INPATIENT CASE PAYMENT RATES EFFECTIVE 7/1/2014 - 12/31/2014 (MA HMO ONLY)
- APR-DRG and Exempt Unit Rates effective 07/01/2014 (XLS, 320KB) Also available in PDF Format (PDF 968KB 5PG)
| (1) | (2) | (3) | (4) | (5) | (6) | (7) | (8) | (9) | (10) | (11) | (12) | (13) | (14) | ||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DISCHARGE RATES | 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 SURCHARGE | ||||
| "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 | $5,706.48 | $6,931.12 | 0.8374 | 0.550690 | 0.00% | $0.00 | $443.18 | $0.00 | $0.00 | $0.00 | $108.24 | $762.13 | $187.52 | 7.04% |
| 0101000 | ALBANY MEDICAL CTR HOSP | $5,750.22 | $6,931.12 | 0.8517 | 0.329874 | 19.39% | $1,396.77 | $1,453.45 | $0.00 | $0.00 | $0.00 | $248.40 | $767.97 | $187.52 | 7.04% |
| 0101000 | ALBANY MEDICAL CTR SO CLINICAL | $5,750.22 | $6,931.12 | 0.8517 | 0.329874 | 19.39% | $1,396.77 | $1,453.45 | $0.00 | $0.00 | $0.00 | $248.40 | $767.97 | $187.52 | 7.04% |
| 1624000 | ALICE HYDE MEDICAL CENTER | $5,565.13 | $6,931.12 | 0.7729 | 0.595070 | 0.00% | $0.00 | $138.50 | $0.00 | $0.00 | $0.00 | $41.80 | $743.25 | $187.52 | 7.04% |
| 0701000 | ARNOT OGDEN MEDICAL CTR | $5,569.11 | $6,931.12 | 0.8116 | 0.441410 | 0.00% | $0.00 | $316.45 | $0.00 | $0.00 | $71.12 | $80.14 | $743.78 | $187.52 | 7.04% |
| 0501000 | AUBURN COMMUNITY HOSPITAL | $5,956.04 | $6,931.12 | 0.8414 | 0.445645 | 0.00% | $0.00 | $527.41 | $0.00 | $0.00 | $0.00 | $124.54 | $795.46 | $187.52 | 7.04% |
| 3801000 | AURELIA OSBORN FOX MEM HOSP | $5,462.57 | $6,931.12 | 0.7557 | 0.645624 | 0.00% | $0.00 | $411.08 | $0.00 | $0.00 | $0.00 | $88.92 | $729.55 | $187.52 | 7.04% |
| 7002001 | BELLEVUE HOSPITAL CENTER | $7,475.55 | $6,931.12 | 1.1058 | 0.773995 | 35.27% | $1,974.01 | $744.69 | $0.00 | $520.82 | $0.00 | $126.93 | $998.39 | $254.96 | 7.04% |
| 1427000 | BERTRAND CHAFFEE HOSPITAL | $4,886.24 | $6,931.12 | 0.6505 | 0.597355 | 0.00% | $0.00 | $218.27 | $0.00 | $0.00 | $0.00 | $48.05 | $652.58 | $187.52 | 7.04% |
| 7001041 | BETH ISRAEL / KINGS HIGHWAY | $8,996.61 | $6,931.12 | 1.1310 | 0.183347 | 0.38% | $0.00 | $192.97 | $0.00 | $0.00 | $0.00 | $31.03 | $1,201.54 | $254.96 | 7.04% |
| 7002002 | BETH ISRAEL MEDICAL CENTER | $8,070.05 | $6,931.12 | 1.1082 | 0.308539 | 26.62% | $681.76 | $788.55 | $0.00 | $0.00 | $89.39 | $175.26 | $1,077.79 | $254.96 | 7.04% |
| 3535001 | BON SECOURS COMMUNITY HOSP | $6,441.54 | $6,931.12 | 0.9593 | 0.272206 | 0.00% | $0.00 | $498.01 | $0.00 | $0.00 | $0.00 | $112.50 | $860.30 | $254.96 | 7.04% |
| 7000001 | BRONX-LEBANON HOSPITAL CTR | $7,205.27 | $6,931.12 | 1.0639 | 0.862280 | 27.64% | $2,669.77 | $523.27 | $61.15 | $0.00 | $0.00 | $121.06 | $962.30 | $254.96 | 7.04% |
| 7001002 | BROOKDALE HOSPITAL MED CTR | $7,404.40 | $6,931.12 | 1.0407 | 0.490403 | 18.54% | $1,266.81 | $435.37 | $0.00 | $0.00 | $0.00 | $80.00 | $988.89 | $254.96 | 7.04% |
| 5123000 | BROOKHAVEN MEMORIAL HOSP | $6,874.81 | $6,931.12 | 1.0249 | 0.193638 | 3.05% | $121.86 | $431.25 | $0.00 | $0.00 | $0.00 | $72.95 | $918.16 | $254.96 | 7.04% |
| 7001003 | BROOKLYN HOSPITAL | $7,049.63 | $6,931.12 | 1.0527 | 0.455530 | 24.02% | $868.54 | $435.05 | $0.00 | $0.00 | $0.00 | $84.42 | $941.51 | $254.96 | 7.04% |
| 0601000 | BROOKS MEMORIAL HOSPITAL | $5,072.91 | $6,931.12 | 0.7444 | 0.678877 | 0.00% | $0.00 | $208.35 | $0.00 | $0.00 | $0.00 | $51.59 | $677.51 | $187.52 | 7.04% |
| 4102004 | BURDETT CARE CENTER | $5,472.93 | $6,931.12 | 0.7728 | 0.707292 | 0.00% | $0.00 | $146.09 | $0.00 | $0.00 | $0.00 | $63.81 | $730.93 | $187.52 | 7.04% |
