INPATIENT CASE PAYMENT RATES EFFECTIVE 4/1/2014 - 6/30/2014 (MA HMO ONLY)
- APR-DRG and Exempt Unit Rates effective 04/01/2014 (XLS, 353KB) Also available in PDF Format (PDF, 275KB, 5PG)
(1) | (2) | (3) | (4) | (5) | (6) | (7) | (8) | (9) | (10) | (11) | (12) | (13) | (14) | ||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
DISCHARGE RATE | 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 | $5,572.95 | $6,829.27 | 0.8232 | 0.550690 | 0.00% | $0.00 | $443.18 | $0.00 | $0.00 | $0.00 | $108.24 | $769.37 | $171.74 | 7.04% |
0101000 | ALBANY MEDICAL CTR HOSP | $5,870.82 | $6,829.27 | 0.8689 | 0.329874 | 19.41% | $591.51 | $1,453.45 | $0.00 | $0.00 | $0.00 | $248.40 | $810.50 | $171.74 | 7.04% |
0101000 | ALBANY MEDICAL CTR SO CLINICAL | $5,870.82 | $6,829.27 | 0.8689 | 0.329874 | 19.41% | $591.51 | $1,453.45 | $0.00 | $0.00 | $0.00 | $248.40 | $810.50 | $171.74 | 7.04% |
1624000 | ALICE HYDE MEDICAL CENTER | $5,455.16 | $6,829.27 | 0.8048 | 0.595070 | 0.00% | $0.00 | $138.50 | $0.00 | $0.00 | $0.00 | $41.80 | $753.11 | $171.74 | 7.04% |
0701000 | ARNOT OGDEN MEDICAL CTR | $5,475.10 | $6,829.27 | 0.8033 | 0.441410 | 0.00% | $0.00 | $316.45 | $0.00 | $0.00 | $40.00 | $80.14 | $755.86 | $171.74 | 7.04% |
0501000 | AUBURN COMMUNITY HOSPITAL | $5,858.71 | $6,829.27 | 0.8622 | 0.445645 | 0.00% | $0.00 | $527.41 | $0.00 | $0.00 | $0.00 | $124.54 | $808.82 | $171.74 | 7.04% |
3801000 | AURELIA OSBORN FOX MEM HOSP | $5,391.06 | $6,829.27 | 0.7930 | 0.645624 | 0.00% | $0.00 | $411.08 | $11.35 | $0.00 | $0.00 | $88.92 | $744.26 | $171.74 | 7.04% |
7002001 | BELLEVUE HOSPITAL CENTER | $6,927.93 | $6,829.27 | 1.0233 | 0.773995 | 26.17% | $2,425.49 | $744.69 | $0.00 | $456.66 | $0.00 | $126.93 | $956.43 | $261.20 | 7.04% |
1427000 | BERTRAND CHAFFEE HOSPITAL | $4,715.97 | $6,829.27 | 0.6991 | 0.597355 | 0.00% | $0.00 | $218.27 | $0.00 | $0.00 | $0.00 | $48.05 | $651.06 | $171.74 | 7.04% |
7001041 | BETH ISRAEL / KINGS HIGHWAY | $7,951.26 | $6,829.27 | 1.1652 | 0.183347 | 0.20% | $608.61 | $192.97 | $0.00 | $0.00 | $0.00 | $31.03 | $1,097.71 | $261.20 | 7.04% |
7002002 | BETH ISRAEL MEDICAL CENTER | $7,653.50 | $6,829.27 | 1.1304 | 0.308539 | 24.35% | $1,139.90 | $788.55 | $0.00 | $0.00 | $78.91 | $175.26 | $1,056.60 | $261.20 | 7.04% |
3535001 | BON SECOURS COMMUNITY HOSP | $6,078.73 | $6,829.27 | 0.9175 | 0.272206 | 0.00% | $0.00 | $498.01 | $0.00 | $0.00 | $0.00 | $112.50 | $839.20 | $171.74 | 7.04% |
7000001 | BRONX-LEBANON HOSPITAL CTR | $7,164.51 | $6,829.27 | 1.0648 | 0.862280 | 27.13% | $2,011.28 | $523.27 | $56.84 | $0.00 | $0.00 | $121.06 | $989.10 | $261.20 | 7.04% |
7001002 | BROOKDALE HOSPITAL MED CTR | $7,117.13 | $6,829.27 | 1.0476 | 0.490403 | 20.83% | $1,318.01 | $435.37 | $0.00 | $0.00 | $0.00 | $80.00 | $982.55 | $261.20 | 7.04% |
5123000 | BROOKHAVEN MEMORIAL HOSP | $6,774.84 | $6,829.27 | 1.0183 | 0.193638 | 1.87% | $0.00 | $431.25 | $0.00 | $0.00 | $0.00 | $72.95 | $935.30 | $261.20 | 7.04% |
7001003 | BROOKLYN HOSPITAL | $6,965.32 | $6,829.27 | 1.0296 | 0.455530 | 20.55% | $611.53 | $435.05 | $0.00 | $0.00 | $0.00 | $84.42 | $961.60 | $261.20 | 7.04% |
0601000 | BROOKS MEMORIAL HOSPITAL | $4,959.41 | $6,829.27 | 0.7324 | 0.678877 | 0.00% | $0.00 | $208.35 | $0.00 | $0.00 | $0.00 | $51.59 | $684.67 | $171.74 | 7.04% |
4102004 | BURDETT CARE CENTER | $5,429.95 | $6,829.27 | 0.7951 | 0.707292 | 0.00% | $0.00 | $146.09 | $0.00 | $0.00 | $0.00 | $63.81 | $749.63 | $171.74 | 7.04% |
4429000 | CANTON-POTSDAM HOSPITAL | $5,360.38 | $6,829.27 | 0.7934 | 0.571952 | 0.00% | $0.00 | $314.35 | $0.00 | $0.00 | $0.00 | $103.59 | $740.03 | $171.74 | 7.04% |
