Out of state hospital APR-DRG rate chart

Rate Period Downstate Rate 2953 DRG Rate - Teaching Hospital only Downstate Rate 2953 DRG Rate –Non Teaching Hospital only Upstate Rate 2953 DRG Rate - Teaching Hospital only Upstate Rate 2953 DRG Rate – Non Teaching Hospital only Capital Add-On per discharge - Rate Code 2990 Upstate Capital Add-On per discharge - Rate Code 2990 Downstate Capital Add-on per diem Rate Code 2991 - Upstate Capital Add-on per diem Rate Code 2991 - Downstate HCO Converter Upstate HCO convertor Downstate WEF Upstate* WEF Downstate* ALC Rates 2950 & 2951 All Hospitals Upstate ALC Rates 2950 & 2951 All Hospitals Downstatee
12/1/2009 $8,121.24 $6,779.56 $5,936.68 $5,345.47 $398.08 $622.41 $81.37 $121.27 0.476642 0.379209 0.8424 1.0684 $171.74 $261.20
1/1/2010 $8,121.24 $6,779.56 $5936..68 $5,345.47 $427.24 $638.30 $89.13 $127.53 0.476642 0.379209 0.8424 1.0684 $171.74 $261.20
10/1/2010 $8,109.64 $6,736.14 $5,917.25 $5,311.24 $427.24 $638.30 $89.13 $127.53 0.476642 0.379209 0.8424 1.0684 $171.74 $261.20
1/1/2011 $8,593.66 $7,138.18 $6,270.42 $5,628.23 $466.08 $674.25 $100.25 $136.06 0.476642 0.379209 0.8424 1.0684 $173.45 $263.81
4/1/2011 $8,508.57 $7,067.51 $6,208.33 $5,572.51 $466.08 $674.25 $100.25 $136.06 0.476642 0.379209 0.8424 1.0684 $171.74 $261.20
10/1/2011 $8,391.64 $6,970.38 $6,123.01 $5,495.93 $466.08 $674.25 $100.25 $136.06 0.476642 0.379209 0.8424 1.0684 $171.74 $261.20