| 4429000 | CANTON-POTSDAM HOSPITAL | $5,558.88 | $6,931.12 | 0.8181 | 0.571952 | 0.00% | $0.00 | $314.35 | $0.00 | $0.00 | $0.00 | $103.59 | $742.41 | $187.52 | 7.04% |
| 2238001 | CARTHAGE AREA HOSPITAL INC | $4,975.15 | $6,931.12 | 0.6689 | 0.581448 | 0.00% | $0.00 | $311.05 | $0.00 | $0.00 | $0.00 | $87.25 | $664.45 | $187.52 | 7.04% |
| 5263000 | CATSKILL REGIONAL MED CTR | $6,369.29 | $6,931.12 | 0.9159 | 0.385795 | 0.00% | $0.00 | $600.16 | $0.00 | $0.00 | $0.00 | $126.53 | $850.65 | $187.52 | 7.04% |
| 5401001 | CAYUGA MEDICAL CENTER | $6,111.43 | $6,931.12 | 0.8478 | 0.748430 | 0.00% | $0.00 | $433.78 | $0.00 | $0.00 | $0.00 | $114.49 | $816.21 | $187.52 | 7.04% |
| 0901001 | CHAMPLAIN VALLEY PHYS | $5,858.96 | $6,931.12 | 0.8563 | 0.410036 | 0.00% | $0.00 | $1,009.16 | $0.00 | $0.00 | $0.00 | $179.33 | $782.49 | $187.52 | 7.04% |
| 0824000 | CHENANGO MEMORIAL HOSP | $5,265.59 | $6,931.12 | 0.7376 | 0.470507 | 0.00% | $0.00 | $248.49 | $0.00 | $0.00 | $0.00 | $77.68 | $703.24 | $187.52 | 7.04% |
| 4401000 | CLAXTON-HEPBURN MED CTR | $5,182.65 | $6,931.12 | 0.7363 | 0.611839 | 0.00% | $0.00 | $485.05 | $0.00 | $0.00 | $0.00 | $100.07 | $692.17 | $187.52 | 7.04% |
| 3421000 | CLIFTON SPRINGS HOSPITAL | $4,565.62 | $6,931.12 | 0.6894 | 0.542357 | 0.00% | $0.00 | $318.70 | $0.00 | $0.00 | $0.00 | $78.22 | $609.76 | $187.52 | 7.04% |
| 4720001 | COBLESKILL REGIONAL HOSP | $5,432.05 | $6,931.12 | 0.7900 | 1.064008 | 0.00% | $0.00 | $317.35 | $0.00 | $0.00 | $0.00 | $30.36 | $725.47 | $187.52 | 7.04% |
| 1001000 | COLUMBIA MEMORIAL HOSPITAL | $5,575.13 | $6,931.12 | 0.8209 | 0.428438 | 0.00% | $0.00 | $419.87 | $0.00 | $0.00 | $0.00 | $97.60 | $744.58 | $187.52 | 7.04% |
| 2625000 | COMMUNITY MEMORIAL HOSPITAL | $5,857.92 | $6,931.12 | 0.8712 | 0.577756 | 0.00% | $0.00 | $257.84 | $0.00 | $0.00 | $0.00 | $86.24 | $782.35 | $187.52 | 7.04% |
| 7001009 | CONEY ISLAND HOSPITAL | $7,358.29 | $6,931.12 | 1.0779 | 0.749279 | 14.88% | $1,097.16 | $908.38 | $0.00 | $0.00 | $0.00 | $151.79 | $982.73 | $254.96 | 7.04% |
| 5001000 | CORNING HOSPITAL | $6,071.62 | $6,931.12 | 0.8494 | 0.433032 | 0.00% | $0.00 | $383.83 | $0.00 | $0.00 | $0.00 | $109.67 | $810.89 | $187.52 | 7.04% |
| 1101000 | CORTLAND REGIONAL MED CTR | $5,520.54 | $6,931.12 | 0.7625 | 0.650282 | 0.00% | $0.00 | $493.09 | $0.00 | $0.00 | $0.00 | $74.58 | $737.29 | $187.52 | 7.04% |
| 3301008 | CROUSE HOSPITAL | $6,292.89 | $6,931.12 | 0.8831 | 0.488251 | 3.96% | $190.87 | $456.67 | $0.00 | $0.00 | $171.98 | $96.26 | $840.44 | $187.52 | 7.04% |
| 5127000 | EASTERN LONG ISLAND HOSPITAL | $7,011.01 | $6,931.12 | 0.9871 | 0.227798 | 0.00% | $0.00 | $654.82 | $0.00 | $0.00 | $0.00 | $156.18 | $936.35 | $254.96 | 7.04% |
| 3101000 | EASTERN NIAGARA HOSPITAL | $5,520.64 | $6,931.12 | 0.7803 | 0.548871 | 0.00% | $0.00 | $173.84 | $0.00 | $0.00 | $0.00 | $37.06 | $737.31 | $187.52 | 7.04% |
| 4601001 | ELLIS HOSPITAL | $5,901.06 | $6,931.12 | 0.8364 | 0.280787 | 4.85% | $98.26 | $311.13 | $0.00 | $0.00 | $47.64 | $68.49 | $788.11 | $187.52 | 7.04% |
| 7003000 | ELMHURST HOSPITAL CTR | $7,665.95 | $6,931.12 | 1.1016 | 0.679995 | 24.98% | $780.27 | $565.01 | $0.00 | $0.00 | $0.00 | $128.52 | $1,023.82 | $254.96 | 7.04% |
| 1401005 | ERIE COUNTY MEDICAL CENTER | $6,080.80 | $6,931.12 | 0.9020 | 0.548935 | 20.94% | $1,042.85 | $795.96 | $0.00 | $0.00 | $0.00 | $128.62 | $812.12 | $187.52 | 7.04% |
| 3429000 | F F THOMPSON HOSPITAL | $4,922.88 | $6,931.12 | 0.7290 | 0.585654 | 0.00% | $0.00 | $515.20 | $0.00 | $0.00 | $0.00 | $135.06 | $657.47 | $187.52 | 7.04% |
| 3202003 | FAXTON-ST LUKES HEALTHCARE | $5,704.40 | $6,931.12 | 0.8396 | 0.401787 | 0.79% | $0.03 | $448.43 | $0.00 | $0.00 | $0.00 | $99.52 | $761.85 | $187.52 | 7.04% |