2238001 | CARTHAGE AREA HOSPITAL INC | $4,902.14 | $6,829.27 | 0.7348 | 0.581448 | 0.00% | $0.00 | $280.45 | $0.00 | $0.00 | $0.00 | $78.67 | $676.76 | $171.74 | 7.04% |
5263000 | CATSKILL REGIONAL MED CTR | $6,234.19 | $6,829.27 | 0.9149 | 0.385795 | 0.00% | $0.00 | $600.16 | $0.00 | $0.00 | $0.00 | $126.53 | $860.66 | $171.74 | 7.04% |
5401001 | CAYUGA MEDICAL CENTER | $5,992.05 | $6,829.27 | 0.8812 | 0.748430 | 0.00% | $0.00 | $433.78 | $0.00 | $0.00 | $0.00 | $114.49 | $827.23 | $171.74 | 7.04% |
0901001 | CHAMPLAIN VALLEY PHYS | $5,714.23 | $6,829.27 | 0.8403 | 0.410036 | 0.00% | $0.00 | $1,009.16 | $0.00 | $0.00 | $0.00 | $179.33 | $788.88 | $171.74 | 7.04% |
0824000 | CHENANGO MEMORIAL HOSP | $5,171.09 | $6,829.27 | 0.7620 | 0.470507 | 0.00% | $0.00 | $248.49 | $0.00 | $0.00 | $0.00 | $77.68 | $713.89 | $171.74 | 7.04% |
4401000 | CLAXTON-HEPBURN MED CTR | $5,091.67 | $6,829.27 | 0.7692 | 0.611839 | 0.00% | $0.00 | $485.05 | $0.00 | $0.00 | $0.00 | $100.07 | $702.93 | $171.74 | 7.04% |
3421000 | CLIFTON SPRINGS HOSPITAL | $4,444.27 | $6,829.27 | 0.6948 | 0.542357 | 0.00% | $0.00 | $318.70 | $0.00 | $0.00 | $0.00 | $78.22 | $613.55 | $171.74 | 7.04% |
4720001 | COBLESKILL REGIONAL HOSP | $5,192.98 | $6,829.27 | 0.7604 | 1.064008 | 0.00% | $0.00 | $317.35 | $0.00 | $0.00 | $0.00 | $30.36 | $716.92 | $171.74 | 7.04% |
1001000 | COLUMBIA MEMORIAL HOSPITAL | $5,453.86 | $6,829.27 | 0.8205 | 0.428438 | 0.00% | $0.00 | $419.87 | $0.00 | $0.00 | $0.00 | $97.60 | $752.93 | $171.74 | 7.04% |
2625000 | COMMUNITY MEMORIAL HOSPITAL | $5,458.92 | $6,829.27 | 0.8044 | 0.577756 | 0.00% | $0.00 | $257.84 | $0.00 | $0.00 | $0.00 | $86.24 | $753.63 | $171.74 | 7.04% |
7001009 | CONEY ISLAND HOSPITAL | $6,858.28 | $6,829.27 | 1.0110 | 0.749279 | 16.91% | $1,175.65 | $908.38 | $0.00 | $0.00 | $0.00 | $151.79 | $946.82 | $261.20 | 7.04% |
5001000 | CORNING HOSPITAL | $5,978.54 | $6,829.27 | 0.8778 | 0.433032 | 0.00% | $0.00 | $383.83 | $0.00 | $0.00 | $0.00 | $109.67 | $825.37 | $171.74 | 7.04% |
1101000 | CORTLAND REGIONAL MED CTR | $5,413.12 | $6,829.27 | 0.8030 | 0.650282 | 0.00% | $0.00 | $493.09 | $0.00 | $0.00 | $0.00 | $74.58 | $747.31 | $171.74 | 7.04% |
3301008 | CROUSE HOSPITAL | $6,408.04 | $6,829.27 | 0.9458 | 0.488251 | 5.23% | $128.81 | $456.67 | $0.00 | $0.00 | $86.18 | $96.26 | $884.66 | $171.74 | 7.04% |
5127000 | EASTERN LONG ISLAND HOSPITAL | $6,758.78 | $6,829.27 | 0.9904 | 0.227798 | 0.00% | $0.00 | $654.82 | $0.00 | $0.00 | $0.00 | $156.18 | $933.08 | $261.20 | 7.04% |
3101000 | EASTERN NIAGARA HOSPITAL | $5,441.97 | $6,829.27 | 0.8083 | 0.548871 | 0.00% | $0.00 | $173.84 | $0.00 | $0.00 | $0.00 | $37.06 | $751.29 | $171.74 | 7.04% |
4601001 | ELLIS HOSPITAL | $5,737.27 | $6,829.27 | 0.8401 | 0.280787 | 5.19% | $154.39 | $311.13 | $0.00 | $0.00 | $28.92 | $68.49 | $792.06 | $171.74 | 7.04% |
7003000 | ELMHURST HOSPITAL CTR | $7,313.10 | $6,829.27 | 1.0763 | 0.679995 | 22.43% | $1,218.67 | $565.01 | $0.00 | $0.00 | $0.00 | $128.52 | $1,009.61 | $261.20 | 7.04% |
1401005 | ERIE COUNTY MEDICAL CENTER | $6,182.69 | $6,829.27 | 0.9218 | 0.548935 | 21.68% | $547.75 | $795.96 | $0.00 | $0.00 | $0.00 | $128.62 | $853.55 | $171.74 | 7.04% |
3429000 | F F THOMPSON HOSPITAL | $4,719.04 | $6,829.27 | 0.7053 | 0.585654 | 0.00% | $0.00 | $515.20 | $0.00 | $0.00 | $0.00 | $135.06 | $651.49 | $171.74 | 7.04% |
3202003 | FAXTON-ST LUKES HEALTHCARE | $5,611.88 | $6,829.27 | 0.8308 | 0.401787 | 0.66% | $0.13 | $448.43 | $0.00 | $0.00 | $0.00 | $99.52 | $774.75 | $171.74 | 7.04% |
7003001 | FLUSHING HOSPITAL | $7,014.71 | $6,829.27 | 1.0332 | 0.500323 | 17.85% | $658.46 | $412.41 | $308.06 | $0.00 | $0.00 | $77.67 | $968.42 | $261.20 | 7.04% |
