s DME RATE CAPITAL RATE - PER DISCH CAPITAL RATE - PER DIEM ALC WCNF SURCHARGES
DISCHARGE CASE
PAYMENT RATE
(EXCLUDING PHL § 2807-c(33))
STATEWIDE BASE
PRICE (EXCLUDING
PHL § 2807-c(33))
INSTITUTION-SPECIFIC
ADJUSTMENT FACTOR (ISAF)
HIGH COST CHARGE CONVERTOR (2011) INDIRECT MEDICAL
EDUCATION (IME) %
DIRECT MEDICAL
EDUCATION (DME) ADD-ON
CAPITAL PER
DISCHARGE PLUS
NON-COMPARABLES
AMBULANCE SCHOOL
OF NURSING &
TEACHING ELECTION AMENDMENT
PHYS ADD-ONS
(Excludes Transition
Add-ons)
CAPITAL PER DIEM ALC PRICE PER DAY PUBLIC GOODS POOL SURCHARGE ADDITIONAL PUBLIC GOODS POOL SURCHARGE
OPCERT HOSPITAL NAME **(PER DISCH)** **(PER DAY**)
1623001 ADIRONDACK MEDICAL CENTER $6,279.70 $7,628.40 0.8232 0.550690 0.00% $0.00 $443.18 $108.24 $189.97 9.63% 28.27%
0101000 ALBANY MEDICAL CTR HOSP $7,914.88 $7,628.40 0.8689 0.329874 19.41% $661.35 $1,453.45 $248.40 $189.97 9.63% 28.27%
0101000 ALBANY MEDICAL CTR SO CLINICAL $7,914.88 $7,628.40 0.8689 0.329874 19.41% $661.35 $1,453.45 $248.40 $189.97 9.63% 28.27%
1624000 ALICE HYDE MEDICAL CENTER $6,139.34 $7,628.40 0.8048 0.595070 0.00% $0.00 $138.50 $41.80 $189.97 9.63% 28.27%
0701000 ARNOT OGDEN MEDICAL CTR $6,127.89 $7,628.40 0.8033 0.441410 0.00% $0.00 $360.79 $80.14 $189.97 9.63% 28.27%
0501000 AUBURN COMMUNITY HOSPITAL $6,577.21 $7,628.40 0.8622 0.445645 0.00% $0.00 $527.41 $124.54 $189.97 9.63% 28.27%
3801000 AURELIA OSBORN FOX MEM HOSP $6,049.32 $7,628.40 0.7930 0.645624 0.00% $0.00 $423.69 $88.92 $189.97 9.63% 28.27%
7002001 BELLEVUE HOSPITAL CENTER $9,849.01 $7,628.40 1.0233 0.773995 26.17% $2,706.44 $1,865.22 $126.93 $288.92 9.63% 28.27%
1427000 BERTRAND CHAFFEE HOSPITAL $5,333.01 $7,628.40 0.6991 0.597355 0.00% $0.00 $218.27 $48.05 $189.97 9.63% 28.27%
7001041 BETH ISRAEL / KINGS HIGHWAY $8,906.39 $7,628.40 1.1652 0.183347 0.20% $673.75 $192.97 $31.03 $288.92 9.63% 28.27%
7002002 BETH ISRAEL MEDICAL CENTER $10,722.87 $7,628.40 1.1304 0.308539 24.35% $1,271.86 $876.59 $175.26 $288.92 9.63% 28.27%
3535001 BON SECOURS COMMUNITY HOSP $6,999.06 $7,628.40 0.9175 0.272206 0.00% $0.00 $498.01 $112.50 $189.97 9.63% 28.27%
7000001 BRONX-LEBANON HOSPITAL CTR $10,326.41 $7,628.40 1.0648 0.862280 27.13% $2,258.14 $587.09 $121.06 $288.92 9.63% 28.27%
7001002 BROOKDALE HOSPITAL MED CTR $9,656.14 $7,628.40 1.0476 0.490403 20.83% $1,465.57 $435.37 $80.00 $288.92 9.63% 28.27%
5123000 BROOKHAVEN MEMORIAL HOSP $7,913.26 $7,628.40 1.0183 0.193638 1.87% $0.00 $431.25 $72.95 $288.92 9.63% 28.27%
7001003 BROOKLYN HOSPITAL $9,468.24 $7,628.40 1.0296 0.455530 20.55% $682.88 $435.05 $84.42 $288.92 9.63% 28.27%