| 7003001 | FLUSHING HOSPITAL | $7,127.91 | $6,931.12 | 1.0050 | 0.500323 | 18.42% | $683.56 | $412.41 | $222.41 | $0.00 | $0.00 | $77.67 | $951.96 | $254.96 | 7.04% |
| 7003013 | FOREST HILLS HOSPITAL | $7,772.22 | $6,931.12 | 1.1350 | 0.314304 | 6.17% | $201.98 | $323.53 | $0.00 | $0.00 | $0.00 | $75.51 | $1,038.01 | $254.96 | 7.04% |
| 2910000 | FRANKLIN HOSPITAL | $7,098.79 | $6,931.12 | 1.0325 | 0.279524 | 0.86% | $52.16 | $383.69 | $0.00 | $0.00 | $0.00 | $69.63 | $948.08 | $254.96 | 7.04% |
| 3402000 | GENEVA GENERAL HOSPITAL | $5,205.98 | $6,931.12 | 0.7594 | 0.568222 | 0.00% | $0.00 | $373.13 | $0.00 | $0.00 | $80.90 | $93.03 | $695.28 | $187.52 | 7.04% |
| 2901000 | GLEN COVE HOSPITAL | $7,923.90 | $6,931.12 | 1.1263 | 0.303907 | 4.08% | $119.55 | $550.17 | $0.00 | $0.00 | $0.00 | $105.28 | $1,058.27 | $254.96 | 7.04% |
| 5601000 | GLENS FALLS HOSPITAL | $5,651.18 | $6,931.12 | 0.8031 | 0.456191 | 0.00% | $0.00 | $493.60 | $0.00 | $0.00 | $0.00 | $106.56 | $754.74 | $187.52 | 7.04% |
| 4329000 | GOOD SAMARITAN / SUFFERN | $7,245.58 | $6,931.12 | 1.0583 | 0.220855 | 0.00% | $0.00 | $501.06 | $0.00 | $0.00 | $0.00 | $126.25 | $967.68 | $254.96 | 7.04% |
| 5154001 | GOOD SAMARITAN / WEST ISLIP | $6,970.27 | $6,931.12 | 1.0250 | 0.225889 | 6.56% | $210.30 | $397.59 | $0.00 | $0.00 | $0.00 | $80.43 | $930.91 | $254.96 | 7.04% |
| 7002009 | HARLEM HOSPITAL CENTER | $7,560.52 | $6,931.12 | 1.0535 | 1.037858 | 30.48% | $2,113.86 | $1,185.63 | $0.00 | $0.00 | $0.00 | $236.77 | $1,009.74 | $254.96 | 7.04% |
| 5501001 | HEALTHALLIANCE HOSP BROADWAY CAMPUS | $6,152.04 | $6,931.12 | 0.8535 | 0.255361 | 5.32% | $175.31 | $290.84 | $0.00 | $0.00 | $0.00 | $62.80 | $821.63 | $187.52 | 7.04% |
| 5501000 | HEALTHALLIANCE HOSP MARYS AVE CAMPUS | $5,915.68 | $6,931.12 | 0.8757 | 0.343464 | 2.50% | $136.12 | $857.05 | $0.00 | $0.00 | $0.00 | $160.50 | $790.07 | $187.52 | 7.04% |
| 2701001 | HIGHLAND HOSP OF ROCHESTER | $5,769.44 | $6,931.12 | 0.8421 | 0.591136 | 11.26% | $248.73 | $410.25 | $0.00 | $0.00 | $0.00 | $108.26 | $770.53 | $187.52 | 7.04% |
| 7002012 | HOSPITAL FOR SPECIAL SURGERY | $8,053.09 | $6,931.12 | 1.1823 | 0.391481 | 21.98% | $1,698.99 | $1,655.82 | $0.00 | $0.00 | $0.00 | $435.16 | $1,075.53 | $254.96 | 7.04% |
| 5901000 | HUDSON VALLEY HOSPITAL CTR | $6,591.75 | $6,931.12 | 0.9520 | 0.282930 | 0.00% | $0.00 | $786.78 | $0.00 | $0.00 | $0.00 | $170.18 | $880.36 | $254.96 | 7.04% |
| 5153000 | HUNTINGTON HOSPITAL | $7,267.14 | $6,931.12 | 1.0800 | 0.320920 | 0.85% | $8.61 | $381.36 | $0.00 | $0.00 | $0.00 | $86.64 | $970.56 | $254.96 | 7.04% |
| 7001046 | INTERFAITH MEDICAL CENTER | $6,985.20 | $6,931.12 | 0.9996 | 0.292808 | 29.59% | $1,356.17 | $472.87 | $0.00 | $0.00 | $0.00 | $84.58 | $932.90 | $254.96 | 7.04% |
| 5022000 | IRA DAVENPORT MEMORIAL HOSP | $5,160.86 | $6,931.12 | 0.7291 | 0.522758 | 0.00% | $0.00 | $382.98 | $0.00 | $0.00 | $0.00 | $111.86 | $689.26 | $187.52 | 7.04% |
| 7000002 | JACOBI MEDICAL CENTER | $7,421.74 | $6,931.12 | 1.1100 | 0.859302 | 33.28% | $2,307.06 | $894.10 | $0.00 | $489.58 | $0.00 | $182.93 | $991.21 | $254.96 | 7.04% |
| 7003003 | JAMAICA HOSPITAL | $7,434.75 | $6,931.12 | 1.0875 | 0.454197 | 20.32% | $894.46 | $204.31 | $424.03 | $0.00 | $0.00 | $48.33 | $992.94 | $254.96 | 7.04% |
| 5149000 | JOHN T MATHER MEMORIAL HOSP | $7,163.85 | $6,931.12 | 1.0229 | 0.294673 | 3.95% | $431.38 | $582.61 | $0.00 | $0.00 | $0.00 | $104.81 | $956.76 | $254.96 | 7.04% |
| 0228000 | JONES MEMORIAL HOSPITAL | $5,153.91 | $6,931.12 | 0.7001 | 0.535979 | 0.00% | $0.00 | $342.08 | $0.00 | $0.00 | $0.00 | $106.53 | $688.33 | $187.52 | 7.04% |