7003013 | FOREST HILLS HOSPITAL | $7,688.43 | $6,829.27 | 1.1309 | 0.314304 | 7.13% | $124.15 | $323.53 | $0.00 | $0.00 | $0.00 | $75.51 | $1,061.43 | $261.20 | 7.04% |
2910000 | FRANKLIN HOSPITAL | $6,712.49 | $6,829.27 | 0.9829 | 0.279524 | 1.40% | $206.33 | $383.69 | $0.00 | $0.00 | $0.00 | $69.63 | $926.69 | $261.20 | 7.04% |
3402000 | GENEVA GENERAL HOSPITAL | $4,966.31 | $6,829.27 | 0.7297 | 0.568222 | 0.00% | $0.00 | $373.13 | $0.00 | $0.00 | $45.07 | $93.03 | $685.62 | $171.74 | 7.04% |
2901000 | GLEN COVE HOSPITAL | $7,703.20 | $6,829.27 | 1.1288 | 0.303907 | 4.10% | $130.56 | $550.17 | $0.00 | $0.00 | $0.00 | $105.28 | $1,063.46 | $261.20 | 7.04% |
5601000 | GLENS FALLS HOSPITAL | $5,539.65 | $6,829.27 | 0.8148 | 0.456191 | 0.00% | $0.00 | $493.60 | $0.00 | $0.00 | $0.00 | $106.56 | $764.78 | $171.74 | 7.04% |
4329000 | GOOD SAMARITAN / SUFFERN | $6,953.64 | $6,829.27 | 1.0239 | 0.220855 | 0.00% | $0.00 | $501.06 | $0.00 | $0.00 | $0.00 | $126.25 | $959.98 | $261.20 | 7.04% |
5154001 | GOOD SAMARITAN / WEST ISLIP | $6,840.74 | $6,829.27 | 1.0148 | 0.225889 | 5.49% | $212.39 | $397.59 | $0.00 | $0.00 | $0.00 | $80.43 | $944.40 | $261.20 | 7.04% |
7002009 | HARLEM HOSPITAL CENTER | $7,109.18 | $6,829.27 | 1.0509 | 1.037858 | 31.20% | $2,721.29 | $1,185.63 | $0.00 | $0.00 | $16.07 | $236.77 | $981.46 | $261.20 | 7.04% |
5501001 | HEALTHALLIANCE HOSP BROADWAY CAMPUS | $5,957.16 | $6,829.27 | 0.8734 | 0.255361 | 5.30% | $219.93 | $290.84 | $0.00 | $0.00 | $0.00 | $62.80 | $822.42 | $171.74 | 7.04% |
5501000 | HEALTHALLIANCE HOSP MARYS AVE CAMPUS | $5,845.26 | $6,829.27 | 0.8726 | 0.343464 | 2.09% | $81.52 | $857.05 | $0.00 | $0.00 | $0.00 | $160.50 | $806.97 | $171.74 | 7.04% |
2701001 | HIGHLAND HOSP OF ROCHESTER | $5,850.00 | $6,829.27 | 0.8599 | 0.591136 | 10.42% | $103.08 | $410.25 | $0.00 | $0.00 | $0.00 | $108.26 | $807.62 | $171.74 | 7.04% |
7002012 | HOSPITAL FOR SPECIAL SURGERY | $7,988.87 | $6,829.27 | 1.1809 | 0.391481 | 20.75% | $1,544.31 | $1,655.82 | $0.00 | $0.00 | $0.00 | $435.16 | $1,102.90 | $261.20 | 7.04% |
5901000 | HUDSON VALLEY HOSPITAL CTR | $6,496.49 | $6,829.27 | 0.9564 | 0.282930 | 0.00% | $0.00 | $786.78 | $0.00 | $0.00 | $0.00 | $170.18 | $896.87 | $261.20 | 7.04% |
5153000 | HUNTINGTON HOSPITAL | $7,089.83 | $6,829.27 | 1.0624 | 0.320920 | 0.76% | $12.07 | $381.36 | $0.00 | $0.00 | $0.00 | $86.64 | $978.79 | $261.20 | 7.04% |
7001046 | INTERFAITH MEDICAL CENTER | $7,137.71 | $6,829.27 | 1.0538 | 0.292808 | 31.03% | $873.56 | $472.87 | $0.00 | $0.00 | $0.00 | $84.58 | $985.40 | $261.20 | 7.04% |
5022000 | IRA DAVENPORT MEMORIAL HOSP | $5,068.22 | $6,829.27 | 0.7532 | 0.522758 | 0.00% | $0.00 | $382.98 | $0.00 | $0.00 | $0.00 | $111.86 | $699.69 | $171.74 | 7.04% |
7000002 | JACOBI MEDICAL CENTER | $7,538.87 | $6,829.27 | 1.1093 | 0.859302 | 27.30% | $1,983.37 | $894.10 | $0.00 | $338.52 | $0.00 | $182.93 | $1,040.78 | $261.20 | 7.04% |
7003003 | JAMAICA HOSPITAL | $7,635.40 | $6,829.27 | 1.1241 | 0.454197 | 16.18% | $693.84 | $204.31 | $329.15 | $0.00 | $0.00 | $48.33 | $1,054.10 | $261.20 | 7.04% |
5149000 | JOHN T MATHER MEMORIAL HOSP | $6,989.01 | $6,829.27 | 1.0286 | 0.294673 | 0.00% | $0.00 | $582.61 | $0.00 | $0.00 | $0.00 | $104.81 | $964.87 | $261.20 | 7.04% |
0228000 | JONES MEMORIAL HOSPITAL | $5,041.01 | $6,829.27 | 0.7428 | 0.535979 | 0.00% | $0.00 | $342.08 | $0.00 | $0.00 | $0.00 | $106.53 | $695.94 | $171.74 | 7.04% |
1401014 | KALEIDA HEALTH | $6,249.29 | $6,829.27 | 0.9274 | 0.427742 | 12.35% | $301.05 | $853.84 | $0.00 | $0.00 | $0.00 | $154.10 | $862.75 | $171.74 | 7.04% |