0601000 BROOKS MEMORIAL HOSPITAL $5,587.04 $7,628.40 0.7324 0.678877 0.00% $0.00 $208.35 $51.59 $189.97 9.63% 28.27%
4102004 BURDETT CARE CENTER $6,065.34 $7,628.40 0.7951 0.707292 0.00% $0.00 $146.09 $63.81 $189.97 9.63% 28.27%
4429000 CANTON-POTSDAM HOSPITAL $6,052.37 $7,628.40 0.7934 0.571952 0.00% $0.00 $314.35 $103.59 $189.97 9.63% 28.27%
2238001 CARTHAGE AREA HOSPITAL INC $5,605.35 $7,628.40 0.7348 0.581448 0.00% $0.00 $280.45 $78.67 $189.97 9.63% 28.27%
5263000 CATSKILL REGIONAL MED CTR $6,979.22 $7,628.40 0.9149 0.385795 0.00% $0.00 $600.16 $126.53 $189.97 9.63% 28.27%
5401001 CAYUGA MEDICAL CENTER $6,722.15 $7,628.40 0.8812 0.748430 0.00% $0.00 $433.78 $114.49 $189.97 9.63% 28.27%
0901001 CHAMPLAIN VALLEY PHYS $6,410.14 $7,628.40 0.8403 0.410036 0.00% $0.00 $1,009.16 $179.33 $189.97 9.63% 28.27%
0824000 CHENANGO MEMORIAL HOSP $5,812.84 $7,628.40 0.7620 0.470507 0.00% $0.00 $248.49 $77.68 $189.97 9.63% 28.27%
4401000 CLAXTON-HEPBURN MED CTR $5,867.77 $7,628.40 0.7692 0.611839 0.00% $0.00 $485.05 $100.07 $189.97 9.63% 28.27%
3421000 CLIFTON SPRINGS HOSPITAL $5,300.21 $7,628.40 0.6948 0.542357 0.00% $0.00 $318.70 $78.22 $189.97 9.63% 28.27%
4720001 COBLESKILL REGIONAL HOSP $5,800.64 $7,628.40 0.7604 1.064008 0.00% $0.00 $317.35 $30.36 $189.97 9.63% 28.27%
1001000 COLUMBIA MEMORIAL HOSPITAL $6,259.10 $7,628.40 0.8205 0.428438 0.00% $0.00 $419.87 $97.60 $189.97 9.63% 28.27%
2625000 COMMUNITY MEMORIAL HOSPITAL $6,136.28 $7,628.40 0.8044 0.577756 0.00% $0.00 $257.84 $86.24 $189.97 9.63% 28.27%
7001009 CONEY ISLAND HOSPITAL $9,016.46 $7,628.40 1.0110 0.749279 16.91% $1,309.22 $4,199.56 $151.79 $288.92 9.63% 28.27%
5001000 CORNING HOSPITAL $6,696.21 $7,628.40 0.8778 0.433032 0.00% $0.00 $383.83 $109.67 $189.97 9.63% 28.27%
1101000 CORTLAND REGIONAL MED CTR $6,125.61 $7,628.40 0.8030 0.650282 0.00% $0.00 $493.09 $74.58 $189.97 9.63% 28.27%
3301008 CROUSE HOSPITAL $7,592.28 $7,628.40 0.9458 0.488251 5.23% $143.63 $552.77 $96.26 $189.97 9.63% 28.27%
5127000 EASTERN LONG ISLAND HOSPITAL $7,555.17 $7,628.40 0.9904 0.227798 0.00% $0.00 $654.82 $156.18 $288.92 9.63% 28.27%
3101000 EASTERN NIAGARA HOSPITAL $6,166.04 $7,628.40 0.8083 0.548871 0.00% $0.00 $173.84 $37.06 $189.97 9.63% 28.27%
4601001 ELLIS HOSPITAL $6,741.23 $7,628.40 0.8401 0.280787 5.19% $170.78 $343.13 $68.49 $189.97 9.63% 28.27%
7003000 ELMHURST HOSPITAL CTR $10,052.05 $7,628.40 1.0763 0.679995 22.43% $1,354.94 $2,192.06 $128.52 $288.92 9.63% 28.27%
1401005 ERIE COUNTY MEDICAL CENTER $8,556.37 $7,628.40 0.9218 0.548935 21.68% $616.94 $795.96 $128.62 $189.97 9.63% 28.27%
