New York State seal

April 14, 1983

SUBJECT: INSURANCE

WITHDRAWN

CIRCULAR LETTER NO. 6 (1983)

APRIL 14, 1983

TO: ALL INSURERS LICENSED TO WRITE AUTOMOBILE INSURANCE IN NEW YORK STATE

SUBJECT: Reimbursement Rates for Hospital and Health related services under No-Fault for treatment rendered on and after January 1, 1983.

Pursuant to the provisions of 11NYCRR 68.2 (Regulation 83), on and after January 1, 1978, the schedule of all inclusive rates for hospital services and health related services provided in conformance to Section 671(1)(a) of the Insurance Law shall be the rates approved by the Chairman of the Workers' Compensation Board in accordance with the provisions of Chapter 767 of the Laws of 1977 as amended.

The attached schedule of rates has been approved by the Chairman, and shall be used by no-fault insurers for payment of hospital outpatient and inpatient services rendered on and after January 1, 1983 through December 31, 1983.

Very truly yours,

[SIGNATURE]

JAMES P. CORCORAN

Superintendent of Insurance

JPC/bmb

Attach.

STATE OF NEW YORK

WORKERS' COMPENSATION BOARD

OFFICE OF THE CHAIRMAN

HOSPITAL FEE SCHEDULE

Effective January 1, 1983

This revision of the Hospital Fee Schedule Inpatient Rates was recommended and certified by the State Commissioner of Health and approved by the Chairman of the Workers' Compensation Board. Pursuant to Chapter 767, Laws of 1977, as amended by Chapter 536 of the Laws of 1982 and Part 86 of the Commissioner of Health Administrative Rules and Regulations, these rates are for the use in payment of claims under the Workers' Compensation Law and the Volunteer Firemen's Benefit Law.

The third column of this schedule applies to emergency service.

[SIGNATURE]

CHAIRMAN

WORKERS' COMPENSATION

SCHEDULE OF RATES FOR THE PERIOD

JANUARY 1, 1983 THROUGH DECEMBER 31, 1983

Rates for Outpatient Services

Room other than operating room when used for minor surgery or emergency treatment:

For the medical service provided whether by employed staff, attending staff or by contractual arrangement with the physician groups the fee for this service is the fee as appears on Line 90010 of the Schedule of Medical Fees.

For the hospital providing intern or resident staffing or by physician group contractual coverage the total fee is the fee for physician services as appears on Line 90010 of the Schedule of Medical Fees plus the fee for use of the Emergency Service Room as shown in this schedule.

When the care is provided by an attending physician, the hospital fee is the Emergency Service Room fee as shown in this schedule, with the physician billing separately.

Note: These fees include common or ordinary medications

Crutches, mechanical splints and appliances

Rental or

Sale at Cost

Plaster Cast and/or Splint

Cost of Plaster

Radium and deep therapy

A & A *

E.K.G., E.E.G., X-ray, P.T., and Laboratory

Charges

Rates in

Schedule of

Medical Fees

Promulgated

by the Chairman

Workers'

Compensation Board

Materials supplied by the Emergency Room (i.e. sterile

trays, medications, etc.) over and above those usually

included with the Emergency Room visit may be charged

for separately.

Itemize these on the bill submitted.

__________*"Authorization and Arrangement"

COMMON OR ORDINARY DRUGS COVERED BY THE EMERGENCY ROOM HOSPITAL RATES

A study was undertaken to determine the low-cost drugs which a large number of hospitals in New York State regard as fairly common or ordinary and for which no charges are made apart from the inclusive Emergency Room rates. A partial list of such drugs is furnished below. It is expected that the list will be enlarged or augmented from time to time. In the meanwhile, the drugs shown below or on any future similar list or heretofore regarded as common or ordinary or any additional drugs so regarded should be considered as covered by the applicable Emergency Room rate. No charge should be made for any drugs, whether or not listed hereunder, in connection with hospitalized patients.

Current List of "No Charge" Drugs and Pharmaceutical Supplies

Acetaminophen 325 mg. tablet

Alcohol 70 percent

Alcohol swabs

Antacid (e.g. Mylanta, Maalox, etc.)

Aspirin 325 mg. tablet

Aromatic Spirits of Ammonia

Atropine 2 percent Ophthalmic Solution

Atropine 0.4 mg/ml

Bacitracin ointment

Castor Oil

Calamine lotion

Collodion Flexible

Cold Cream

Clinitest tablets

Dibucaine 1 percent ointment (e.g. Nupercainal)

Epinephrine Injection

Ethyl Chloride spray

Gelfoam

Glycerin suppository

Hematest tablets

Hydrocortisone 1 percent ointment

Hydrogen Peroxide

Iodine

Ipecac Syrup

Lidocaine 2 percent viscous (e.g. Xylocaine)

Lidocaine 1 percent with/without Epinephrine

Lidocaine 2 percent with/without Epinephrine

Lidocaine 5 percent ointment

Lindane lotion (e.g. Kwell)

Lubricating jelly

Magnesium Sulfate

Meperidine injection (e.g. Demerol)

Merthiolate

Neomycin and Polymyxin B Sulfates w/Hydrocortisone ophthalmic suspension (e.g. Cortisporin)

Nitroglycerin 0.4 mg. s. 1. tablet

Nitroglycerin 0.6 mg. s. 1. tablet

Peppermint Spirit

Petrolatum

Providone-Iodine solution (e.g. Betadine)

Pralidoxime Chloride (e.g. Protopam)

Silver Nitrate Sticks

Silver Sulfadiazine cream (e.g. Silvadene)

Sodium Chloride - injection

Sodium Chloride for irrigation

Sterile Water for irrigation

Talcum powder

Tetanus Toxoid

Tuberculin PPD (1st and 2nd strength)

Witch Hazel

Zinc Oxide ointment

WORKERS' COMPENSATION

HOSPITAL RATE SCHEDULE

WESTERN NEW YORK REGION

EFFECTIVE 01/01/83 - 12/31/83

EMERGENCY

DAILY

SERVICE

RATE

EXCLUSIONS:

ROOM RATE

ALLEGANY

 CUBA MEMORIAL HOSPITAL INC

$ 259.00

ALL INCLUSIVE

$ 27.00

   INPATIENT ACUTE CARE

MEMORIAL HOSPITAL OF WM F &

GERTRUDE F JONES A/K/A

JONES MEMORIAL

   INPATIENT ACUTE CARE

$ 232.00

ALL INCLUSIVE

$ 26.00

CATTARAUGUS

 OLEAN GENERAL HOSPITAL

   INPATIENT ACUTE CARE

$ 260.00

A

$ 35.00

 SALAMANCA HOSPITAL DISTRICT

   AUTHORITY INPATIENT

$ 190.00

ALL INCLUSIVE

$ 27.00

   ACUTE CARE

 ST FRANCIS HOSPITAL OF OLEAN

   INPATIENT ACUTE CARE

$ 229.00

B. OTHER: ER PHYS

$ 35.00

 TRI-COUNTY MEMORIAL HOSPITAL

   INPATIENT ACUTE CARE

$ 228.00

A,B

$ 26.00

CHAUTAUQUA

 BROOKS MEMORIAL HOSPITAL

   INPATIENT ACUTE CARE

$ 248.00

A,B

$ 27.00

 JAMESTOWN GENERAL HOSPITAL

   INPATIENT ACUTE CARE

$ 236.00

A,B

$ 26.00

 LAKE SHORE HOSPITAL INC

   INPATIENT ACUTE CARE

$ 208.00

B, OTHER: EKG

$ 27.00

 WESTFIELD MEMORIAL HOSPITAL INC

STRESS TESTING

   INPATIENT ACUTE CARE

$ 244.00

B

$ 35.00

 WOMANS CHRISTIAN ASSOCIATION

   INPATIENT ACUTE CARE

$ 239.00

A,B

$ 27.00

ERIE

 BERTRAND CHAFFEE HOSPITAL

   INPATIENT ACUTE CARE

$ 227.00

ALL INCLUSIVE

$ 26.00

 BUFFALO COLUMBUS HOSPITAL

   INPATIENT ACUTE CARE

$ 267.00

ALL INCLUSIVE

$ 26.00

 BUFFALO GENERAL HOSPITAL

   INPATIENT ACUTE CARE

$ 305.00

A

$ 30.00

 CHILDRENS HOSPITAL

   INPATIENT ACUTE CARE

$ 375.00

A

$ 26.00

 ERIE COUNTY MEDICAL CENTER

   INPATIENT ACUTE CARE

$ 378.00

A,B,C,D

$ 35.00

 KENMORE MERCY HOSPITAL

   INPATIENT ACUTE CARE

$ 229.00

A,OTHER: EKG

$ 27.00

 LAFAYETTE GENERAL HOSPITAL

   INPATIENT ACUTE CARE

$ 215.00

A,B

$ 26.00

 MERCY HOSPITAL OF BUFFALO

   INPATIENT ACUTE CARE

$ 245.00

A

$ 26.00

 MILLARD FILLMORE HOSPITAL

   INPATIENT ACUTE CARE

$ 293.00

A

$ 30.00

 OUR LADY OF VICTORY HOSPITAL

   OF LACKAWANNA

   INPATIENT ACUTE CARE

$ 238.00

A,B. OTHER:

$ 30.00

ENDOSCOPY, STRESS

TESTS-SONOGRAMS,

ENDOCARDIOGRAMS,

ELECTROMIOGRAPHS

ERIE

 ROSWELL PARK MEMORIAL INSTITUTE

   INPATIENT ACUTE CARE

$ 456.00

ALL INCLUSIVE

NO E.R. SERVICE

 SAINT FRANCIS HOSPITAL OF

   BUFFALO

   INPATIENT ACUTE CARE

$ 188.00

A

$ 27.00

 SHEEHAN MEMORIAL EMERGENCY

   HOSPITAL INC

   INPATIENT ACUTE CARE

$ 239.00

A,B

$ 35.00

 SHERIDAN PARK HOSPITAL INC

   INPATIENT ACUTE CARE

$ 274.00

A

$ 26.00

 SISTERS OF CHARITY HOSPITAL

   INPATIENT ACUTE CARE

$ 234.00

A

$ 35.00

 ST JOSEPH INTERCOMMUNITY

   HOSPITAL

   INPATIENT ACUTE CARE

$ 201.00

A

$ 27.00

GENESEE

 GENESEE MEMORIAL HOSPITAL

   INPATIENT ACUTE CARE

$ 212.00

A

$ 27.00

 ST JEROME HOSPITAL

   INPATIENT ACUTE CARE

$ 213.00

A

$ 30.00

NIAGARA

 DEGRAFF MEMORIAL HOSPITAL

   INPATIENT ACUTE CARE

$ 225.00

A

$ 26.00

INTER-COMMUNITY MEMORIAL

   HOSPITAL AT NEWFANE INC

  INPATIENT ACUTE CARE

$ 186.00

A

$ 27.00

 LOCKPORT MEMORIAL HOSPITAL

   INPATIENT ACUTE CARE

$ 196.00

A,B. OTHER: EKG,

$ 30.00

EEG,

 MOUNT ST MARYS HOSPITAL OF

NUCLEAR MEDICINE

   NIAGARA FALLS

   INPATIENT ACUTE CARE

$ 259.00

A

$ 26.00

 NIAGARA FALLS MEMORIAL

   MEDICAL CENTER

   INPATIENT ACUTE CARE

$ 227.00

A

$ 35.00

ORLEANS

 ARNOLD GREGORY MEMORIAL

   HOSPITAL

   INPATIENT ACUTE CARE

$ 247.00

A

$ 26.00

 MEDINA MEMORIAL HOSPITAL

   INPATIENT ACUTE CARE

$ 198.00

A,B

$ 27.00

WYOMING

 WYOMING COUNTY COMMUNITY

   HOSPITAL

$ 273.00

A,B

$ 30.00

   INPATIENT ACUTE CARE

WORKERS' COMPENSATION

HOSPITAL RATE SCHEDULE

ROCHESTER NEW YORK REGION

EFFECTIVE 01/01/83 - 12/31/83

DAILY

EMERGENCY SERVICE

RATE

EXCLUSIONS:

ROOM RATE

CHEMUNG

 ARNOT-OGDEN MEMORIAL

  HOSPITAL

   INPATIENT ACUTE CARE

$ 346.00

A,B*

$ 30.00

 ST JOSEPHS HOSPITAL OF

  ELMIRA

   INPATIENT ACUTE CARE

$ 263.00

A

$ 35.00

LIVINGSTON

 NICHOLAS H NOYES MEMORIAL

  HOSPITAL

   INPATIENT ACUTE CARE

$ 234.00

A,B

$ 30.00

MONROE

 GENESEE HOSPITAL

   INPATIENT ACUTE CARE

$ 347.00

A,B

$ 35.00

 HIGHLAND HOSPITAL

   INPATIENT ACUTE CARE

$ 188.00

A,B

$ 35.00

 LAKESIDE MEMORIAL HOSPITAL

   INPATIENT ACUTE CARE

$ 118.00

A,B

$ 30.00

 MONROE COMMUNITY HOSPITAL

   INPATIENT ACUTE CARE

$ 358.00

ALL INCLUSIVE

NO E.R. SERVICE

 PARK RIDGE HOSPITAL

   INPATIENT ACUTE CARE

$ 379.00

A,B,C

$ 35.00

 ROCHESTER GENERAL HOSPITAL

   INPATIENT ACUTE CARE

$ 367.00

A,B

$ 35.00

 ST MARYS HOSPITAL OF

  ROCHESTER

   INPATIENT ACUTE CARE

$ 308.00

A,B,C, OTHER:

$ 35.00

EKG

 STRONG MEMORIAL HOSPITAL

ECHOCARDIOGRAMS, STRESS TESTING

   INPATIENT ACUTE CARE

$ 560.00

A,B

$ 35.00

ONTARIO

 CLIFTON SPRINGS HOSPITAL

  AND CLINIC

   INPATIENT ACUTE CARE

$ 318.00

B, OTHER: EKG

$ 35.00

 F F THOMPSON HOSPITAL

   INPATIENT ACUTE CARE

$ 126.00

ALL INCLUSIVE

$ 35.00

 GENEVA GENERAL HOSPITAL

   INPATIENT ACUTE CARE

$ 258.00

A

$ 35.00

SCHUYLER

 SCHUYLER HOSPITAL

   INPATIENT ACUTE CARE

$ 281.00

A,B

$ 26.00

SENECA

 SENECA FALLS HOSPITAL

   INPATIENT ACUTE CARE

$ 329.00

A

$ 35.00

WATERLOO MEMORIAL HOSPITAL INC D/B/A TAYLOR-BROWN MEMORIAL HOSP

   INPATIENT ACUTE CARE

$ 151.00

A

$ 27.00

STEUBEN

 BETHESDA HOSPITAL

   INPATIENT ACUTE CARE

$ 210.00

A,B,C

$ 27.00

 CORNING HOSPITAL

   INPATIENT ACUTE CARE

$ 273.00

A

$ 35.00

 IRA DAVENPORT MEMORIAL

  HOSPITAL INC

   INPATIENT ACUTE CARE

$ 265.00

A,C

$ 35.00

 ST JAMES MERCY HOSPITAL

   INPATIENT ACUTE CARE

$ 235.00

A,B

$ 35.00

WAYNE

 MYERS COMMUNITY HOSPITAL

  FOUNDATION INC

   INPATIENT ACUTE CARE

$ 188.00

A

$ 35.00

 NEWARK-WAYNE COMMUNITY HOSPITAL

   INC INPATIENT ACUTE CARE

$ 201.00

A

$ 35.00

YATES

SOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES COUNTY INC

   INPATIENT ACUTE CARE

$ 153.00

A

$ 30.00

*EFFECTIVE 7/1/82 -   12/31/83

WORKERS' COMPENSATION

HOSPITAL RATE SCHEDULE

CENTRAL NEW YORK REGION

EFFECTIVE 01/01/83 - 12/31/83

DAILY

EMERGENCY SERVICE

RATE

EXCLUSIONS:

ROOM RATE

BROOME

 OUR LADY OF LOURDES

  MEMORIAL HOSPITAL

   INPATIENT ACUTE CARE

$ 309.00

A,B

$ 27.00

 UNITED HEALTH SERVICES INC

   INPATIENT ACUTE CARE

$ 406.00

A,B

$ 30.00

CAYUGA

 AUBURN MEMORIAL HOSPITAL

   INPATIENT ACUTE CARE

$ 206.00

A

$ 30.00

CHENANGO

 CHENANGO MEMORIAL HOSPITAL

  INC

   INPATIENT ACUTE CARE

$ 302.00

A

$ 30.00

CORTLAND

 CORTLAND MEMORIAL HOSPITAL

  INC

   INPATIENT ACUTE CARE

$ 243.00

A,B,C

$ 35.00

HERKIMER

 HERKIMER MEMORIAL HOSPITAL

  INC

   INPATIENT ACUTE CARE

$ 197.00

A,B

$ 26.00

 LITTLE FALLS HOSPITAL

   INPATIENT ACUTE CARE

$ 192.00

A,B,C

$ 35.00

 MOHAWK VALLEY GENERAL

  HOSPITAL

   INPATIENT ACUTE CARE

$ 220.00

ALL INCLUSIVE

$ 26.00

JEFFERSON

 CARTHAGE AREA HOSPITAL INC

   INPATIENT ACUTE CARE

$ 236.00

B

$ 30.00

 EDWARD JOHN NOBLE HOSPITAL

  OF ALEXANDRIA BAY

   INPATIENT ACUTE CARE

$ 234.00

B

$ 27.00

 HOUSE OF THE GOOD

  SAMARITAN

   INPATIENT ACUTE CARE

$ 243.00

A,B

$ 35.00

 MERCY HOSPITAL OF

  WATERTOWN

   INPATIENT ACUTE CARE

$ 260.00

A,B

$ 35.00

LEWIS

 LEWIS COUNTY GENERAL

  HOSPITAL

   INPATIENT ACUTE CARE

$ 322.00

B

$ 35.00

MADISON

 COMMUNITY MEMORIAL

  HOSPITAL INC

   INPATIENT ACUTE CARE

$ 207.00

A

$ 27.00

 ONEIDA CITY HOSPITAL

   INPATIENT ACUTE CARE

$ 265.00

A,B

$ 27.00

ONEIDA

 CHILDRENS HOSPITAL AND

  REHABILITATION CENTER

   REHABILITATION

$ 241.00

A,C,OTHER: EMG,

NO E.R. SERVICE

Cardiology

ONEIDA

 FAXTON HOSPITAL

   INPATIENT ACUTE CARE

$ 245.00

A,C, OTHER:

$ 27.00

EMG, Cardiology

 ROME HOSPITAL AND MURPHY

  MEMORIAL HOSPITAL

   INPATIENT ACUTE CARE

$ 232.00

A,C

$ 30.00

 ROSE HOSPITAL

   INPATIENT ACUTE CARE

$ 248.00

A

$ 27.00

 ST ELIZABETH HOSPITAL

   INPATIENT ACUTE CARE

$ 328.00

A,B,C

$ 35.00

 ST LUKES MEMORIAL HOSPITAL

  CENTER

   INPATIENT ACUTE CARE

$ 269.00

A,C, OTHER:

$ 30.00

EKG, EEG

ONONDAGA

COMMUNITY GENERAL HOSPITAL OF GREATER SYRACUSE

   INPATIENT ACUTE CARE

$ 296.00

A,B,OTHER:

$ 35.00

NUCLEAR MEDICINE,

NON-INVASIVE

VASCULAR LAB

 CROUSE - IRVING MEMORIAL

  HOSPITAL

   INPATIENT ACUTE CARE

$ 363.00

A,B,D, OTHER:

$ 35.00

CARDIOLOGY, NUCLEAR

MEDICINE, PSYCHIATRY,

NEUROLOGY

 ST JOSEPHS HOSPITAL HEALTH

  CENTER

   INPATIENT ACUTE CARE

$ 339.00

A,B,C, OTHER:

$ 27.00

PERIPHERAL VASCULAR LAB,

PULMONARY FUNCTION LAB,

PATHOLOGY, FROZEN

SECTIONS, CARDIO

VASCULAR LAB

STATE UNIVERSITY HOSPITAL UPSTATE

MEDICAL CENTER

   INPATIENT ACUTE CARE

$ 444.00

A,B

$ 35.00

OSWEGO

 ALBERT LINDLEY LEE

  MEMORIAL HOSPITAL

   INPATIENT ACUTE CARE

$ 244.00

A,B

$ 30.00

 OSWEGO HOSPITAL

   INPATIENT ACUTE CARE

$ 231.00

A

$ 35.00

ST LAWRENCE

 A BARTON HEPBURN HOSPITAL

   INPATIENT ACUTE CARE

$ 295.00

A

$ 27.00

 CANTON-POTSDAM HOSPITAL

   INPATIENT ACUTE CARE

$ 252.00

A

$ 27.00

 CLIFTON-FINE HOSPITAL

   INPATIENT ACUTE CARE

$ 351.00

ALL INCLUSIVE

$ 26.00

 EDWARD JOHN NOBLE HOSPITAL

  OF GOUVERNEUR

   INPATIENT ACUTE CARE

$ 286.00

ALL INCLUSIVE

$ 30.00

 MASSENA MEMORIAL HOSPITAL

   INPATIENT ACUTE CARE

$ 258.00

A

$ 27.00

TIOGA

 TIOGA GENERAL HOSPITAL

   INPATIENT ACUTE CARE

$ 372.00

A

$ 35.00

TOMPKINS

 TOMPKINS COUNTY HOSPITAL

   INPATIENT ACUTE CARE

$ 238.00

A,B

$ 35.00

WORKERS' COMPENSATION

HOSPITAL RATE SCHEDULE

NORTHEASTERN NEW YORK REGION

EFFECTIVE 01/01/83 - 12/31/83

DAILY

EMERGENCY SERVICE

RATE

EXCLUSIONS:

ROOM RATE

ALBANY

 ALBANY MEDICAL CENTER

  HOSPITAL

   INPATIENT ACUTE CARE

$ 400.00

A,B, OTHER:

$ 35.00

ULTRASOUND

 CHILDS HOSPITAL

   INPATIENT ACUTE CARE

$ 246.00

A

NO E.R. SERVICE

 COHOES MEMORIAL HOSPITAL

   INPATIENT ACUTE CARE

$ 218.00

A,B,C

$ 35.00

 MEMORIAL HOSPITAL OF ALBANY

   INPATIENT ACUTE CARE

$ 269.00

A,B,C, OTHER:

$ 35.00

ULTRASOUND,

NUCLEAR MEDICINE

 ST PETERS HOSPITAL

   INPATIENT ACUTE CARE

$ 266.00

A,B

$ 35.00

CLINTON

CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR

   INPATIENT ACUTE CARE

$ 201.00

A,B, OTHER: EKG

$ 27.00

COLUMBIA

 COLUMBIA MEMORIAL HOSPITAL

   INPATIENT ACUTE CARE

$ 262.00

B

$ 30.00

DELAWARE

 A LINDSAY & OLIVE B OCONNOR

  HOSPITAL

   INPATIENT ACUTE CARE

$ 347.00

A,C

$ 26.00

 COMMUNITY HOSPITAL OF

  STAMFORD

   INPATIENT ACUTE CARE

$ 231.00

A

$ 26.00

 DELAWARE VALLEY HOSPITAL INC

   INPATIENT ACUTE CARE

$ 327.00

ALL INCLUSIVE

$ 26.00

 MARGARETVILLE MEMORIAL

  HOSPITAL

   INPATIENT ACUTE CARE

$ 411.00

ALL INCLUSIVE

$ 30.00

 THE HOSPITAL

   INPATIENT ACUTE CARE

$ 237.00

A,B, OTHER:

$ 30.00

ULTRASOUND,

ELECTRO-

CARDIOLOGY

ESSEX

 ELIZABETHTOWN COMMUNITY

  HOSPITAL

   INPATIENT ACUTE CARE

$ 235.00

B, OTHER:

$ 30.00

ELECTROCARDIOLOGY

 MOSES LUDINGTON HOSPITAL

   INPATIENT ACUTE CARE

$ 422.00

ALL INCLUSIVE

$ 35.00

 PLACID MEMORIAL HOSPITAL INC

   INPATIENT ACUTE CARE

$ 348.00

B

$ 26.00

FRANKLIN

 ALICE HYDE MEMORIAL HOSPITAL

   INPATIENT ACUTE CARE

$ 191.00

B

$ 26.00

 GENERAL HOSPITAL OF SARANAC

  LAKE

   INPATIENT ACUTE CARE

$ 204.00

A,B,C

$ 27.00

 MERCY GENERAL HOSPITAL OF

  TUPPER LAKE

   INPATIENT ACUTE CARE

$ 214.00

B

NO E.R. SERVICE

FULTON

 JOHNSTOWN HOSPITAL

   INPATIENT ACUTE CARE

$ 213.00

A,C

$ 35.00

 NATHAN LITTAUER HOSPITAL

   INPATIENT ACUTE CARE

$ 234.00

A,B,C

$ 30.00

GREENE

 MEMORIAL HOSPITAL OF

  GREENE COUNTY

   INPATIENT ACUTE CARE

$ 282.00

B,C

$ 35.00

MONTGOMERY

 AMSTERDAM MEMORIAL

  HOSPITAL

   INPATIENT ACUTE CARE

$ 244.00

A,C

$ 27.00

 ST MARYS HOSPITAL AT

  AMSTERDAM

   INPATIENT ACUTE CARE

$ 268.00

A,C

$ 35.00

OTSEGO

 AURELIA OSBORN FOX MEMORIAL

  HOSPITAL

   INPATIENT ACUTE CARE

$ 264.00

A,B,C

$ 35.00

 MARY IMOGENE BASSETT

  HOSPITAL

   INPATIENT ACUTE CARE

$ 440.00

ALL INCLUSIVE

$ 30.00

RENSSELAER

 LEONARD HOSPITAL

   INPATIENT ACUTE CARE

$ 235.00

A,B,C

$ 35.00

 SAMARITAN HOSPITAL OF TROY

   INPATIENT ACUTE CARE

$ 227.00

A,B

$ 30.00

 ST MARYS HOSPITAL OF TROY

   INPATIENT ACUTE CARE

$ 232.00

A,B,C

$ 30.00

SARATOGA

 ADIRONDACK REGIONAL

  HOSPITAL

   INPATIENT ACUTE CARE

$ 245.00

B

$ 26.00

 SARATOGA HOSPITAL

   INPATIENT ACUTE CARE

$ 269.00

A,B

$ 35.00

SCHENECTADY

 BELLEVUE MATERNITY HOSPITAL

  INC

   INPATIENT ACUTE CARE

$ 312.00

A

NO E.R. SERVICE

 ELLIS HOSPITAL

   INPATIENT ACUTE CARE

$ 351.00

A,B,C, OTHER:

$ 35.00

NUCLEAR MEDICINE,

SPEC. HEMATOLOGY

LAB

 ST CLARES HOSPITAL OF

  SCHENECTADY

   INPATIENT ACUTE CARE

$ 307.00

A,B, OTHER: NUCLEAR

$ 30.00

MEDICINE, GASTROENTEROLOGY

PROCTOLOGY

 SUNNYVIEW HOSPITAL AND

  REHABILITATION CENTER

   INPATIENT ACUTE CARE

$ 220.00

A,B,C,D

NO E.R. SERVICE

SCHOHARIE

 COMMUNITY HOSPITAL OF

  SCHOHARIE COUNTY INC

   INPATIENT ACUTE CARE

$ 254.00

C

$ 35.00

WARREN

 GLENS FALLS HOSPITAL

   INPATIENT ACUTE CARE

$ 248.00

A,B, OTHER: EMG

$ 27.00

WASHINGTON

 EMMA LAING STEVENS HOSPITAL

   INPATIENT ACUTE CARE

$ 208.00

ALL INCLUSIVE

$ 35.00

 MARY MCCLELLAN HOSPITAL

   INPATIENT ACUTE CARE

$ 251.00

C

$ 35.00

WORKERS' COMPENSATION

HOSPITAL RATE SCHEDULE

NORTHERN METROPOLITAN REGION

EFFECTIVE 01/01/83 - 12/31/83

DAILY

EMERGENCY SERVICE

RATE

EXCLUSIONS:

ROOM RATE

DUTCHESS

 HIGHLAND HOSPITAL OF BEACON

   INPATIENT ACUTE CARE

$ 273.00

A

$ 27.00

 NORTHERN DUTCHESS HOSPITAL

   INPATIENT ACUTE CARE

$ 236.00

A

$ 35.00

 ST FRANCIS HOSPITAL OF

  POUGHKEEPSIE

   INPATIENT ACUTE CARE

$ 319.00

A,B

$ 35.00

 VASSAR BROTHERS HOSPITAL

   INPATIENT ACUTE CARE

$ 287.00

A,B, OTHER:

$ 30.00

RADIATION THERAPY

ORANGE

 ARDEN HILLHOSPITAL

   INPATIENT ACUTE CARE

$ 300.00

A, OTHER: EMG

$ 35.00

 CORNWALL HOSPITAL

   INPATIENT ACUTE CARE

$ 274.00

A,B,OTHER:

$ 30.00

NUCLEAR MEDICINE,

ULTRASOUND

 DOCTORS SUNNYSIDE HOSPITAL

  INPATIENT ACUTE CARE

$ 238.00

ALL INCLUSIVE

$ 30.00

 E A HORTON MEMORIAL HOSPITAL

  INPATIENT ACUTE CARE

$ 303.00

A

$ 35.00

 ST ANTHONY COMMUNITY

  HOSPITAL

  INPATIENT ACUTE CARE

$ 313.00

A

$ 35.00

 ST FRANCIS HOSPITAL OF PORT

  JERVIS NEW YORK

   INPATIENT ACUTE CARE

$ 276.00

A,C

$ 26.00

 ST LUKES HOSPITAL OF

  NEWBURGH

   INPATIENT ACUTE CARE

$ 264.00

A

$ 30.00

 TUXEDO MEMORIAL HOSPITAL

   INPATIENT ACUTE CARE

$ 238.00

A

$ 35.00

PUTNAM

 JULIA BUTTERFIELD MEMORIAL

  HOSPITAL

   INPATIENT ACUTE CARE

$ 282.00

A,C

$ 35.00

 PUTNAM COMMUNITY HOSPITAL

   INPATIENT ACUTE CARE

$ 272.00

A

$ 27.00

ROCKLAND

 GOOD SAMARITAN HOSPITAL OF

  SUFFERN

   INPATIENT ACUTE CARE

$ 344.00

A, OTHER: EMG

$ 35.00

 HELEN HAYES HOSPITAL

   INPATIENT ACUTE CARE

$ 541.00

ALL INCLUSIVE

NO E.R. SERVICE

 NYACK HOSPITAL

   INPATIENT ACUTE CARE

$ 319.00

A,B

$ 27.00

SUMMIT PARK HOSPITAL-ROCKLAND COUNTY

INFIRMARY

   INPATIENT ACUTE CARE

$ 217.00

ALL INCLUSIVE

NO E.R. SERVICE

   PSYCHIATRIC CARE

$ 177.00

ALL INCLUSIVE

NO E.R. SERVICE

SULLIVAN

COMMUNITY GENERAL HOSPITAL OF SULLIVAN

COUNTY - HARRIS

   INPATIENT ACUTE CARE

$ 326.00

A

$ 35.00

COMMUNITY GENERAL HOSPITAL OF SULLIVAN

COUNTY G HERMAN DIV

   INPATIENT ACUTE CARE

$ 281.00

A

$ 35.00

ULSTER

 BENEDICTINE HOSPITAL

   INPATIENT ACUTE CARE

$ 266.00

A

$ 35.00

 ELLENVILLE COMMUNITY

  HOSPITAL

   INPATIENT ACUTE CARE

$ 258.00

ALL INCLUSIVE

$ 26.00

 KINGSTON HOSPITAL

   INPATIENT ACUTE CARE

$ 249.00

A

$ 30.00

WESTCHESTER

 BLYTHEDALE CHILDRENS

  HOSPITAL

   INPATIENT ACUTE CARE

$ 314.00

ALL INCLUSIVE

NO E.R. SERVICE

 BURKE REHABILITATION CENTER

   INPATIENT ACUTE CARE

$ 388.00

ALL INCLUSIVE

NO E.R. SERVICE

 DOBBS FERRY HOSPITAL

   INPATIENT ACUTE CARE

$ 229.00

A

$ 26.00

 LAWRENCE HOSPITAL

   INPATIENT ACUTE CARE

$ 303.00

A

$ 35.00

 MOUNT VERNON HOSPITAL

   INPATIENT ACUTE CARE

$ 301.00

A

$ 30.00

 NEW ROCHELLE HOSPITAL

  MEDICAL CENTER

   INPATIENT ACUTE CARE

$ 385.00

A,B

$ 35.00

NEW YORK HOSPITAL-CORNELL MEDICAL CENTER

WESTCHESTER DIVISION

   PSYCHIATRIC CARE

$ 325.00

ALL INCLUSIVE

NO E.R. SERVICE

 NORTHERN WESTCHESTER

  HOSPITAL

   INPATIENT ACUTE CARE

$ 386.00

A,B,C, OTHER:

$ 35.00

ULTRASOUND, CATSCANS,

RADIATION THERAPY

 PEEKSKILL HOSPITAL

   INPATIENT ACUTE CARE

$ 297.00

A

$ 30.00

 PHELPS MEMORIAL HOSPITAL

  ASSOCIATION

   INPATIENT ACUTE CARE

$ 364.00

A,B,C, OTHER:

$ 35.00

NUCLEAR MEDICINE,

ULTRASOUND

RADIOISOTOPES

 ST AGNES HOSPITAL

   INPATIENT ACUTE CARE

$ 320.00

A,C

$ 35.00

 ST JOHNS RIVERSIDE HOSPITAL

   INPATIENT ACUTE CARE

$ 327.00

A, OTHER: EMG

$ 26.00

 ST JOSEPHS HOSPITAL YONKERS

   INPATIENT ACUTE CARE

$ 288.00

ALL INCLUSIVE

$ 35.00

ST VINCENTS HOSP AND MEDICAL CTR OF NY WESTCHESTER BRANCH

   PSYCHIATRIC CARE

$ 272.00

A

NO E.R. SERVICE

 UNITED HOSPITAL

   INPATIENT ACUTE CARE

$ 359.00

A,B

$ 30.00

 WESTCHESTER COUNTY MEDICAL

  CENTER

   INPATIENT ACUTE CARE

$ 546.00

A,B,C, OTHER:

$ 35.00

ALL PROF. SERVICES

 WHITE PLAINS HOSPITAL

  MEDICAL CENTER

   INPATIENT ACUTE CARE

$ 350.00

A,C

$ 35.00

 YONKERS GENERAL HOSPITAL

   INPATIENT ACUTE CARE

$ 254.00

A,C

$ 35.00

WORKERS' COMPENSATION

HOSPITAL RATE SCHEDULE

LONG ISLAND REGION

EFFECTIVE 01/01/83 - 12/31/83

DAILY

EMERGENCY SERVICE

RATE

EXCLUSIONS:

ROOM RATE

NASSAU

 CENTRAL GENERAL HOSPITAL

   INPATIENT ACUTE CARE

$ 305.00

A,B

$ 35.00

 COMMUNITY HOSPITAL AT GLEN

  COVE

   INPATIENT ACUTE CARE

$ 350.00

A

$ 27.00

 FRANKLIN GENERAL HOSPITAL

   INPATIENT ACUTE CARE

$ 308.00

A

$ 30.00

 HEMPSTEAD GENERAL HOSPITAL

   INPATIENT ACUTE CARE

$ 339.00

A, B, C

$ 30.00

 LONG BEACH MEMORIAL HOSPITAL

   INPATIENT ACUTE CARE

$ 289.00

A

$ 30.00

 LONG ISLAND JEWISH -

  HILLSIDE MEDICAL

  CENTER

 (MANHASSET DIV.)

   INPATIENT ACUTE CARE

$ 490.00

A, OTHER: CARDIAC

$ 35.00

CATHERIZATION

 LYDIA E HALL HOSPITAL

   INPATIENT ACUTE CARE

$ 317.00

A,B, OTHER:

$ 30.00

NUCLEAR MEDICINE

 MASSAPEQUA GENERAL HOSPITAL

   INPATIENT ACUTE CARE

$ 384.00

A

$ 30.00

 MERCY HOSPITAL OF ROCKVILLE

  CENTER

   INPATIENT ACUTE CARE

$ 315.00

A

$ 35.00

 MID-ISLAND HOSPITAL

   INPATIENT ACUTE CARE

$ 309.00

A,C

$ 27.00

 NASSAU COUNTY MEDICAL CENTER

  EAST

  MEADOW DIV

   INPATIENT ACUTE CARE

$ 513.00

ALL INCLUSIVE

$ 30.00

 NASSAU HOSPITAL

   INPATIENT ACUTE CARE

$ 366.00

A,B,C

$ 35.00

 NORTH SHORE UNIVERSITY

  HOSPITAL

   INPATIENT ACUTE CARE

$ 463.00

A

$ 35.00

 SOUTH NASSAU COMMUNITIES

  HOSPITAL

   INPATIENT ACUTE CARE

$ 278.00

A

$ 26.00

 ST FRANCIS HOSPITAL OF

  ROSLYN

   INPATIENT ACUTE CARE

$ 464.00

A,C

$ 35.00

SUFFOLK

 BROOKHAVEN MEMORIAL HOSPITAL

   INPATIENT ACUTE CARE

$ 326.00

A,C

$ 35.00

 BRUNSWICK HOSPITAL CENTER

  INC

   INPATIENT ACUTE CARE

$ 393.00

A,C, OTHER: EKG,

$ 35.00

EEG,

ELECTROMYOGRAPHY,

NUCLEAR SCANS,

SONOGRAMS

   REHABILITATION

$ 385.00

A,C

 CENTRAL SUFFOLK HOSPITAL

  ASSOCIATION

   INPATIENT ACUTE CARE

$ 261.00

A

$ 27.00

 EASTERN LONG ISLAND HOSPITAL

   INPATIENT ACUTE CARE

$ 373.00

A

$ 35.00

 GOOD SAMARITAN HOSPITAL OF

  WEST ISLIP

   INPATIENT ACUTE CARE

$ 296.00

A

$ 30.00

 HUNTINGTON HOSPITAL

   INPATIENT ACUTE CARE

$ 301.00

A, OTHER: DIALYSIS,

$ 27.00

CHEMOTHERAPY,

RESPIRATORY THERAPY

SUFFOLK

 JOHN T MATHER MEMORIAL

  HOSPITAL OF

  PORT

 JEFFERSON NEW YORK INC

   INPATIENT ACUTE CARE

$ 299.00

A,C

$ 35.00

 SMITHTOWN GENERAL HOSPITAL

   INPATIENT ACUTE CARE

$ 311.00

A

$ 27.00

 SOUTHAMPTON HOSPITAL

   INPATIENT ACUTE CARE

$ 334.00

A

$ 27.00

 SOUTHSIDE HOSPITAL

   INPATIENT ACUTE CARE

$ 301.00

A,C

$ 30.00

 ST CHARLES HOSPITAL

   INPATIENT ACUTE CARE

$ 309.00

A

$ 27.00

 ST JOHNS EPISCOPAL HOSPITAL

  SMITHTOWN

   INPATIENT ACUTE CARE

$ 352.00

A,B,C

$ 35.00

 UNIVERSITY HOSPITAL OF STONY

  BROOK

   INPATIENT ACUTE CARE

$ 583.00

A,C

$ 35.00

WORKERS' COMPENSATION

HOSPITAL RATE SCHEDULE

NEW YORK CITY REGION

EFFECTIVE 01/01/83 - 12/31/83

DAILY

EMERGENCY SERVICE

RATE

EXCLUSIONS:

ROOM RATE

 ASTORIA GENERAL HOSPITAL

   INPATIENT ACUTE CARE

$ 284.00

A,OTHER:EEG,

$ 27.00

NUCLEAR MEDICINE

 BAPTIST MEDICAL CENTER OF

  NEW YORK

   INPATIENT ACUTE CARE

$ 368.00

A

$ 27.00

 BAYLEY SETON HOSPITAL

   INPATIENT ACUTE CARE

$ 710.00

ALL INCLUSIVE

$ 35.00

 BETH ISRAEL MEDICAL CENTER

   INPATIENT ACUTE CARE

$ 531.00

A,OTHER:

$ 35.00

PHYSICIANS

SERVICES

 BOOTH MEMORIAL MEDICAL

  CENTER

   INPATIENT ACUTE CARE

$ 472.00

A,B

$ 35.00

 BOULEVARD HOSPITAL

   INPATIENT ACUTE CARE

$ 243.00

A,OTHER:

$ 26.00

NUCLEAR

 BRONX-LEBANON HOSPITAL

MEDICINE

  CENTER

   INPATIENT ACUTE CARE

$ 430.00

A,C

$ 30.00

 BROOKDALE HOSPITAL MEDICAL

  CENTER

   INPATIENT ACUTE CARE

$ 412.00

A,C

$ 35.00

 BROOKLYN HOSPITAL

   INPATIENT ACUTE CARE

$ 489.00

A,OTHER:

$ 27.00

RADIOLOGICAL

SURGICAL INTERVENTION PROCEDURES

PHYSIOTHERAPY CONSULTANTS

 CABRINI HEALTH CARE CTR

   INPATIENT ACUTE CARE

$ 437.00

A,B,C, OTHER: EEG,

$ 35.00

EKG,

RADIOISOTOPES,

ULTRASOUND

 CALEDONIAN HOSPITAL OF THE

  CITY OF NY

   INPATIENT ACUTE CARE

(SEE BROOKLYN HOSPITAL)

 CALVARY HOSPITAL

   INPATIENT ACUTE CARE

$ 384.00

ALL INCLUSIVE

NO E.R. SERVICE

 CATHOLIC MEDICAL CENTER

   INPATIENT ACUTE CARE

$ 490.00

ALL INCLUSIVE

$ 27.00

 COMMUNITY HOSPITAL OF

  BROOKLYN INC.

   INPATIENT ACUTE CARE

$ 318.00

A,OTHER:

$ 26.00

NUCLEAR MEDICINE,

ULTRASOUND

 DEEPDALE GENERAL HOSPITAL

   INPATIENT ACUTE CARE

$ 290.00

A,B,C

$ 26.00

 DOCTORS HOSPITAL INC

   INPATIENT ACUTE CARE

$ 385.00

A,C

$ 35.00

 DOCTORS HOSPITAL OF STATEN

  ISLAND

   INPATIENT ACUTE CARE

$ 313.00

A

$ 27.00

 FLATBUSH GENERAL HOSPITAL

   INPATIENT ACUTE CARE

$ 306.00

A

$ 26.00

 FLUSHING HOSPITAL AND

  MEDICAL CENTER

   INPATIENT ACUTE CARE

$ 370.00

A

$ 30.00

 H I P HOSPITAL INC

   INPATIENT ACUTE CARE

$ 370.00

A

$ 35.00

 HOSPITAL FOR JOINT DISEASES

  AND MEDICAL

 CENTER ORTHOPEDIC INSTITUTE

   INPATIENT ACUTE CARE

$ 718.00

A,C

NO E.R. SERVICE

 HOSPITAL FOR SPECIAL SURGERY

   INPATIENT ACUTE CARE

$ 511.00

A,B

NO E.R. SERVICE

 INSTITUTE OF REHAB MEDICINE

  NY UNIVERSITY

   REHABILITATION

$ 403.00

A,C,D

NO E.R. SERVICE

 JAMAICA HOSPITAL

   INPATIENT ACUTE CARE

$ 412.00

A,B,D

$ 27.00

JEWISH HOSPITAL AND MEDICAL CENTER

OF BROOKLYN

   INPATIENT ACUTE CARE

$ 452.00

A

$ 35.00

 JEWISH MEMORIAL HOSPITAL

   INPATIENT ACUTE CARE

$ 272.00

A

$ 35.00

 JOINT DISEASES NORTH

  GENERAL HOSPITAL

   INPATIENT ACUTE CARE

$ 407.00

ALL INCLUSIVE

$ 35.00

 KINGS HIGHWAY HOSPITAL

   INPATIENT ACUTE CARE

$ 298.00

A,C

$ 27.00

 KINGSBROOK JEWISH MEDICAL

  CENTER

   INPATIENT ACUTE CARE

$ 399.00

A,B,C

$ 35.00

 LENOX HILL HOSPITAL

   INPATIENT ACUTE CARE

$ 468.00

A,C,OTHER: EMG

$ 35.00

 LONG ISLAND COLLEGE

  HOSPITAL

   INPATIENT ACUTE CARE

$ 470.00

A,B,C

$ 30.00

 LONG ISLAND JEWISH-HILLSIDE

  MED CTR

   INPATIENT ACUTE CARE

$ 490.00

A,B,OTHER:

$ 35.00

CARDIAC-

CATHERIZATION

 LUTHERAN MEDICAL CENTER

   INPATIENT ACUTE CARE

$ 381.00

A

$ 30.00

 MAIMONIDES MEDICAL CENTER

   INPATIENT ACUTE CARE

$ 506.00

A,B

$ 35.00

 MANHATTAN EYE EAR AND

  THROAT HOSPITAL

   INPATIENT ACUTE CARE

$ 473.00

A,B,C, OTHER: EKG

$ 26.00**

 MEDICAL ARTS CENTER

  HOSPITAL

   INPATIENT ACUTE CARE

$ 302.00

A

$ 26.00

MEMORIAL HOSPITAL FOR CANCER AND

ALLIED DISEASES

   INPATIENT ACUTE CARE

$ 751.00

ALL INCLUSIVE

NO E.R. SERVICE

 METHODIST HOSPITAL OF

  BROOKLYN

   INPATIENT ACUTE CARE

$ 435.00

A, OTHER:

$ 35.00

PSYCHIATRY

 MISERICORDIA HOSPITAL

  MEDICAL CENTER

   INPATIENT ACUTE CARE

$ 359.00

A,B,OTHER: CARDIO-

$ 35.00

PULMONARY, RENAL

 MONTEFIORE HOSPITAL &

  MEDICAL CENTER

   INPATIENT ACUTE CARE

$ 598.00

A,B, OTHER:

$ 35.00

NUCLEAR

MEDICINE (RADIOISTOPES)

 MOUNT SINAI HOSPITAL

   INPATIENT ACUTE CARE

$ 577.00

A,B, OTHER: EKG,

$ 30.00

NUCLEAR MEDICINE

 NY EYE AND EAR INFIRMARY

   INPATIENT ACUTE CARE

$ 462.00

A

NO E.R. SERVICE

NEW YORK HOSPITAL AND PAYNE WHITNEY

PSYCHIATRIC CLINIC

   INPATIENT ACUTE CARE

$ 541.00

A,B. OTHER:

$ 35.00

SURGICAL

PATHOLOGY,

CYTOLOGY

 NY INFIRMARY BEEKMAN

  DOWNTOWN HOSPITAL

   INPATIENT ACUTE CARE

$ 494.00

ALL INCLUSIVE

$ 35.00

 NY UNIVERSITY MEDICAL

  CENTER

   INPATIENT ACUTE CARE

$ 530.00

A,B,C

$ 35.00

OSTEOPATHIC HOSPITAL AND

  CLINIC

  OF NEW YORK D/B/A

  HILLCREST GENERAL HOSPITAL

   INPATIENT ACUTE CARE

$ 309.00

A

$ 27.00

 PARKWAY HOSPITAL

   INPATIENT ACUTE CARE

$ 298.00

A

$ 27.00

 PARSONS HOSPITAL

   INPATIENT ACUTE CARE

$ 241.00

A,C

$ 30.00

 PELHAM BAY GENERAL HOSPITAL

   INPATIENT ACUTE CARE

$ 329.00

A,C

$ 27.00

 PENINSULA HOSPITAL CENTER

   INPATIENT ACUTE CARE

$ 377.00

A,B,C,OTHER:

$ 30.00

NUCLEAR

MEDICINE,

ULTRASOUND

RADIATION THERAPY

 PHYSICIANS HOSPITAL

   INPATIENT ACUTE CARE

$ 278.00

A

$ 26.00

 PRESBYTERIAN HOSPITAL IN

  THE CITY OF NEW YORK

   INPATIENT ACUTE CARE

$ 545.00

A,B

$ 30.00

 PROSPECT HOSPITAL

   INPATIENT ACUTE CARE

$ 209.00

A

$ 26.00

 RICHMOND MEMORIAL HOSPITAL

  AND HEALTH CENTER

   INPATIENT ACUTE CARE

$ 299.00

A

$ 35.00

 ROCKEFELLER UNIVERSITY

  HOSPITAL

   INPATIENT ACUTE CARE

$ 278.00

ALL INCLUSIVE

NO E.R. SERVICE

 ST BARNABAS HOSPITAL

   INPATIENT ACUTE CARE

$ 366.00

B

$ 35.00

 ST CLARES HOSPITAL AND

  HEALTH CENTER

   INPATIENT ACUTE CARE

$ 376.00

A,B,C

$ 30.00

 ST JOHNS EPISCOPAL HOSPITAL

   INPATIENT ACUTE CARE

$ 352.00

A,B,C

$ 35.00

 ST LUKES - ROOSEVELT

  HOSPITAL CENTER

   INPATIENT ACUTE CARE

$ 485.00

A

$ 30.00

   DETOXIFICATION UNIT

$ 181.00

 ST MARYS HOSPITAL OF

  BROOKLYN

   INPATIENT ACUTE CARE

$ 474.00

ALL INCLUSIVE

$ 35.00

 ST VINCENTS HOSPITAL AND

  MEDICAL CENTER OF NY

   INPATIENT ACUTE CARE

$ 493.00

A,B

$ 27.00

 ST VINCENTS MEDICAL CENTER

  OF RICHMOND

   INPATIENT ACUTE CARE

$ 362.00

B

$ 35.00

STATE UNIVERSITY HOSPITAL DOWNSTATE

MEDICAL CENTER

   INPATIENT ACUTE CARE

$ 493.00

A,B

NO E.R. SERVICE

 STATEN ISLAND HOSPITAL

   INPATIENT ACUTE CARE

$ 472.00

A,B, OTHER:

$ 35.00

 TERRACE HEIGHTS HOSPITAL

PULMONARY

   INPATIENT ACUTE CARE

$ 266.00

A

$ 27.00

 UNION HOSPITAL OF THE BRONX

   INPATIENT ACUTE CARE

$ 264.00

A,C

$ 26.00

 VICTORY MEMORIAL HOSPITAL

   INPATIENT ACUTE CARE

$ 305.00

A,B,C,OTHER: EKG

$ 26.00

 WESTCHESTER SQUARE HOSPITAL

   INPATIENT ACUTE CARE

$ 367.00

A

$ 35.00

 WYCKOFF HEIGHTS HOSPITAL

   INPATIENT ACUTE CARE

$ 328.00

A,C,OTHER:

$ 35.00

CARDIOLOGY

 HEALTH AND HOSPITAL

  CORPORATION

 BELLEVUE HOSPITAL CENTER

   INPATIENT ACUTE CARE

$ 527.00

ALL INCLUSIVE

$ 35.00

   EXCLUDING PHYSICIANS

$ 513.00

 BRONX MUNICIPAL HOSPITAL

  CENTER

   INPATIENT ACUTE CARE

$ 590.00

ALL INCLUSIVE

$ 30.00

 CITY HOSPITAL CENTER AT

  ELMHURST

   INPATIENT ACUTE CARE

$ 514.00

ALL INCLUSIVE

$ 27.00

   EXCLUDING PHYSICIANS

$ 488.00

 COLER MEMORIAL HOSPITAL

  AND HOME

   INPATIENT ACUTE CARE

$ 278.00

ALL INCLUSIVE

NO E.R. SERVICE

 CONEY ISLAND HOSPITAL

   INPATIENT ACUTE CARE

$ 491.00

A,C

$ 30.00

   EXCLUDING PHYSICIANS

$ 480.00

 CUMBERLAND HOSPITAL

   INPATIENT ACUTE CARE

$ 629.00

ALL INCLUSIVE

$ 26.00

 GOLDWATER MEMORIAL HOSPITAL

   INPATIENT ACUTE CARE

$ 237.00

ALL INCLUSIVE

NO E.R. SERVICE

 HARLEM HOSPITAL CENTER

   INPATIENT ACUTE CARE

$ 633.00

ALL INCLUSIVE

$ 30.00

   EXCLUDING PHYSICIANS

$ 615.00

 KINGS COUNTY HOSPITAL

  CENTER

   INPATIENT ACUTE CARE

$ 512.00

ALL INCLUSIVE

$ 26.00

 LINCOLN MEDICAL & MENTAL

  HEALTH CENTER

   INPATIENT ACUTE CARE

$ 535.00

ALL INCLUSIVE

$ 35.00

 METROPOLITAN HOSPITAL

  CENTER

   INPATIENT ACUTE CARE

$ 607.00

ALL INCLUSIVE

$ 35.00

   EXCLUDING PHYSICIANS

$ 585.00

 NORTH CENTRAL BRONX

  HOSPITAL

   INPATIENT ACUTE CARE

$ 637.00

ALL INCLUSIVE

$ 35.00

 QUEENS HOSPITAL CENTER

   INPATIENT ACUTE CARE

$ 573.00

ALL INCLUSIVE

$ 35.00

 WOODHULL MEDICAL AND

  MENTAL HEALTH CENTER

   INPATIENT ACUTE CARE

$ 647.00

ALL INCLUSIVE

$ 35.00

**EFECTIVE 1/1/82 - 12/31/83