1401014 | KALEIDA HEALTH (MILLARD) | $6,249.29 | $6,829.27 | 0.9274 | 0.427742 | 12.35% | $301.05 | $853.84 | $0.00 | $0.00 | $0.00 | $154.10 | $862.75 | $171.74 | 7.04% |
1401002 | KALEIDA HLTH/WOMAN&CHILDRENS | $6,192.38 | $6,829.27 | 0.9147 | 0.440617 | 26.52% | $359.21 | $294.65 | $0.00 | $0.00 | $0.00 | $64.98 | $854.89 | $171.74 | 7.04% |
1404000 | KENMORE MERCY HOSPITAL | $5,588.74 | $6,829.27 | 0.8193 | 0.451042 | 0.00% | $0.00 | $406.67 | $90.35 | $0.00 | $0.00 | $100.35 | $771.55 | $171.74 | 7.04% |
7001016 | KINGS COUNTY HOSPITAL CENTER | $6,905.02 | $6,829.27 | 1.0145 | 0.974490 | 33.45% | $2,408.63 | $919.23 | $0.00 | $460.72 | $0.00 | $172.48 | $953.27 | $261.20 | 7.04% |
7001033 | KINGSBROOK JEWISH MED CTR | $7,745.75 | $6,829.27 | 1.1482 | 0.293080 | 14.58% | $1,083.10 | $454.78 | $0.00 | $0.00 | $0.00 | $82.26 | $1,069.34 | $261.20 | 7.04% |
5922000 | LAWRENCE HOSPITAL | $6,789.42 | $6,829.27 | 0.9974 | 0.348137 | 0.00% | $0.00 | $486.61 | $0.00 | $0.00 | $0.00 | $100.53 | $937.31 | $261.20 | 7.04% |
7002017 | LENOX HILL HOSPITAL | $6,987.73 | $6,829.27 | 1.0407 | 0.247374 | 15.32% | $1,063.05 | $1,033.34 | $209.96 | $0.00 | $0.00 | $233.59 | $964.69 | $261.20 | 7.04% |
2424000 | LEWIS COUNTY GENERAL HOSP | $5,526.23 | $6,829.27 | 0.8163 | 0.779088 | 0.00% | $0.00 | $433.07 | $0.00 | $0.00 | $0.00 | $134.28 | $762.92 | $171.74 | 7.04% |
7000008 | LINCOLN MEDICAL | $6,980.64 | $6,829.27 | 1.0321 | 0.946222 | 24.42% | $1,164.62 | $464.97 | $0.00 | $0.00 | $0.00 | $122.65 | $963.71 | $261.20 | 7.04% |
2902000 | LONG BEACH MEDICAL CENTER | $6,083.33 | $6,829.27 | 0.9032 | 0.308383 | 11.04% | $420.24 | $525.41 | $0.00 | $0.00 | $0.00 | $83.74 | $839.83 | $261.20 | 7.04% |
7003004 | LONG ISLAND JEWISH | $7,335.25 | $6,829.27 | 1.0882 | 0.262745 | 29.02% | $1,031.21 | $794.22 | $0.00 | $0.00 | $0.00 | $169.60 | $1,012.67 | $261.20 | 7.04% |
7001019 | LUTHERAN MEDICAL CENTER | $6,883.75 | $6,829.27 | 1.0172 | 0.510266 | 24.00% | $956.70 | $269.29 | $203.36 | $0.00 | $0.00 | $62.17 | $950.34 | $261.20 | 7.04% |
7001020 | MAIMONIDES MEDICAL CENTER | $8,129.56 | $6,829.27 | 1.1904 | 0.286038 | 23.15% | $1,010.91 | $830.31 | $116.44 | $0.00 | $0.00 | $178.42 | $1,122.33 | $261.20 | 7.04% |
3824000 | MARY IMOGENE BASSETT HOSP | $5,088.32 | $6,829.27 | 0.7538 | 0.473270 | 12.95% | $353.17 | $515.45 | $0.00 | $0.00 | $0.00 | $106.49 | $702.47 | $171.74 | 7.04% |
4402000 | MASSENA MEMORIAL HOSPITAL | $5,484.38 | $6,829.27 | 0.8040 | 0.651479 | 0.00% | $0.00 | $405.67 | $0.00 | $0.00 | $0.00 | $102.81 | $757.15 | $171.74 | 7.04% |
3622000 | MEDINA MEMORIAL HOSPITAL | $4,417.85 | $6,829.27 | 0.6469 | 0.658814 | 0.00% | $0.00 | $104.25 | $0.00 | $0.00 | $0.00 | $21.37 | $609.91 | $171.74 | 7.04% |
0101003 | MEMORIAL HOSP OF ALBANY | $5,367.72 | $6,829.27 | 0.8062 | 0.444638 | 0.00% | $0.00 | $378.11 | $0.00 | $0.00 | $144.18 | $83.24 | $741.04 | $171.74 | 7.04% |
1401008 | MERCY HOSPITAL OF BUFFALO | $5,848.07 | $6,829.27 | 0.8840 | 0.464171 | 3.01% | $44.23 | $426.01 | $21.60 | $0.00 | $0.00 | $97.84 | $807.35 | $171.74 | 7.04% |
2909000 | MERCY MEDICAL CENTER | $6,851.65 | $6,829.27 | 1.0167 | 0.286411 | 0.30% | $55.78 | $497.33 | $0.00 | $0.00 | $0.00 | $92.96 | $945.90 | $261.20 | 7.04% |
7002021 | METROPOLITAN HOSPITAL CENTER | $6,885.69 | $6,829.27 | 1.0211 | 0.874182 | 27.91% | $1,897.21 | $248.61 | $0.00 | $0.00 | $0.00 | $73.29 | $950.60 | $261.20 | 7.04% |
7000006 | MONTEFIORE MEDICAL CENTER | $7,589.13 | $6,829.27 | 1.1229 | 0.272430 | 28.96% | $2,362.58 | $730.99 | $0.00 | $0.00 | $0.00 | $125.68 | $1,047.72 | $261.20 | 7.04% |