3429000 F F THOMPSON HOSPITAL $5,380.31 $7,628.40 0.7053 0.585654 0.00% $0.00 $515.20 $135.06 $189.97 9.63% 28.27%
3202003 FAXTON-ST LUKES HEALTHCARE $6,379.50 $7,628.40 0.8308 0.401787 0.66% $0.15 $448.43 $99.52 $189.97 9.63% 28.27%
7003001 FLUSHING HOSPITAL $9,288.54 $7,628.40 1.0332 0.500323 17.85% $732.66 $755.18 $77.67 $288.92 9.63% 28.27%
7003013 FOREST HILLS HOSPITAL $9,242.06 $7,628.40 1.1309 0.314304 7.13% $137.95 $323.53 $75.51 $288.92 9.63% 28.27%
2910000 FRANKLIN HOSPITAL $7,602.92 $7,628.40 0.9829 0.279524 1.40% $228.23 $383.69 $69.63 $288.92 9.63% 28.27%
3402000 GENEVA GENERAL HOSPITAL $5,566.44 $7,628.40 0.7297 0.568222 0.00% $0.00 $423.16 $93.03 $189.97 9.63% 28.27%
2901000 GLEN COVE HOSPITAL $8,963.99 $7,628.40 1.1288 0.303907 4.10% $144.53 $550.17 $105.28 $288.92 9.63% 28.27%
5601000 GLENS FALLS HOSPITAL $6,215.62 $7,628.40 0.8148 0.456191 0.00% $0.00 $493.60 $106.56 $189.97 9.63% 28.27%
4329000 GOOD SAMARITAN / SUFFERN $7,810.72 $7,628.40 1.0239 0.220855 0.00% $0.00 $501.06 $126.25 $288.92 9.63% 28.27%
5154001 GOOD SAMARITAN / WEST ISLIP $8,166.30 $7,628.40 1.0148 0.225889 5.49% $238.02 $397.59 $80.43 $288.92 9.63% 28.27%
7002009 HARLEM HOSPITAL CENTER $10,517.90 $7,628.40 1.0509 1.037858 31.20% $3,038.88 $2,604.17 $236.77 $288.92 9.63% 28.27%
5501001 HEALTHALLIANCE HOSP BROADWAY CAMPUS $7,015.76 $7,628.40 0.8734 0.255361 5.30% $243.59 $290.84 $62.80 $189.97 9.63% 28.27%
5501000 HEALTHALLIANCE HOSP MARYS AVE CAMPUS $6,795.66 $7,628.40 0.8726 0.343464 2.09% $91.93 $857.05 $160.50 $189.97 9.63% 28.27%
2701001 HIGHLAND HOSP OF ROCHESTER $7,243.18 $7,628.40 0.8599 0.591136 10.42% $114.47 $410.25 $108.26 $189.97 9.63% 28.27%
7002012 HOSPITAL FOR SPECIAL SURGERY $10,877.62 $7,628.40 1.1809 0.391481 20.75% $1,724.49 $1,655.82 $435.16 $288.92 9.63% 28.27%
5901000 HUDSON VALLEY HOSPITAL CTR $7,295.80 $7,628.40 0.9564 0.282930 0.00% $0.00 $786.78 $170.18 $288.92 9.63% 28.27%
5153000 HUNTINGTON HOSPITAL $8,166.00 $7,628.40 1.0624 0.320920 0.76% $13.66 $381.36 $86.64 $288.92 9.63% 28.27%
7001046 INTERFAITH MEDICAL CENTER $10,533.25 $7,628.40 1.0538 0.292808 31.03% $974.30 $472.87 $84.58 $288.92 9.63% 28.27%
5022000 IRA DAVENPORT MEMORIAL HOSP $5,745.71 $7,628.40 0.7532 0.522758 0.00% $0.00 $382.98 $111.86 $189.97 9.63% 28.27%
7000002 JACOBI MEDICAL CENTER $10,772.36 $7,628.40 1.1093 0.859302 27.30% $2,204.67 $2,782.64 $182.93 $288.92 9.63% 28.27%
7003003 JAMAICA HOSPITAL $9,962.53 $7,628.40 1.1241 0.454197 16.18% $771.67 $570.38 $48.33 $288.92 9.63% 28.27%
5149000 JOHN T MATHER MEMORIAL HOSP $7,846.57 $7,628.40 1.0286 0.294673 0.00% $0.00 $582.61 $104.81 $288.92 9.63% 28.27%