| 1401014 | KALEIDA HEALTH | $6,401.23 | $6,931.12 | 0.9443 | 0.427742 | 12.98% | $344.80 | $853.84 | $0.00 | $0.00 | $0.00 | $154.10 | $854.91 | $187.52 | 7.04% |
| 1401014 | KALEIDA HEALTH (MILLARD) | $6,401.23 | $6,931.12 | 0.9443 | 0.427742 | 12.98% | $344.80 | $853.84 | $0.00 | $0.00 | $0.00 | $154.10 | $854.91 | $187.52 | 7.04% |
| 1401002 | KALEIDA HLTH/WOMAN&CHILDRENS | $6,484.08 | $6,931.12 | 0.9516 | 0.440617 | 23.93% | $483.24 | $294.65 | $0.00 | $0.00 | $0.00 | $64.98 | $865.98 | $187.52 | 7.04% |
| 1404000 | KENMORE MERCY HOSPITAL | $5,982.84 | $6,931.12 | 0.8711 | 0.450264 | 0.00% | $0.00 | $406.67 | $0.00 | $0.00 | $0.00 | $100.35 | $799.03 | $187.52 | 7.04% |
| 7001016 | KINGS COUNTY HOSPITAL CENTER | $7,069.08 | $6,931.12 | 1.0327 | 0.974490 | 29.74% | $2,689.49 | $919.23 | $0.00 | $763.06 | $0.00 | $172.48 | $944.11 | $254.96 | 7.04% |
| 7001033 | KINGSBROOK JEWISH MED CTR | $8,624.69 | $6,931.12 | 1.0762 | 0.293080 | 10.31% | $645.67 | $454.78 | $0.00 | $0.00 | $0.00 | $82.26 | $1,151.87 | $254.96 | 7.04% |
| 5922000 | LAWRENCE HOSPITAL | $6,960.30 | $6,931.12 | 0.9741 | 0.348137 | 0.00% | $0.00 | $486.61 | $0.00 | $0.00 | $0.00 | $100.53 | $929.58 | $254.96 | 7.04% |
| 7002017 | LENOX HILL HOSPITAL | $7,318.93 | $6,931.12 | 1.0842 | 0.247374 | 17.95% | $552.72 | $1,033.34 | $217.48 | $0.00 | $0.00 | $233.59 | $977.48 | $254.96 | 7.04% |
| 2424000 | LEWIS COUNTY GENERAL HOSP | $5,622.60 | $6,931.12 | 0.8118 | 0.779088 | 0.00% | $0.00 | $433.07 | $0.00 | $0.00 | $0.00 | $134.28 | $750.92 | $187.52 | 7.04% |
| 7000008 | LINCOLN MEDICAL | $7,388.79 | $6,931.12 | 1.0851 | 0.946222 | 29.22% | $1,229.20 | $464.97 | $0.00 | $0.00 | $0.00 | $122.65 | $986.81 | $254.96 | 7.04% |
| 7003004 | LONG ISLAND JEWISH | $7,684.11 | $6,931.12 | 1.1306 | 0.262745 | 28.17% | $1,391.66 | $794.22 | $0.00 | $0.00 | $0.00 | $169.60 | $1,026.25 | $254.96 | 7.04% |
| 7001019 | LUTHERAN MEDICAL CENTER | $7,044.16 | $6,931.12 | 1.0319 | 0.510266 | 33.06% | $1,158.75 | $269.29 | $152.07 | $0.00 | $0.00 | $62.17 | $940.78 | $254.96 | 7.04% |
| 7001020 | MAIMONIDES MEDICAL CENTER | $8,214.53 | $6,931.12 | 1.1460 | 0.286038 | 24.42% | $949.30 | $830.31 | $109.62 | $0.00 | $0.00 | $178.42 | $1,097.09 | $254.96 | 7.04% |
| 3824000 | MARY IMOGENE BASSETT HOSP | $5,291.20 | $6,931.12 | 0.7968 | 0.473270 | 12.30% | $563.77 | $515.45 | $0.00 | $0.00 | $0.00 | $106.49 | $706.66 | $187.52 | 7.04% |
| 4402000 | MASSENA MEMORIAL HOSPITAL | $5,539.67 | $6,931.12 | 0.7946 | 0.651479 | 0.00% | $0.00 | $405.67 | $0.00 | $0.00 | $0.00 | $102.81 | $739.85 | $187.52 | 7.04% |
| 3622000 | MEDINA MEMORIAL HOSPITAL | $4,431.49 | $6,931.12 | 0.6394 | 0.658814 | 0.00% | $0.00 | $104.25 | $0.00 | $0.00 | $0.00 | $21.37 | $591.85 | $187.52 | 7.04% |
| 0101003 | MEMORIAL HOSP OF ALBANY | $5,450.91 | $6,931.12 | 0.7926 | 0.444638 | 0.00% | $0.00 | $378.11 | $0.00 | $0.00 | $219.11 | $83.24 | $727.99 | $187.52 | 7.04% |
| 1401008 | MERCY HOSPITAL OF BUFFALO | $5,993.19 | $6,931.12 | 0.8971 | 0.463990 | 2.80% | $60.11 | $426.01 | $0.00 | $0.00 | $0.00 | $97.84 | $800.42 | $187.52 | 7.04% |
| 2909000 | MERCY MEDICAL CENTER | $7,042.48 | $6,931.12 | 0.9825 | 0.286411 | 0.03% | $9.23 | $497.33 | $0.00 | $0.00 | $0.00 | $92.96 | $940.56 | $254.96 | 7.04% |
| 7002021 | METROPOLITAN HOSPITAL CENTER | $7,582.38 | $6,931.12 | 1.0610 | 0.874182 | 34.19% | $1,137.09 | $248.61 | $0.00 | $0.00 | $0.00 | $73.29 | $1,012.66 | $254.96 | 7.04% |
| 5957001 | MID-HUDSON VALLEY DIV OF WESTCHESTER MED CTR | $7,786.80 | $6,931.12 | 1.1410 | 0.303204 | 22.03% | $2,018.94 | $2,244.08 | $0.00 | $0.00 | $0.00 | $295.75 | $1,039.96 | $254.96 | 7.04% |