5903001 | MONTEFIORE MOUNT VERNON HOSP | $7,123.95 | $6,829.27 | 1.0550 | 0.539888 | 9.54% | $978.81 | $305.71 | $0.00 | $0.00 | $342.60 | $54.50 | $983.50 | $261.20 | 7.04% |
5904001 | MONTEFIORE NEW ROCHELLE HOSP | $6,969.64 | $6,829.27 | 1.0294 | 0.528855 | 10.85% | $628.88 | $476.72 | $0.00 | $0.00 | $0.00 | $109.01 | $962.19 | $261.20 | 7.04% |
7003015 | MOUNT SINAI HOSP OF QUEENS | $7,547.00 | $6,829.27 | 1.1206 | 0.417467 | 32.88% | $1,243.60 | $488.19 | $0.00 | $0.00 | $0.00 | $81.23 | $1,041.90 | $261.20 | 7.04% |
7002024 | MOUNT SINAI HOSPITAL | $7,547.00 | $6,829.27 | 1.1206 | 0.382416 | 32.88% | $1,243.60 | $717.34 | $0.00 | $0.00 | $0.00 | $145.79 | $1,041.90 | $261.20 | 7.04% |
3121001 | MOUNT ST MARYS HOSPITAL | $5,795.27 | $6,829.27 | 0.8495 | 0.587047 | 0.00% | $0.00 | $231.67 | $0.00 | $0.00 | $0.00 | $53.88 | $800.07 | $171.74 | 7.04% |
2950002 | NASSAU UNIV MED CTR | $7,605.48 | $6,829.27 | 1.1324 | 0.501971 | 21.68% | $834.88 | $392.05 | $109.11 | $0.00 | $0.00 | $87.78 | $1,049.97 | $261.20 | 7.04% |
1701000 | NATHAN LITTAUER HOSPITAL | $5,269.89 | $6,829.27 | 0.7774 | 0.439216 | 0.00% | $0.00 | $237.61 | $0.00 | $0.00 | $0.00 | $69.58 | $727.53 | $171.74 | 7.04% |
7002000 | NEW YORK DOWNTOWN HOSP | $7,124.02 | $6,829.27 | 1.0608 | 0.586127 | 18.06% | $665.85 | $1,184.64 | $166.72 | $0.00 | $0.00 | $215.72 | $983.51 | $261.20 | 7.04% |
3102000 | NIAGARA FALLS MEMORIAL | $5,233.57 | $6,829.27 | 0.7768 | 0.545618 | 4.15% | $78.96 | $464.64 | $0.00 | $0.00 | $0.00 | $128.07 | $722.52 | $171.74 | 7.04% |
2527000 | NICHOLAS H NOYES MEMORIAL | $4,951.73 | $6,829.27 | 0.7411 | 0.442823 | 0.00% | $0.00 | $412.98 | $0.00 | $0.00 | $0.00 | $120.79 | $683.61 | $171.74 | 7.04% |
7000024 | NORTH CENTRAL BRONX HOSPITAL | $7,628.03 | $6,829.27 | 1.1408 | 0.741199 | 12.87% | $1,258.85 | $531.27 | $0.00 | $267.66 | $0.00 | $125.36 | $1,053.09 | $261.20 | 7.04% |
2951001 | NORTH SHORE UNIVERSITY HOSP | $7,866.85 | $6,829.27 | 1.1617 | 0.254440 | 16.19% | $1,202.02 | $694.59 | $411.20 | $0.00 | $0.00 | $133.04 | $1,086.06 | $261.20 | 7.04% |
1327000 | NORTHERN DUTCHESS HOSPITAL | $6,492.55 | $6,829.27 | 0.9546 | 0.366251 | 0.00% | $0.00 | $369.20 | $0.00 | $0.00 | $0.00 | $104.84 | $896.33 | $171.74 | 7.04% |
5920000 | NORTHERN WESTCHESTER HOSP | $6,874.11 | $6,829.27 | 1.0116 | 0.509174 | 0.00% | $0.00 | $709.35 | $0.00 | $0.00 | $0.00 | $181.01 | $949.00 | $261.20 | 7.04% |
7001008 | NY COMMUNITY / BROOKLYN | $7,599.61 | $6,829.27 | 1.1128 | 0.517469 | 0.00% | $0.00 | $345.85 | $0.00 | $0.00 | $0.00 | $58.29 | $1,049.16 | $261.20 | 7.04% |
7002026 | NY EYE AND EAR INFIRMARY | $6,933.83 | $6,829.27 | 1.0217 | 0.444781 | 16.08% | $2,244.99 | $606.90 | $0.00 | $0.00 | $0.00 | $320.48 | $957.25 | $261.20 | 7.04% |
7003010 | NY MED CTR OF QUEENS | $7,399.95 | $6,829.27 | 1.0990 | 0.404466 | 16.54% | $738.30 | $813.36 | $171.83 | $0.00 | $0.00 | $151.64 | $1,021.60 | $261.20 | 7.04% |
7001021 | NY METHODIST HOSP / BROOKLYN | $7,202.89 | $6,829.27 | 1.0683 | 0.445267 | 16.78% | $779.41 | $306.78 | $0.00 | $0.00 | $0.00 | $63.73 | $994.39 | $261.20 | 7.04% |
7002054 | NY PRESBYTERIAN HOSPITAL | $7,592.51 | $6,829.27 | 1.1184 | 0.357925 | 27.06% | $1,344.29 | $1,184.64 | $258.17 | $0.00 | $0.00 | $215.72 | $1,048.18 | $261.20 | 7.04% |
7002054 | NY PRESBYTERIAN HOSPITAL (ALLEN) | $7,592.51 | $6,829.27 | 1.1184 | 0.357925 | 27.06% | $1,344.29 | $1,184.64 | $258.17 | $0.00 | $0.00 | $215.72 | $1,048.18 | $261.20 | 7.04% |
7002054 | NY PRESBYTERIAN HOSPITAL (PRESBY) | $7,592.51 | $6,829.27 | 1.1184 | 0.357925 | 27.06% | $1,344.29 | $1,184.64 | $258.17 | $0.00 | $0.00 | $215.72 | $1,048.18 | $261.20 | 7.04% |