0228000 JONES MEMORIAL HOSPITAL $5,666.38 $7,628.40 0.7428 0.535979 0.00% $0.00 $342.08 $106.53 $189.97 9.63% 28.27%
1401014 KALEIDA HEALTH $7,948.29 $7,628.40 0.9274 0.427742 12.35% $337.50 $853.84 $154.10 $189.97 9.63% 28.27%
1401014 KALEIDA HEALTH (MILLARD) $7,948.29 $7,628.40 0.9274 0.427742 12.35% $337.50 $853.84 $154.10 $189.97 9.63% 28.27%
1401002 KALEIDA HLTH/WOMAN&CHILDRENS $8,828.19 $7,628.40 0.9147 0.440617 26.52% $400.83 $294.65 $64.98 $189.97 9.63% 28.27%
1404000 KENMORE MERCY HOSPITAL $6,249.95 $7,628.40 0.8193 0.451042 0.00% $0.00 $467.55 $90.68 $189.97 9.63% 28.27%
7001016 KINGS COUNTY HOSPITAL CENTER $10,327.71 $7,628.40 1.0145 0.974490 33.45% $2,673.35 $2,476.58 $172.48 $288.92 9.63% 28.27%
7001033 KINGSBROOK JEWISH MED CTR $10,035.98 $7,628.40 1.1482 0.293080 14.58% $1,212.88 $454.78 $82.26 $288.92 9.63% 28.27%
5922000 LAWRENCE HOSPITAL $7,608.57 $7,628.40 0.9974 0.348137 0.00% $0.00 $486.61 $100.53 $288.92 9.63% 28.27%
7002017 LENOX HILL HOSPITAL $9,155.12 $7,628.40 1.0407 0.247374 15.32% $1,196.02 $1,269.57 $233.59 $288.92 9.63% 28.27%
2424000 LEWIS COUNTY GENERAL HOSP $6,227.06 $7,628.40 0.8163 0.779088 0.00% $0.00 $433.07 $134.28 $189.97 9.63% 28.27%
7000008 LINCOLN MEDICAL $9,795.92 $7,628.40 1.0321 0.946222 24.42% $1,300.80 $2,941.20 $122.65 $288.92 9.63% 28.27%
2902000 LONG BEACH MEDICAL CENTER $7,650.62 $7,628.40 0.9032 0.308383 11.04% $471.34 $525.41 $83.74 $288.92 9.63% 28.27%
7003004 LONG ISLAND JEWISH $10,710.23 $7,628.40 1.0882 0.262745 29.02% $1,155.68 $794.22 $169.60 $288.92 9.63% 28.27%
7001019 LUTHERAN MEDICAL CENTER $9,621.92 $7,628.40 1.0172 0.510266 24.00% $1,067.96 $496.30 $62.17 $288.92 9.63% 28.27%
7001020 MAIMONIDES MEDICAL CENTER $11,183.07 $7,628.40 1.1904 0.286038 23.15% $1,118.25 $959.11 $178.42 $288.92 9.63% 28.27%
3824000 MARY IMOGENE BASSETT HOSP $6,494.95 $7,628.40 0.7538 0.473270 12.95% $395.24 $515.45 $106.49 $189.97 9.63% 28.27%
4402000 MASSENA MEMORIAL HOSPITAL $6,133.23 $7,628.40 0.8040 0.651479 0.00% $0.00 $405.67 $102.81 $189.97 9.63% 28.27%
3622000 MEDINA MEMORIAL HOSPITAL $4,934.81 $7,628.40 0.6469 0.658814 0.00% $0.00 $104.25 $21.37 $189.97 9.63% 28.27%
0101003 MEMORIAL HOSP OF ALBANY $6,150.02 $7,628.40 0.8062 0.444638 0.00% $0.00 $541.70 $83.24 $189.97 9.63% 28.27%
1401008 MERCY HOSPITAL OF BUFFALO $6,946.49 $7,628.40 0.8840 0.464171 3.01% $50.51 $403.94 $87.11 $189.97 9.63% 28.27%
2909000 MERCY MEDICAL CENTER $7,779.06 $7,628.40 1.0167 0.286411 0.30% $62.53 $497.33 $92.96 $288.92 9.63% 28.27%
7002021 METROPOLITAN HOSPITAL CENTER $9,963.37 $7,628.40 1.0211 0.874182 27.91% $2,125.38 $1,173.99 $73.29 $288.92 9.63% 28.27%