| 7000006 | MONTEFIORE MEDICAL CENTER | $7,577.76 | $6,931.12 | 1.1132 | 0.272430 | 28.56% | $3,092.37 | $730.99 | $0.00 | $0.00 | $0.00 | $125.68 | $1,012.04 | $254.96 | 7.04% |
| 5903001 | MONTEFIORE MOUNT VERNON HOSP | $7,354.55 | $6,931.12 | 1.0154 | 0.539888 | 11.01% | $1,113.04 | $305.71 | $0.00 | $0.00 | $0.00 | $54.50 | $982.23 | $254.96 | 7.04% |
| 5904001 | MONTEFIORE NEW ROCHELLE HOSP | $6,487.51 | $6,931.12 | 1.0106 | 0.528855 | 11.38% | $957.05 | $476.72 | $0.00 | $0.00 | $81.31 | $109.01 | $866.44 | $254.96 | 7.04% |
| 7002024 | MOUNT SINAI HOSPITAL | $7,333.47 | $6,931.12 | 1.0801 | 0.384940 | 25.76% | $1,430.47 | $693.24 | $0.00 | $0.00 | $0.00 | $136.54 | $979.42 | $254.96 | 7.04% |
| 7002024 | MOUNT SINAI HOSPITAL OF QUEENS | $7,333.47 | $6,931.12 | 1.0801 | 0.384940 | 25.76% | $1,430.47 | $693.24 | $0.00 | $0.00 | $0.00 | $136.54 | $979.42 | $254.96 | 7.04% |
| 3121001 | MOUNT ST MARYS HOSPITAL | $5,919.59 | $6,931.12 | 0.8399 | 0.587047 | 0.00% | $0.00 | $231.67 | $0.00 | $0.00 | $0.00 | $53.88 | $790.59 | $187.52 | 7.04% |
| 2950002 | NASSAU UNIV MED CTR | $7,144.54 | $6,931.12 | 1.1122 | 0.501971 | 25.88% | $1,620.79 | $392.05 | $120.75 | $0.00 | $0.00 | $87.78 | $954.18 | $254.96 | 7.04% |
| 1701000 | NATHAN LITTAUER HOSPITAL | $5,363.89 | $6,931.12 | 0.7562 | 0.439216 | 0.00% | $0.00 | $237.61 | $0.00 | $0.00 | $0.00 | $69.58 | $716.37 | $187.52 | 7.04% |
| 7002054 | NEW YORK DOWNTOWN HOSPITAL | $7,716.11 | $6,931.12 | 1.1302 | 0.364115 | 26.54% | $1,549.47 | $1,184.64 | $284.17 | $0.00 | $0.00 | $215.72 | $1,030.52 | $254.96 | 7.04% |
| 3102000 | NIAGARA FALLS MEMORIAL | $5,359.79 | $6,931.12 | 0.7814 | 0.545618 | 2.26% | $147.98 | $464.64 | $0.00 | $0.00 | $0.00 | $128.07 | $715.82 | $187.52 | 7.04% |
| 2527000 | NICHOLAS H NOYES MEMORIAL | $5,064.10 | $6,931.12 | 0.7217 | 0.442823 | 0.00% | $0.00 | $412.98 | $0.00 | $0.00 | $0.00 | $120.79 | $676.33 | $187.52 | 7.04% |
| 7000024 | NORTH CENTRAL BRONX HOSPITAL | $7,445.79 | $6,931.12 | 1.0688 | 0.741199 | 12.07% | $1,094.47 | $531.27 | $0.00 | $412.87 | $0.00 | $125.36 | $994.42 | $254.96 | 7.04% |
| 2951001 | NORTH SHORE UNIVERSITY HOSP | $8,125.19 | $6,931.12 | 1.1350 | 0.254440 | 15.84% | $861.05 | $694.59 | $578.59 | $0.00 | $0.00 | $133.04 | $1,085.16 | $254.96 | 7.04% |
| 1327000 | NORTHERN DUTCHESS HOSPITAL | $6,617.61 | $6,931.12 | 0.9658 | 0.366251 | 0.00% | $0.00 | $369.20 | $0.00 | $0.00 | $0.00 | $104.84 | $883.81 | $254.96 | 7.04% |
| 5920000 | NORTHERN WESTCHESTER HOSP | $6,977.45 | $6,931.12 | 0.9786 | 0.509174 | 0.00% | $0.00 | $709.35 | $0.00 | $0.00 | $0.00 | $181.01 | $931.87 | $254.96 | 7.04% |
| 7001008 | NY COMMUNITY / BROOKLYN | $7,799.69 | $6,931.12 | 1.0923 | 0.517469 | 0.00% | $0.00 | $345.85 | $0.00 | $0.00 | $0.00 | $58.29 | $1,041.68 | $254.96 | 7.04% |
| 7002026 | NY EYE AND EAR INFIRMARY | $7,545.30 | $6,931.12 | 0.9806 | 0.444781 | 31.64% | $744.74 | $606.90 | $0.00 | $0.00 | $0.00 | $320.48 | $1,007.71 | $254.96 | 7.04% |
| 7003010 | NY MED CTR OF QUEENS | $7,378.19 | $6,931.12 | 1.0850 | 0.404466 | 18.22% | $727.95 | $813.36 | $217.44 | $0.00 | $0.00 | $151.64 | $985.39 | $254.96 | 7.04% |
| 7001021 | NY METHODIST HOSP / BROOKLYN | $7,226.72 | $6,931.12 | 1.0639 | 0.445267 | 18.07% | $879.19 | $306.78 | $0.00 | $0.00 | $0.00 | $63.73 | $965.16 | $254.96 | 7.04% |
| 7002054 | NY PRESBYTERIAN HOSPITAL | $7,716.11 | $6,931.12 | 1.1302 | 0.364115 | 26.54% | $1,549.47 | $1,184.64 | $284.17 | $0.00 | $0.00 | $215.72 | $1,030.52 | $254.96 | 7.04% |
| 7002054 | NY PRESBYTERIAN HOSPITAL (ALLEN) | $7,716.11 | $6,931.12 | 1.1302 | 0.364115 | 26.54% | $1,549.47 | $1,184.64 | $284.17 | $0.00 | $0.00 | $215.72 | $1,030.52 | $254.96 | 7.04% |