4324000 | NYACK HOSPITAL | $6,572.37 | $6,829.27 | 0.9750 | 0.221363 | 0.00% | $0.00 | $320.93 | $0.00 | $0.00 | $0.00 | $69.95 | $907.35 | $261.20 | 7.04% |
7002053 | NYU HOSPITALS CENTER | $7,250.51 | $6,829.27 | 1.0701 | 0.313593 | 19.78% | $1,818.53 | $2,133.71 | $0.00 | $0.00 | $0.00 | $488.02 | $1,000.97 | $261.20 | 7.04% |
7002053 | NYU HOSPITALS CENTER/HOSP FOR JOINT DIS | $7,250.51 | $6,829.27 | 1.0701 | 0.313593 | 19.78% | $1,818.53 | $2,133.71 | $0.00 | $0.00 | $0.00 | $488.02 | $1,000.97 | $261.20 | 7.04% |
0401001 | OLEAN GENERAL HOSPITAL | $5,129.86 | $6,829.27 | 0.7681 | 0.594815 | 0.00% | $0.00 | $527.41 | $0.00 | $0.00 | $0.00 | $98.91 | $708.20 | $171.74 | 7.04% |
2601001 | ONEIDA HEALTHCARE | $4,876.31 | $6,829.27 | 0.7242 | 0.483423 | 0.00% | $0.00 | $534.54 | $0.00 | $0.00 | $0.00 | $147.94 | $673.20 | $171.74 | 7.04% |
3523000 | ORANGE REGIONAL MED CTR | $6,753.55 | $6,829.27 | 0.9958 | 0.286532 | 0.00% | $0.00 | $1,187.77 | $0.00 | $0.00 | $0.00 | $280.18 | $932.36 | $171.74 | 7.04% |
3702000 | OSWEGO HOSPITAL | $5,593.57 | $6,829.27 | 0.8229 | 0.542099 | 0.00% | $0.00 | $652.26 | $0.00 | $0.00 | $0.00 | $160.30 | $772.22 | $171.74 | 7.04% |
0301001 | OUR LADY OF LOURDES MEMORIAL | $5,447.70 | $6,829.27 | 0.8047 | 0.477509 | 2.17% | $5.14 | $300.04 | $0.00 | $0.00 | $0.00 | $72.09 | $752.08 | $171.74 | 7.04% |
5155000 | PECONIC BAY MED CTR | $6,785.72 | $6,829.27 | 1.0002 | 0.272183 | 0.00% | $0.00 | $525.76 | $0.00 | $0.00 | $0.00 | $117.49 | $936.80 | $261.20 | 7.04% |
5932000 | PHELPS MEMORIAL HOSP | $6,713.36 | $6,829.27 | 1.0000 | 0.364645 | 6.37% | $76.96 | $774.54 | $0.00 | $0.00 | $0.00 | $179.72 | $926.81 | $261.20 | 7.04% |
2952005 | PLAINVIEW HOSPITAL | $7,436.38 | $6,829.27 | 1.1043 | 0.322045 | 4.08% | $149.59 | $307.28 | $0.00 | $0.00 | $0.00 | $62.48 | $1,026.63 | $261.20 | 7.04% |
3950000 | PUTNAM COMMUNITY HOSPITAL | $6,934.15 | $6,829.27 | 1.0257 | 0.322545 | 0.00% | $0.00 | $608.72 | $0.00 | $0.00 | $0.00 | $139.38 | $957.29 | $171.74 | 7.04% |
7003007 | QUEENS HOSPITAL CENTER | $7,695.41 | $6,829.27 | 1.1398 | 0.797790 | 17.94% | $1,015.88 | $734.32 | $0.00 | $242.94 | $0.00 | $152.40 | $1,062.39 | $261.20 | 7.04% |
7004010 | RICHMOND UNIV MED CTR | $6,763.72 | $6,829.27 | 0.9998 | 0.309371 | 15.31% | $453.87 | $359.20 | $318.78 | $0.00 | $22.03 | $72.86 | $933.76 | $261.20 | 7.04% |
2701003 | ROCHESTER GENERAL HOSPITAL | $5,738.58 | $6,829.27 | 0.8491 | 0.436120 | 10.08% | $210.18 | $671.78 | $0.00 | $0.00 | $6.22 | $135.43 | $792.24 | $171.74 | 7.04% |
3201002 | ROME HOSPITAL AND MURPHY | $5,251.01 | $6,829.27 | 0.7707 | 0.454182 | 0.00% | $0.00 | $320.40 | $0.00 | $0.00 | $0.00 | $78.21 | $724.93 | $171.74 | 7.04% |
4102002 | SAMARITAN HOSPITAL OF TROY | $5,417.94 | $6,829.27 | 0.7951 | 0.398224 | 0.00% | $0.00 | $293.67 | $0.00 | $0.00 | $49.98 | $68.04 | $747.97 | $171.74 | 7.04% |
2201000 | SAMARITAN MEDICAL CENTER | $5,726.17 | $6,829.27 | 0.8444 | 0.552261 | 0.96% | $24.42 | $453.72 | $0.00 | $0.00 | $0.00 | $117.16 | $790.53 | $171.74 | 7.04% |
4501000 | SARATOGA HOSPITAL | $5,614.12 | $6,829.27 | 0.8322 | 0.393532 | 0.00% | $0.00 | $422.12 | $0.00 | $0.00 | $0.00 | $80.04 | $775.06 | $171.74 | 7.04% |
4102003 | SETON HEALTH SYSTEMS | $5,333.79 | $6,829.27 | 0.8048 | 0.356760 | 0.00% | $0.00 | $388.48 | $0.00 | $0.00 | $0.00 | $80.19 | $736.36 | $171.74 | 7.04% |
1401013 | SISTERS OF CHARITY HOSPITAL | $5,610.66 | $6,829.27 | 0.8265 | 0.468307 | 4.24% | $133.88 | $336.96 | $36.77 | $0.00 | $0.00 | $75.00 | $774.58 | $171.74 | 7.04% |
2950001 | SOUTH NASSAU COMMUNITIES | $6,539.51 | $6,829.27 | 0.9632 | 0.303927 | 3.42% | $106.37 | $615.19 | $0.00 | $0.00 | $0.00 | $119.17 | $902.81 | $261.20 | 7.04% |