7000006 MONTEFIORE MEDICAL CENTER $11,046.62 $7,628.40 1.1229 0.272430 28.96% $2,750.71 $730.99 $125.68 $288.92 9.63% 28.27%
5903001 MONTEFIORE MOUNT VERNON HOSP $8,815.74 $7,628.40 1.0550 0.539888 9.54% $1,095.04 $688.98 $54.50 $288.92 9.63% 28.27%
5904001 MONTEFIORE NEW ROCHELLE HOSP $8,704.68 $7,628.40 1.0294 0.528855 10.85% $701.68 $476.72 $109.01 $288.92 9.63% 28.27%
7003015 MOUNT SINAI HOSP OF QUEENS $11,359.10 $7,628.40 1.1206 0.417467 32.88% $1,394.94 $488.19 $81.23 $288.92 9.63% 28.27%
7002024 MOUNT SINAI HOSPITAL $11,359.10 $7,628.40 1.1206 0.382416 32.88% $1,394.94 $717.34 $145.79 $288.92 9.63% 28.27%
3121001 MOUNT ST MARYS HOSPITAL $6,480.33 $7,628.40 0.8495 0.587047 0.00% $0.00 $231.67 $53.88 $189.97 9.63% 28.27%
2950002 NASSAU UNIV MED CTR $10,511.21 $7,628.40 1.1324 0.501971 21.68% $939.06 $514.78 $87.78 $288.92 9.63% 28.27%
1701000 NATHAN LITTAUER HOSPITAL $5,930.32 $7,628.40 0.7774 0.439216 0.00% $0.00 $237.61 $69.58 $189.97 9.63% 28.27%
7002000 NEW YORK DOWNTOWN HOSP $9,553.66 $7,628.40 1.0608 0.586127 18.06% $749.01 $1,372.18 $215.72 $288.92 9.63% 28.27%
3102000 NIAGARA FALLS MEMORIAL $6,171.66 $7,628.40 0.7768 0.545618 4.15% $88.54 $464.64 $128.07 $189.97 9.63% 28.27%
2527000 NICHOLAS H NOYES MEMORIAL $5,653.41 $7,628.40 0.7411 0.442823 0.00% $0.00 $412.98 $120.79 $189.97 9.63% 28.27%
7000024 NORTH CENTRAL BRONX HOSPITAL $9,822.49 $7,628.40 1.1408 0.741199 12.87% $1,422.23 $1,179.11 $125.36 $288.92 9.63% 28.27%
2951001 NORTH SHORE UNIVERSITY HOSP $10,296.65 $7,628.40 1.1617 0.254440 16.19% $1,340.92 $1,153.31 $133.04 $288.92 9.63% 28.27%
1327000 NORTHERN DUTCHESS HOSPITAL $7,282.07 $7,628.40 0.9546 0.366251 0.00% $0.00 $369.20 $104.84 $189.97 9.63% 28.27%
5920000 NORTHERN WESTCHESTER HOSP $7,716.89 $7,628.40 1.0116 0.509174 0.00% $0.00 $709.35 $181.01 $288.92 9.63% 28.27%
7001008 NY COMMUNITY / BROOKLYN $8,488.88 $7,628.40 1.1128 0.517469 0.00% $0.00 $345.85 $58.29 $288.92 9.63% 28.27%
7002026 NY EYE AND EAR INFIRMARY $9,047.21 $7,628.40 1.0217 0.444781 16.08% $2,498.98 $606.90 $320.48 $288.92 9.63% 28.27%
7003010 NY MED CTR OF QUEENS $9,770.26 $7,628.40 1.0990 0.404466 16.54% $828.33 $1,006.14 $151.64 $288.92 9.63% 28.27%
7001021 NY METHODIST HOSP / BROOKLYN $9,516.89 $7,628.40 1.0683 0.445267 16.78% $873.27 $306.78 $63.73 $288.92 9.63% 28.27%
7002054 NY PRESBYTERIAN HOSPITAL $10,840.25 $7,628.40 1.1184 0.357925 27.06% $1,495.91 $1,471.93 $215.72 $288.92 9.63% 28.27%
7002054 NY PRESBYTERIAN HOSPITAL (ALLEN) $10,840.25 $7,628.40 1.1184 0.357925 27.06% $1,495.91 $1,471.93 $215.72 $288.92 9.63% 28.27%