| 7002054 | NY PRESBYTERIAN HOSPITAL (PRESBY) | $7,716.11 | $6,931.12 | 1.1302 | 0.364115 | 26.54% | $1,549.47 | $1,184.64 | $284.17 | $0.00 | $0.00 | $215.72 | $1,030.52 | $254.96 | 7.04% |
| 4324000 | NYACK HOSPITAL | $6,697.31 | $6,931.12 | 0.9587 | 0.221363 | 0.00% | $0.00 | $320.93 | $0.00 | $0.00 | $0.00 | $69.95 | $894.46 | $254.96 | 7.04% |
| 7002053 | NYU HOSPITALS CENTER | $7,292.31 | $6,931.12 | 1.0547 | 0.313593 | 22.19% | $1,506.07 | $2,133.71 | $0.00 | $0.00 | $0.00 | $488.02 | $973.92 | $254.96 | 7.04% |
| 7002053 | NYU HOSPITALS CENTER/HOSP FOR JOINT DIS | $7,292.31 | $6,931.12 | 1.0547 | 0.313593 | 22.19% | $1,506.07 | $2,133.71 | $0.00 | $0.00 | $0.00 | $488.02 | $973.92 | $254.96 | 7.04% |
| 0401001 | OLEAN GENERAL HOSPITAL | $5,134.95 | $6,931.12 | 0.7463 | 0.594815 | 1.10% | $12.42 | $527.41 | $0.00 | $0.00 | $0.00 | $98.91 | $685.80 | $187.52 | 7.04% |
| 2601001 | ONEIDA HEALTHCARE | $5,167.43 | $6,931.12 | 0.7618 | 0.483423 | 0.00% | $0.00 | $534.54 | $0.00 | $0.00 | $0.00 | $147.94 | $690.13 | $187.52 | 7.04% |
| 3523000 | ORANGE REGIONAL MED CTR | $6,885.93 | $6,931.12 | 0.9946 | 0.286532 | 0.00% | $0.00 | $1,187.77 | $0.00 | $0.00 | $0.00 | $280.18 | $919.65 | $254.96 | 7.04% |
| 3702000 | OSWEGO HOSPITAL | $5,683.39 | $6,931.12 | 0.7821 | 0.542099 | 0.00% | $0.00 | $652.26 | $0.00 | $0.00 | $0.00 | $160.30 | $759.04 | $187.52 | 7.04% |
| 0301001 | OUR LADY OF LOURDES MEMORIAL | $5,616.41 | $6,931.12 | 0.8242 | 0.477509 | 3.30% | $9.43 | $300.04 | $0.00 | $0.00 | $0.00 | $72.09 | $750.10 | $187.52 | 7.04% |
| 5155000 | PECONIC BAY MED CTR | $6,923.39 | $6,931.12 | 1.0128 | 0.272183 | 3.73% | $73.08 | $525.76 | $0.00 | $0.00 | $0.00 | $117.49 | $924.65 | $254.96 | 7.04% |
| 5932000 | PHELPS MEMORIAL HOSP | $6,881.28 | $6,931.12 | 1.0142 | 0.364645 | 7.01% | $170.31 | $774.54 | $0.00 | $0.00 | $0.00 | $179.72 | $919.03 | $254.96 | 7.04% |
| 2952005 | PLAINVIEW HOSPITAL | $7,454.57 | $6,931.12 | 1.0962 | 0.322045 | 6.34% | $171.89 | $307.28 | $0.00 | $0.00 | $0.00 | $62.48 | $995.59 | $254.96 | 7.04% |
| 3950000 | PUTNAM COMMUNITY HOSPITAL | $7,051.38 | $6,931.12 | 1.0153 | 0.322545 | 0.00% | $0.00 | $608.72 | $0.00 | $0.00 | $0.00 | $139.38 | $941.74 | $254.96 | 7.04% |
| 7003007 | QUEENS HOSPITAL CENTER | $7,770.79 | $6,931.12 | 1.1427 | 0.797790 | 19.86% | $1,055.31 | $734.32 | $0.00 | $352.16 | $0.00 | $152.40 | $1,037.82 | $254.96 | 7.04% |
| 7004010 | RICHMOND UNIV MED CTR | $6,760.69 | $6,931.12 | 0.9926 | 0.309371 | 14.22% | $854.45 | $359.20 | $378.76 | $0.00 | $0.00 | $72.86 | $902.92 | $254.96 | 7.04% |
| 2701003 | ROCHESTER GENERAL HOSPITAL | $5,739.32 | $6,931.12 | 0.8156 | 0.436120 | 9.91% | $347.96 | $671.78 | $0.00 | $0.00 | $2.23 | $135.43 | $766.51 | $187.52 | 7.04% |
| 3201002 | ROME HOSPITAL AND MURPHY | $5,516.53 | $6,931.12 | 0.8040 | 0.454182 | 0.00% | $0.00 | $320.40 | $0.00 | $0.00 | $0.00 | $78.21 | $736.76 | $187.52 | 7.04% |
| 4102002 | SAMARITAN HOSPITAL OF TROY | $5,444.43 | $6,931.12 | 0.7728 | 0.398224 | 0.00% | $0.00 | $293.67 | $0.00 | $0.00 | $118.88 | $68.04 | $727.13 | $187.52 | 7.04% |
| 2201000 | SAMARITAN MEDICAL CENTER | $5,667.54 | $6,931.12 | 0.8022 | 0.552261 | 2.56% | $65.75 | $453.72 | $0.00 | $0.00 | $0.00 | $117.16 | $756.93 | $187.52 | 7.04% |
| 4501000 | SARATOGA HOSPITAL | $5,763.88 | $6,931.12 | 0.8480 | 0.393532 | 0.00% | $0.00 | $422.12 | $0.00 | $0.00 | $0.00 | $80.04 | $769.79 | $187.52 | 7.04% |
| 7000014 | SBH HEALTH SYSTEM | $6,917.69 | $6,931.12 | 1.0233 | 0.300863 | 31.35% | $1,134.78 | $471.48 | $0.00 | $0.00 | $0.00 | $96.28 | $923.89 | $254.96 | 7.04% |