5126000 | SOUTHAMPTON HOSPITAL | $6,807.82 | $6,829.27 | 1.0076 | 0.337423 | 4.35% | $0.00 | $735.21 | $0.00 | $0.00 | $0.00 | $200.71 | $939.85 | $261.20 | 7.04% |
5154000 | SOUTHSIDE HOSPITAL | $7,051.91 | $6,829.27 | 1.0468 | 0.321029 | 4.78% | $145.78 | $512.80 | $0.00 | $0.00 | $0.00 | $119.98 | $973.55 | $261.20 | 7.04% |
3529000 | ST ANTHONY COMMUNITY HOSP | $6,174.66 | $6,829.27 | 0.9563 | 0.277194 | 0.00% | $0.00 | $541.29 | $0.00 | $0.00 | $0.00 | $128.10 | $852.44 | $171.74 | 7.04% |
7000014 | ST BARNABAS HOSPITAL | $6,888.42 | $6,829.27 | 1.0267 | 0.300863 | 26.30% | $1,041.00 | $471.48 | $0.00 | $0.00 | $0.00 | $96.28 | $950.98 | $261.20 | 7.04% |
5157003 | ST CATHERINE OF SIENA | $7,034.07 | $6,829.27 | 1.0579 | 0.233955 | 0.00% | $0.00 | $497.91 | $0.00 | $0.00 | $0.00 | $99.83 | $971.09 | $261.20 | 7.04% |
5149001 | ST CHARLES HOSPITAL | $6,575.60 | $6,829.27 | 0.9651 | 0.262866 | 0.92% | $77.23 | $472.04 | $0.00 | $0.00 | $0.00 | $105.85 | $907.79 | $261.20 | 7.04% |
3202002 | ST ELIZABETH MEDICAL CENTER | $5,685.31 | $6,829.27 | 0.8391 | 0.447837 | 5.73% | $117.46 | $475.22 | $0.00 | $0.00 | $162.13 | $92.64 | $784.88 | $171.74 | 7.04% |
1302000 | ST FRANCIS HOSP / POUGH | $5,895.89 | $6,829.27 | 0.8640 | 0.254641 | 0.00% | $0.00 | $998.22 | $0.00 | $0.00 | $0.00 | $183.70 | $813.96 | $171.74 | 7.04% |
2953000 | ST FRANCIS HOSP / ROSLYN | $7,277.27 | $6,829.27 | 1.0656 | 0.264425 | 0.52% | $189.78 | $1,489.00 | $0.00 | $0.00 | $0.00 | $245.76 | $1,004.66 | $261.20 | 7.04% |
5002001 | ST JAMES MERCY HOSPITAL | $4,405.40 | $6,829.27 | 0.6610 | 0.470863 | 0.00% | $0.00 | $173.43 | $0.00 | $0.00 | $0.00 | $59.59 | $608.19 | $171.74 | 7.04% |
7001024 | ST JOHNS EPISCOPAL SO SHORE | $8,052.04 | $6,829.27 | 1.1937 | 0.388042 | 25.33% | $738.37 | $262.87 | $0.00 | $0.00 | $0.00 | $48.57 | $1,111.62 | $261.20 | 7.04% |
5907001 | ST JOHNS RIVERSIDE HOSPITAL | $6,522.97 | $6,829.27 | 0.9705 | 0.331763 | 0.00% | $0.00 | $302.72 | $0.00 | $0.00 | $94.27 | $60.31 | $900.53 | $261.20 | 7.04% |
2952006 | ST JOSEPH HOSPITAL | $6,886.18 | $6,829.27 | 1.0095 | 0.292909 | 0.00% | $15.11 | $478.96 | $0.00 | $0.00 | $0.00 | $90.23 | $950.67 | $261.20 | 7.04% |
0701001 | ST JOSEPHS HOSP / ELMIRA | $5,005.28 | $6,829.27 | 0.7429 | 0.390802 | 0.00% | $0.00 | $423.83 | $0.00 | $0.00 | $0.00 | $90.44 | $691.00 | $171.74 | 7.04% |
3301003 | ST JOSEPHS HOSP HLTH CTR | $6,025.06 | $6,829.27 | 0.8836 | 0.436160 | 5.47% | $47.84 | $673.41 | $0.00 | $0.00 | $106.01 | $134.85 | $831.79 | $171.74 | 7.04% |
5907002 | ST JOSEPHS MEDICAL CENTER | $6,555.57 | $6,829.27 | 0.9703 | 0.507587 | 8.01% | $563.18 | $784.88 | $0.00 | $0.00 | $0.00 | $144.68 | $905.03 | $261.20 | 7.04% |
7002032 | ST LUKES / ROOSEVELT HOSP | $8,205.34 | $6,829.27 | 1.2181 | 0.340470 | 24.50% | $1,284.89 | $993.24 | $179.84 | $0.00 | $0.00 | $220.88 | $1,132.79 | $261.20 | 7.04% |
3522000 | ST LUKES CORNWALL | $6,094.76 | $6,829.27 | 0.9024 | 0.281003 | 0.00% | $0.00 | $603.56 | $0.00 | $0.00 | $0.00 | $147.40 | $841.41 | $171.74 | 7.04% |
2801001 | ST MARYS HEALTHCARE | $5,111.33 | $6,829.27 | 0.7556 | 0.455570 | 0.00% | $0.00 | $203.70 | $0.00 | $0.00 | $0.00 | $52.48 | $705.64 | $171.74 | 7.04% |
0101004 | ST PETERS HOSPITAL | $5,884.94 | $6,829.27 | 0.8670 | 0.319609 | 2.24% | $57.02 | $693.30 | $0.00 | $0.00 | $0.00 | $152.17 | $812.44 | $171.74 | 7.04% |
7001037 | STATE UNIV HOSP / DOWNSTATE | $7,376.46 | $6,829.27 | 1.0909 | 0.700687 | 25.55% | $1,885.32 | $1,310.01 | $0.00 | $0.00 | $0.00 | $235.56 | $1,018.36 | $261.20 | 7.04% |