7002054 NY PRESBYTERIAN HOSPITAL (PRESBY) $10,840.25 $7,628.40 1.1184 0.357925 27.06% $1,495.91 $1,471.93 $215.72 $288.92 9.63% 28.27%
4324000 NYACK HOSPITAL $7,437.69 $7,628.40 0.9750 0.221363 0.00% $0.00 $320.93 $69.95 $288.92 9.63% 28.27%
7002053 NYU HOSPITALS CENTER $9,777.82 $7,628.40 1.0701 0.313593 19.78% $2,027.56 $2,133.71 $488.02 $288.92 9.63% 28.27%
7002053 NYU HOSPITALS CENTER/HOSP FOR JOINT DIS $9,777.82 $7,628.40 1.0701 0.313593 19.78% $2,027.56 $2,133.71 $488.02 $288.92 9.63% 28.27%
0401001 OLEAN GENERAL HOSPITAL $5,859.37 $7,628.40 0.7681 0.594815 0.00% $0.00 $527.41 $98.91 $189.97 9.63% 28.27%
2601001 ONEIDA HEALTHCARE $5,524.49 $7,628.40 0.7242 0.483423 0.00% $0.00 $534.54 $147.94 $189.97 9.63% 28.27%
3523000 ORANGE REGIONAL MED CTR $7,596.36 $7,628.40 0.9958 0.286532 0.00% $0.00 $1,187.77 $280.18 $189.97 9.63% 28.27%
3702000 OSWEGO HOSPITAL $6,277.41 $7,628.40 0.8229 0.542099 0.00% $0.00 $652.26 $160.30 $189.97 9.63% 28.27%
0301001 OUR LADY OF LOURDES MEMORIAL $6,271.78 $7,628.40 0.8047 0.477509 2.17% $5.74 $300.04 $72.09 $189.97 9.63% 28.27%
5155000 PECONIC BAY MED CTR $7,629.93 $7,628.40 1.0002 0.272183 0.00% $0.00 $525.76 $117.49 $288.92 9.63% 28.27%
5932000 PHELPS MEMORIAL HOSP $8,114.33 $7,628.40 1.0000 0.364645 6.37% $0.00 $774.54 $179.72 $288.92 9.63% 28.27%
2952005 PLAINVIEW HOSPITAL $8,767.74 $7,628.40 1.1043 0.322045 4.08% $167.82 $307.28 $62.48 $288.92 9.63% 28.27%
3950000 PUTNAM COMMUNITY HOSPITAL $7,824.45 $7,628.40 1.0257 0.322545 0.00% $0.00 $608.72 $139.38 $189.97 9.63% 28.27%
7003007 QUEENS HOSPITAL CENTER $10,254.71 $7,628.40 1.1398 0.797790 17.94% $1,136.69 $1,711.22 $152.40 $288.92 9.63% 28.27%
7004010 RICHMOND UNIV MED CTR $8,794.54 $7,628.40 0.9998 0.309371 15.31% $506.83 $380.57 $0.00 $288.92 9.63% 28.27%
2701003 ROCHESTER GENERAL HOSPITAL $7,130.18 $7,628.40 0.8491 0.436120 10.08% $234.93 $678.74 $135.43 $189.97 9.63% 28.27%
3201002 ROME HOSPITAL AND MURPHY $5,879.21 $7,628.40 0.7707 0.454182 0.00% $0.00 $320.40 $78.21 $189.97 9.63% 28.27%
4102002 SAMARITAN HOSPITAL OF TROY $6,065.34 $7,628.40 0.7951 0.398224 0.00% $0.00 $349.07 $68.04 $189.97 9.63% 28.27%
2201000 SAMARITAN MEDICAL CENTER $6,503.26 $7,628.40 0.8444 0.552261 0.96% $27.20 $453.72 $117.16 $189.97 9.63% 28.27%
4501000 SARATOGA HOSPITAL $6,348.35 $7,628.40 0.8322 0.393532 0.00% $0.00 $422.12 $80.04 $189.97 9.63% 28.27%
4102003 SETON HEALTH SYSTEMS $6,139.34 $7,628.40 0.8048 0.356760 0.00% $0.00 $388.48 $80.19 $189.97 9.63% 28.27%
1401013 SISTERS OF CHARITY HOSPITAL $6,572.20 $7,628.40 0.8265 0.468307 4.24% $148.98 $346.10 $67.93 $189.97 9.63% 28.27%