| 4102003 | SETON HEALTH SYSTEMS | $5,385.57 | $6,931.12 | 0.8040 | 0.356760 | 0.00% | $0.00 | $388.48 | $0.00 | $0.00 | $0.00 | $80.19 | $719.27 | $187.52 | 7.04% |
| 1401013 | SISTERS OF CHARITY HOSPITAL | $5,827.94 | $6,931.12 | 0.8522 | 0.468327 | 4.94% | $173.29 | $336.96 | $0.00 | $0.00 | $0.00 | $75.00 | $778.35 | $187.52 | 7.04% |
| 2950001 | SOUTH NASSAU COMMUNITIES | $6,667.91 | $6,931.12 | 0.9679 | 0.303927 | 3.34% | $127.68 | $615.19 | $0.00 | $0.00 | $0.00 | $119.17 | $890.53 | $254.96 | 7.04% |
| 5126000 | SOUTHAMPTON HOSPITAL | $6,257.05 | $6,931.12 | 1.0044 | 0.337423 | 11.96% | $368.83 | $735.21 | $0.00 | $0.00 | $0.00 | $200.71 | $835.66 | $254.96 | 7.04% |
| 5154000 | SOUTHSIDE HOSPITAL | $7,362.25 | $6,931.12 | 1.0844 | 0.321029 | 3.75% | $112.75 | $512.80 | $0.00 | $0.00 | $0.00 | $119.98 | $983.26 | $254.96 | 7.04% |
| 3529000 | ST ANTHONY COMMUNITY HOSP | $6,252.50 | $6,931.12 | 0.9649 | 0.277194 | 0.00% | $0.00 | $541.29 | $0.00 | $0.00 | $0.00 | $128.10 | $835.05 | $254.96 | 7.04% |
| 5157003 | ST CATHERINE OF SIENA | $7,207.79 | $6,931.12 | 1.0560 | 0.233955 | 0.00% | $0.00 | $497.91 | $0.00 | $0.00 | $0.00 | $99.83 | $962.63 | $254.96 | 7.04% |
| 5149001 | ST CHARLES HOSPITAL | $6,792.53 | $6,931.12 | 0.9786 | 0.262866 | 1.18% | $0.00 | $472.04 | $0.00 | $0.00 | $0.00 | $105.85 | $907.17 | $254.96 | 7.04% |
| 3202002 | ST ELIZABETH MEDICAL CENTER | $5,654.11 | $6,931.12 | 0.8072 | 0.447837 | 5.84% | $299.77 | $475.22 | $0.00 | $0.00 | $139.07 | $92.64 | $755.13 | $187.52 | 7.04% |
| 2953000 | ST FRANCIS HOSP / ROSLYN | $7,505.09 | $6,931.12 | 1.0915 | 0.264425 | 0.09% | $6.18 | $1,489.00 | $0.00 | $0.00 | $0.00 | $245.76 | $1,002.34 | $254.96 | 7.04% |
| 5002001 | ST JAMES MERCY HOSPITAL | $4,492.00 | $6,931.12 | 0.6710 | 0.470863 | 0.00% | $0.00 | $173.43 | $0.00 | $0.00 | $0.00 | $59.59 | $599.93 | $187.52 | 7.04% |
| 7001024 | ST JOHNS EPISCOPAL SO SHORE | $7,627.28 | $6,931.12 | 1.0138 | 0.388042 | 28.47% | $1,058.92 | $262.87 | $0.00 | $0.00 | $0.00 | $48.57 | $1,018.66 | $254.96 | 7.04% |
| 5907001 | ST JOHNS RIVERSIDE HOSPITAL | $6,784.54 | $6,931.12 | 1.0008 | 0.331763 | 0.00% | $0.00 | $302.72 | $0.00 | $0.00 | $189.08 | $60.31 | $906.11 | $254.96 | 7.04% |
| 2952006 | ST JOSEPH HOSPITAL | $7,035.85 | $6,931.12 | 1.0196 | 0.292909 | 0.10% | $6.83 | $478.96 | $0.00 | $0.00 | $0.00 | $90.23 | $939.67 | $254.96 | 7.04% |
| 0701001 | ST JOSEPHS HOSP / ELMIRA | $5,107.58 | $6,931.12 | 0.7570 | 0.390802 | 0.00% | $0.00 | $423.83 | $0.00 | $0.00 | $0.00 | $90.44 | $682.14 | $187.52 | 7.04% |
| 3301003 | ST JOSEPHS HOSP HLTH CTR | $5,977.03 | $6,931.12 | 0.8693 | 0.436160 | 6.16% | $96.63 | $673.41 | $0.00 | $0.00 | $143.32 | $134.85 | $798.26 | $187.52 | 7.04% |
| 5907002 | ST JOSEPHS MEDICAL CENTER | $7,162.12 | $6,931.12 | 0.9716 | 0.507587 | 8.44% | $163.70 | $784.88 | $0.00 | $0.00 | $0.00 | $144.68 | $956.53 | $254.96 | 7.04% |
| 7002032 | ST LUKES / ROOSEVELT HOSP | $8,480.92 | $6,931.12 | 1.1643 | 0.340470 | 25.10% | $1,079.42 | $993.24 | $160.50 | $0.00 | $0.00 | $220.88 | $1,132.66 | $254.96 | 7.04% |
| 3522000 | ST LUKES CORNWALL | $6,551.66 | $6,931.12 | 0.9797 | 0.281003 | 0.00% | $0.00 | $603.56 | $0.00 | $0.00 | $0.00 | $147.40 | $875.00 | $254.96 | 7.04% |
| 2801001 | ST MARYS HEALTHCARE | $5,204.49 | $6,931.12 | 0.7462 | 0.455570 | 0.00% | $0.00 | $203.70 | $0.00 | $0.00 | $0.00 | $52.48 | $695.08 | $187.52 | 7.04% |
| 0101004 | ST PETERS HOSPITAL | $5,915.97 | $6,931.12 | 0.8412 | 0.319609 | 2.42% | $78.67 | $693.30 | $0.00 | $0.00 | $0.00 | $152.17 | $790.10 | $187.52 | 7.04% |
