Out-of-State Hospital, Diagnostic & Treatment Center (D&TC) & Ambulatory Surgery Center (ASC) APG Average Regional Base Rates

Out of state providers located in counties contiguous to the NYS downstate rate region will receive the downstate base rates. Counties contiguous to the NYS downstate rate region include: Sussex, Passaic, Bergin, Hudson, Essex, Middlesex, Union and Monmouth Counties in New Jersey; Pike County in Pennsylvania; and Litchfield and Fairfield Counties in Connecticut. All other out of state providers will receive the NYS upstate rate.

APG Rates for Out of State Providers

All Out-of-State Hospital, D&TC and ASC rates (base rates, capital add-ons, and existing payment for blend) by Provider ID, NPI, rate code, locator code, postal code and rate effective date.