2950001 SOUTH NASSAU COMMUNITIES $7,598.96 $7,628.40 0.9632 0.303927 3.42% $118.36 $615.19 $119.17 $288.92 9.63% 28.27%
5126000 SOUTHAMPTON HOSPITAL $8,020.74 $7,628.40 1.0076 0.337423 4.35% $0.00 $735.21 $200.71 $288.92 9.63% 28.27%
5154000 SOUTHSIDE HOSPITAL $8,367.11 $7,628.40 1.0468 0.321029 4.78% $163.47 $512.80 $119.98 $288.92 9.63% 28.27%
3529000 ST ANTHONY COMMUNITY HOSP $7,295.04 $7,628.40 0.9563 0.277194 0.00% $0.00 $541.29 $128.10 $189.97 9.63% 28.27%
7000014 ST BARNABAS HOSPITAL $9,891.92 $7,628.40 1.0267 0.300863 26.30% $1,172.12 $471.48 $96.28 $288.92 9.63% 28.27%
5157003 ST CATHERINE OF SIENA $8,070.08 $7,628.40 1.0579 0.233955 0.00% $0.00 $497.91 $99.83 $288.92 9.63% 28.27%
5149001 ST CHARLES HOSPITAL $7,429.90 $7,628.40 0.9651 0.262866 0.92% $85.63 $472.04 $105.85 $288.92 9.63% 28.27%
3202002 ST ELIZABETH MEDICAL CENTER $6,767.77 $7,628.40 0.8391 0.447837 5.73% $130.96 $655.99 $92.64 $189.97 9.63% 28.27%
1302000 ST FRANCIS HOSP / POUGH $6,590.94 $7,628.40 0.8640 0.254641 0.00% $0.00 $998.22 $183.70 $189.97 9.63% 28.27%
2953000 ST FRANCIS HOSP / ROSLYN $8,171.09 $7,628.40 1.0656 0.264425 0.52% $209.93 $1,489.00 $245.76 $288.92 9.63% 28.27%
5002001 ST JAMES MERCY HOSPITAL $5,042.37 $7,628.40 0.6610 0.470863 0.00% $0.00 $173.43 $59.59 $189.97 9.63% 28.27%
7001024 ST JOHNS EPISCOPAL SO SHORE $11,412.57 $7,628.40 1.1937 0.388042 25.33% $826.92 $262.87 $48.57 $288.92 9.63% 28.27%
5907001 ST JOHNS RIVERSIDE HOSPITAL $7,403.36 $7,628.40 0.9705 0.331763 0.00% $0.00 $408.68 $60.31 $288.92 9.63% 28.27%
2952006 ST JOSEPH HOSPITAL $7,700.87 $7,628.40 1.0095 0.292909 0.00% $16.74 $478.96 $90.23 $288.92 9.63% 28.27%
0701001 ST JOSEPHS HOSP / ELMIRA $5,667.14 $7,628.40 0.7429 0.390802 0.00% $0.00 $423.83 $90.44 $189.97 9.63% 28.27%
3301003 ST JOSEPHS HOSP HLTH CTR $7,109.15 $7,628.40 0.8836 0.436160 5.47% $53.00 $790.85 $134.85 $189.97 9.63% 28.27%
5907002 ST JOSEPHS MEDICAL CENTER $7,994.73 $7,628.40 0.9703 0.507587 8.01% $629.71 $784.88 $144.68 $288.92 9.63% 28.27%
7002032 ST LUKES / ROOSEVELT HOSP $11,568.73 $7,628.40 1.2181 0.340470 24.50% $1,440.95 $1,194.93 $220.88 $288.92 9.63% 28.27%
3522000 ST LUKES CORNWALL $6,883.87 $7,628.40 0.9024 0.281003 0.00% $0.00 $603.56 $147.40 $189.97 9.63% 28.27%
2801001 ST MARYS HEALTHCARE $5,764.02 $7,628.40 0.7556 0.455570 0.00% $0.00 $203.70 $52.48 $189.97 9.63% 28.27%
0101004 ST PETERS HOSPITAL $6,761.97 $7,628.40 0.8670 0.319609 2.24% $63.46 $693.30 $152.17 $189.97 9.63% 28.27%
7001037 STATE UNIV HOSP / DOWNSTATE $10,448.05 $7,628.40 1.0909 0.700687 25.55% $2,106.30 $1,310.01 $235.56 $288.92 9.63% 28.27%