7004003 | STATEN ISLAND UNIV HOSP | $6,907.61 | $6,829.27 | 1.0178 | 0.325427 | 17.29% | $509.17 | $258.73 | $119.93 | $0.00 | $0.00 | $56.88 | $953.63 | $261.20 | 7.04% |
2701005 | STRONG MEMORIAL HOSPITAL | $6,119.54 | $6,829.27 | 0.8996 | 0.536664 | 29.02% | $714.34 | $749.90 | $0.00 | $0.00 | $0.00 | $120.89 | $844.83 | $171.74 | 7.04% |
7001037 | SUNY DOWNSTATE MED CTRAT LICH | $7,376.46 | $6,829.27 | 1.0909 | 0.700687 | 25.55% | $1,885.32 | $1,310.01 | $0.00 | $0.00 | $0.00 | $235.56 | $1,018.36 | $261.20 | 7.04% |
2754001 | THE UNITY HOSPITAL | $5,291.58 | $6,829.27 | 0.7752 | 0.502218 | 7.65% | $46.72 | $771.94 | $0.00 | $0.00 | $0.00 | $185.29 | $730.53 | $171.74 | 7.04% |
0427000 | TLC HEALTH NETWORK | $4,654.56 | $6,829.27 | 0.6824 | 0.609655 | 0.00% | $0.00 | $387.12 | $0.00 | $0.00 | $0.00 | $73.05 | $642.58 | $171.74 | 7.04% |
1227001 | TRI-TOWN REGIONAL HEALTHCARE | $6,829.27 | $6,829.27 | 1.0000 | 0.000000 | 0.00% | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $942.81 | $171.74 | 7.04% |
0303001 | UNITED HEALTH SERVICES INC | $5,731.83 | $6,829.27 | 0.8484 | 0.459060 | 7.53% | $199.73 | $389.17 | $0.00 | $0.00 | $0.00 | $82.62 | $791.31 | $171.74 | 7.04% |
1801000 | UNITED MEMORIAL MED CTR | $5,190.50 | $6,829.27 | 0.7647 | 0.442346 | 0.00% | $0.00 | $464.97 | $0.00 | $0.00 | $0.00 | $120.47 | $716.57 | $171.74 | 7.04% |
5151001 | UNIV HOSP AT STONY BROOK | $6,925.52 | $6,829.27 | 1.0257 | 0.358170 | 28.73% | $1,053.67 | $686.35 | $266.97 | $0.00 | $0.00 | $129.14 | $956.10 | $261.20 | 7.04% |
3301007 | UNIV HOSP SUNY HLTH SCI CTR | $6,225.54 | $6,829.27 | 0.9184 | 0.470865 | 29.03% | $1,012.36 | $918.52 | $0.00 | $0.00 | $0.00 | $169.73 | $859.47 | $171.74 | 7.04% |
3301007 | UPSTATE UNIV HOSPITAL AT COMM GEN | $6,225.54 | $6,829.27 | 0.9184 | 0.470865 | 29.03% | $1,012.36 | $918.52 | $0.00 | $0.00 | $0.00 | $169.73 | $859.47 | $171.74 | 7.04% |
1302001 | VASSAR BROTHERS MED CTR | $6,668.69 | $6,829.27 | 0.9923 | 0.280449 | 0.00% | $0.00 | $662.95 | $0.00 | $0.00 | $0.00 | $136.43 | $920.65 | $171.74 | 7.04% |
5820000 | WAYNE HEALTH CARE | $5,212.72 | $6,829.27 | 0.7734 | 0.439657 | 0.00% | $0.00 | $427.99 | $0.00 | $0.00 | $0.00 | $104.45 | $719.64 | $171.74 | 7.04% |
5957001 | WESTCHESTER MEDICAL CENTER | $7,729.72 | $6,829.27 | 1.1393 | 0.303204 | 18.54% | $1,846.29 | $2,527.40 | $0.00 | $0.00 | $0.00 | $311.13 | $1,067.13 | $261.20 | 7.04% |
0632000 | WESTFIELD MEMORIAL HOSP | $4,611.91 | $6,829.27 | 0.7195 | 0.628960 | 0.00% | $0.00 | $362.14 | $0.00 | $0.00 | $0.00 | $368.49 | $636.70 | $171.74 | 7.04% |
5902001 | WHITE PLAINS HOSPITAL | $6,979.90 | $6,829.27 | 1.0231 | 0.419909 | 0.00% | $0.00 | $445.53 | $0.00 | $0.00 | $0.00 | $100.40 | $963.61 | $261.20 | 7.04% |
2908000 | WINTHROP UNIVERSITY HOSPITAL | $6,906.99 | $6,829.27 | 1.0188 | 0.303881 | 16.50% | $687.16 | $653.86 | $0.00 | $0.00 | $0.00 | $133.35 | $953.54 | $261.20 | 7.04% |
0602001 | WOMANS CHRISTIAN ASSOC | $5,012.60 | $6,829.27 | 0.7416 | 0.471825 | 0.00% | $0.00 | $426.70 | $0.00 | $0.00 | $0.00 | $97.39 | $692.01 | $171.74 | 7.04% |
7001045 | WOODHULL MEDICAL | $6,883.46 | $6,829.27 | 1.0175 | 0.908330 | 20.72% | $1,664.49 | $495.34 | $0.00 | $366.82 | $0.00 | $103.20 | $950.30 | $261.20 | 7.04% |
7001035 | WYCKOFF HEIGHTS HOSPITAL | $7,165.16 | $6,829.27 | 1.0677 | 0.407080 | 15.91% | $945.48 | $576.86 | $18.28 | $0.00 | $0.00 | $128.76 | $989.19 | $261.20 | 7.04% |
6027000 | WYOMING CO COMMUNITY HOSP | $5,264.93 | $6,829.27 | 0.7759 | 0.954952 | 0.00% | $0.00 | $537.30 | $0.00 | $0.00 | $0.00 | $122.36 | $726.85 | $171.74 | 7.04% |
* Note: Effective 1/1/2011, Maimonides Capital per Discharge rate no longer includes a High Cost Outlier add-on. |