| 7001037 | STATE UNIV HOSP / DOWNSTATE | $6,611.11 | $6,931.12 | 1.1106 | 0.700687 | 25.92% | $3,552.62 | $1,310.01 | $0.00 | $0.00 | $0.00 | $235.56 | $882.94 | $254.96 | 7.04% |
| 7004003 | STATEN ISLAND UNIV HOSP | $7,032.70 | $6,931.12 | 1.0293 | 0.325427 | 18.37% | $575.98 | $259.07 | $144.90 | $0.00 | $0.00 | $56.96 | $939.25 | $254.96 | 7.04% |
| 2701005 | STRONG MEMORIAL HOSPITAL | $6,001.76 | $6,931.12 | 0.8764 | 0.536664 | 31.27% | $1,112.55 | $749.90 | $0.00 | $0.00 | $0.00 | $120.89 | $801.56 | $187.52 | 7.04% |
| 2754001 | THE UNITY HOSPITAL | $5,252.52 | $6,931.12 | 0.7642 | 0.502218 | 8.03% | $229.90 | $771.94 | $0.00 | $0.00 | $0.00 | $185.29 | $701.50 | $187.52 | 7.04% |
| 0427000 | TLC HEALTH NETWORK | $4,814.37 | $6,931.12 | 0.7015 | 0.609655 | 0.00% | $0.00 | $387.12 | $0.00 | $0.00 | $0.00 | $73.05 | $642.98 | $187.52 | 7.04% |
| 1227001 | TRI-TOWN REGIONAL HEALTHCARE | $5,978.78 | $6,931.12 | 0.8626 | 0.000000 | 0.00% | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $798.49 | $187.52 | 7.04% |
| 0303001 | UNITED HEALTH SERVICES INC | $5,809.71 | $6,931.12 | 0.8542 | 0.459060 | 7.31% | $355.27 | $389.17 | $0.00 | $0.00 | $0.00 | $82.62 | $775.91 | $187.52 | 7.04% |
| 1801000 | UNITED MEMORIAL MED CTR | $5,279.27 | $6,931.12 | 0.7560 | 0.442346 | 0.00% | $0.00 | $464.97 | $0.00 | $0.00 | $0.00 | $120.47 | $705.07 | $187.52 | 7.04% |
| 5151001 | UNIV HOSP AT STONY BROOK | $6,934.06 | $6,931.12 | 1.0181 | 0.358170 | 26.81% | $1,311.46 | $686.35 | $250.52 | $0.00 | $0.00 | $129.14 | $926.08 | $254.96 | 7.04% |
| 3301007 | UNIV HOSP SUNY HLTH SCI CTR | $6,613.56 | $6,931.12 | 0.9392 | 0.470865 | 20.71% | $744.10 | $918.52 | $0.00 | $0.00 | $0.00 | $169.73 | $883.27 | $187.52 | 7.04% |
| 3301007 | UPSTATE UNIV HOSPITAL AT COMM GEN | $6,613.56 | $6,931.12 | 0.9392 | 0.470865 | 20.71% | $744.10 | $918.52 | $0.00 | $0.00 | $0.00 | $169.73 | $883.27 | $187.52 | 7.04% |
| 1302001 | VASSAR BROTHERS MED CTR | $6,814.77 | $6,931.12 | 1.0064 | 0.280449 | 0.00% | $0.00 | $662.95 | $0.00 | $0.00 | $0.00 | $136.43 | $910.14 | $254.96 | 7.04% |
| 5820000 | WAYNE HEALTH CARE | $5,610.08 | $6,931.12 | 0.8253 | 0.439657 | 0.00% | $0.00 | $427.99 | $0.00 | $0.00 | $0.00 | $104.45 | $749.25 | $187.52 | 7.04% |
| 5957001 | WESTCHESTER MEDICAL CENTER | $7,786.80 | $6,931.12 | 1.1410 | 0.303204 | 22.03% | $2,018.94 | $2,244.08 | $0.00 | $0.00 | $0.00 | $295.75 | $1,039.96 | $254.96 | 7.04% |
| 0632000 | WESTFIELD MEMORIAL HOSP | $4,721.06 | $6,931.12 | 0.7029 | 0.628960 | 0.00% | $0.00 | $362.14 | $0.00 | $0.00 | $0.00 | $368.49 | $630.52 | $187.52 | 7.04% |
| 5902001 | WHITE PLAINS HOSPITAL | $7,116.89 | $6,931.12 | 0.9862 | 0.419909 | 0.00% | $0.00 | $445.53 | $0.00 | $0.00 | $0.00 | $100.40 | $950.49 | $254.96 | 7.04% |
| 2908000 | WINTHROP UNIVERSITY HOSPITAL | $7,100.39 | $6,931.12 | 1.0394 | 0.303881 | 16.78% | $947.46 | $653.86 | $0.00 | $0.00 | $0.00 | $133.35 | $948.29 | $254.96 | 7.04% |
| 0602001 | WOMANS CHRISTIAN ASSOC | $5,116.40 | $6,931.12 | 0.7224 | 0.471825 | 0.00% | $0.00 | $426.70 | $0.00 | $0.00 | $0.00 | $97.39 | $683.32 | $187.52 | 7.04% |
| 7001045 | WOODHULL MEDICAL | $6,746.89 | $6,931.12 | 1.0415 | 0.908330 | 19.40% | $1,987.71 | $495.34 | $0.00 | $625.76 | $0.00 | $103.20 | $901.08 | $254.96 | 7.04% |
| 7001035 | WYCKOFF HEIGHTS HOSPITAL | $7,157.33 | $6,931.12 | 1.0022 | 0.407080 | 20.13% | $684.51 | $576.86 | $152.83 | $0.00 | $0.00 | $128.76 | $955.89 | $254.96 | 7.04% |
| 6027000 | WYOMING CO COMMUNITY HOSP | $5,392.08 | $6,931.12 | 0.7890 | 0.954952 | 0.00% | $0.00 | $537.30 | $0.00 | $0.00 | $0.00 | $122.36 | $720.14 | $187.52 | 7.04% |