7004003 STATEN ISLAND UNIV HOSP $9,106.62 $7,628.40 1.0178 0.325427 17.29% $566.76 $392.22 $56.88 $288.92 9.63% 28.27%
2701005 STRONG MEMORIAL HOSPITAL $8,854.01 $7,628.40 0.8996 0.536664 29.02% $793.30 $749.90 $120.89 $189.97 9.63% 28.27%
7001037 SUNY DOWNSTATE MED CTR AT LICH $10,448.05 $7,628.40 1.0909 0.700687 25.55% $2,106.30 $1,310.01 $235.56 $288.92 9.63% 28.27%
2754001 THE UNITY HOSPITAL $6,365.93 $7,628.40 0.7752 0.502218 7.65% $51.70 $771.94 $185.29 $189.97 9.63% 28.27%
0427000 TLC HEALTH NETWORK $5,205.62 $7,628.40 0.6824 0.609655 0.00% $0.00 $387.12 $73.05 $189.97 9.63% 28.27%
1227001 TRI-TOWN REGIONAL HEALTHCARE $7,628.40 $7,628.40 1.0000 0.000000 0.00% $0.00 $0.00 $0.00 $189.97 9.63% 28.27%
0303001 UNITED HEALTH SERVICES INC $6,959.27 $7,628.40 0.8484 0.459060 7.53% $223.33 $389.17 $82.62 $189.97 9.63% 28.27%
1801000 UNITED MEMORIAL MED CTR $5,833.44 $7,628.40 0.7647 0.442346 0.00% $0.00 $464.97 $120.47 $189.97 9.63% 28.27%
5151001 UNIV HOSP AT STONY BROOK $10,072.41 $7,628.40 1.0257 0.358170 28.73% $1,178.89 $985.05 $129.14 $288.92 9.63% 28.27%
3301007 UNIV HOSP SUNY HLTH SCI CTR $9,039.74 $7,628.40 0.9184 0.470865 29.03% $1,128.21 $918.52 $169.73 $189.97 9.63% 28.27%
3301007 UPSTATE UNIV HOSPITAL AT COMM GEN $9,039.74 $7,628.40 0.9184 0.470865 29.03% $1,128.21 $918.52 $169.73 $189.97 9.63% 28.27%
1302001 VASSAR BROTHERS MED CTR $7,569.66 $7,628.40 0.9923 0.280449 0.00% $0.00 $662.95 $136.43 $189.97 9.63% 28.27%
5820000 WAYNE HEALTH CARE $5,899.80 $7,628.40 0.7734 0.439657 0.00% $0.00 $427.99 $104.45 $189.97 9.63% 28.27%
5957001 WESTCHESTER MEDICAL CENTER $10,302.36 $7,628.40 1.1393 0.303204 18.54% $2,055.75 $2,527.40 $311.13 $288.92 9.63% 28.27%
0632000 WESTFIELD MEMORIAL HOSP $5,488.63 $7,628.40 0.7195 0.628960 0.00% $0.00 $362.14 $368.49 $189.97 9.63% 28.27%
5902001 WHITE PLAINS HOSPITAL $7,804.62 $7,628.40 1.0231 0.419909 0.00% $0.00 $445.53 $100.40 $288.92 9.63% 28.27%
2908000 WINTHROP UNIVERSITY HOSPITAL $9,054.16 $7,628.40 1.0188 0.303881 16.50% $765.70 $653.86 $133.35 $288.92 9.63% 28.27%
0602001 WOMANS CHRISTIAN ASSOC $5,657.22 $7,628.40 0.7416 0.471825 0.00% $0.00 $426.70 $97.39 $189.97 9.63% 28.27%
7001045 WOODHULL MEDICAL $9,370.17 $7,628.40 1.0175 0.908330 20.72% $1,858.68 $3,375.79 $103.20 $288.92 9.63% 28.27%
7001035 WYCKOFF HEIGHTS HOSPITAL $9,440.68 $7,628.40 1.0677 0.407080 15.91% $1,064.33 $597.43 $128.76 $288.92 9.63% 28.27%
6027000 WYOMING CO COMMUNITY HOSP $5,918.88 $7,628.40 0.7759 0.954952 0.00% $0.00 $537.30 $122.36 $189.97 9.63% 28.27%
*Note: Effective 1/1/2011, Maimonides Capital per Discharge rate no longer includes a High Cost Outlier add-on.