New York State seal

November 4, 1991

SUBJECT: INSURANCE

WITHDRAWN

Circular Letter No. 18 (1991)

TO: ALL AUTOMOBILE SELF-INSURERS and INSURERS LICENSED TO WRITE AUTOMOBILE INSURANCE IN NEIL YORK

RE: UPDATED NO-FAULT REIMBURSEMENT SCHEDULES FOR HOSPITAL:

(A) INPATIENT SERVICES RENDERED ON & AFTER JULY 1, 1991

(B) OUTPATIENT SERVICES RENDERED ON & AFTER JULY 1, 1991

Pursuant to Regulation No. 83, 1NYCRR 68.2, the No-Fault rate schedules for reimbursing hospital services provided for under. Section 5102(0)(1) of the Insurance Law shall be for hospital:

(A) inpatient services in conformity with Section 2807-c of the Public Health, Law as amended and

(B) outpatient services, in conformity with Chapter 453 of the Laws of 1984.

This Circular Letter advises No-Fault insurers that the State, of New York Department of Health has calculated revised rates of reimbursement for the period July 1, 1991 through December 31, 1991 for hospital inpatient services incurred in 1991 and hospital outpatient services rendered July 1, 1991 through June 30, 1992.

Attached is a copy of the outpatient fee schedule. In addition, upon receipt of a written request from the senior claims officer of your company. the Insurance Department will furnish one copy of the 1991 DRG data to your Company. Since this data has been provided. to Workers' Compensation insurers, please request it only if you have not previously received it from another source. You should make this information available to all your claims personnel who are responsible for. the review of hospital inpatient billings payable under the No-Fault law.

Written requests for the DRG. information- concerning inpatient hospital services can be sent to:

New York State Insurance Department

Property & Casualty insurance Bureau

160 West Broadway

New York. NY 10043-3393

ATTN: Ms. Hoda Nairooz. Senior Examiner

Any questions or problems with regard to the foregoing information should be brought to the attention of Ms. Nairooz at telephone no. (212) 602-8720.

Very truly yours, [SIGNATURE]

SALVATORE R. CURIALE

SUPERINTENDENT OF INSURANCE

STATE OF NEW YORK

WORKERS' COMPENSATION BOARD

OFFICE OF THE CHAIRWOMAN

OUTPATIENT HOSPITAL FEE SCHEDULE

Effective 7/1/91 - 6/30/92

The proposed Outpatient Hospital Fee Schedule was prepared and established pursuant to Chapter 453 Laws of 1984 and will be filed in the Office of the Department of State. This schedule will constitute Sections 329.6 and 329.7 of Title 12 of the Official Compilation of Codes, Rules and Regulations of the State of New York.

These charges are for use in payment of claims under the Workers' Compensation Law, the Volunteer Firefighters' Benefit Law and the Volunteer Ambulance Workers' Benefit Law.

In accordance with the amendments to Sec. 2500-d(6) of the public health law, effective 1-1-91, a hospital designated as a regional poison control center shall no longer be entitled to an add-on fee as part of this schedule.

Barbara Patton

Chairwoman

WORKERS' COMPENSATION

OUTPATIENT HOSPITAL RATE SCHEDULE

WEST NEW YORK REGION

EFFECTIVE 7/1/91 - 6/30/92

 

EMERGENCY SERVICE

 
 

ROOM RATE

 

ALLEGANY

   

 CUBA MEMORIAL HOSPITAL INC

$ 9000

 

MEMORIAL HOSPITAL OF WM F & GERTRUDE

   

 F JONES A/K/A JONES

   

  MEMORIAL

$ 47.00

 
     

CATTARAUGUS

   

OLEAN GENERAL HOSPITAL

$ 90.00

 

SALAMANCA HOSPITAL DISTRICT AUTHORITY

$ 71.00

 

 ST FRANCIS HOSPITAL OF OLEAN

$ 45.00

 

TRI-COUNTY MEMORIAL HOSPITAL

$ 90.00

 
     

CHAUTAUQUA

   

BROOKS MEMORIAL HOSPITAL

$ 61.00

 

 LAKE SHORE HOSPITAL INC

$ 67.00

 

 WESTFIELD MEMORIAL HOSPITAL INC

$ 52.00

 

 WOMANS CHRISTIAN ASSOCIATION

$ 46.00

 
     

ERIE

   

BERTRAND CHAFFEE HOSPITAL

$ 67.00

 

BUFFALO COLUMBUS HOSPITAL

$ 90.00

 

BUFFALO GENERAL HOSPITAL

$ 90.00

 

CHILDRENS HOSPITAL OF BUFFALO

$ 61.00

 

ERIE COUNTY MEDICAL CENTER

$ 90.00

 

KENMORE MERCY HOSPITAL

$ 67.00

 

MERCY HOSPITAL. OF BUFFALO

$ 58.00

 

MILLARD FILLMORE HOSPITAL

$ 90.00

 

 OUR LADY OF VICTORY HOSPITAL OF LACKAWANNA

$ 90.00

 

 ROSWELL PARK MEMORIAL INSTITUTE

NO E.R. SERVICE

 

 SHEEHAN MEMORIAL EMERGENCY HOSPITAL INC.

$ 90.00

 

 SISTERS OF CHARITY HOSPITAL

$ 57.00

 

 ST JOSEPH INTERCOMMUNITY HOSPITAL

$ 90.00

 
     

GENESEE

   

GENESEE MEMORIAL HOSPITAL

$ 69.00

 

ST JEROME HOSPITAL

$ 82.00

 
 

EMERGENCY SERVICE

 

ROOM RATE

NIAGARA

 

DEGRAFF MEMORIAL HOSPITAL

$ 64.00

 INTER-COMMUNITY MEMORIAL HOSPITAL AT NEWFANE INC

$ 47.00

LOCKPORT MEMORIAL HOSPITAL

$ 77.00

 MOUNT ST MARYS HOSPITAL OF NIAGARA FALLS

$ 72.00

NIAGARA FALLS MEMORIAL MEDICAL CENTER

$ 86.00

   

ORLEANS

 

MEDINA MEMORIAL HOSPITAL

$ 79.00

   

WYOMING

 

WYOMING COUNTY COMMUNITY HOSPITAL

$ 74.00

WORKERS' COMPENSATION

OUTPATIENT HOSPITAL RATE SCHEDULE

ROCHESTER NEW YORK REGION.

EFFECTIVE 7/1/91 - 6/30/92

 

EMERGENCY SERVICE

 

ROOM RATE

CHEMUNG

 

ARNOT-OGDEN MEMORIAL HOSPITAL

$ 90.00

 ST JOSEPHS HOSPITAL OF ELMIRA

$ 90.00

   

LIVINGSTON

 

NICHOLAS H NOYES MEMORIAL HOSPITAL

$ 66.00

   

MONROE

 

GENESEE HOSPITAL OF ROCHESTER

$ 90.00

HIGHLAND HOSPITAL OF ROCHESTER

$ 90.00

LAKESIDE MEMORIAL HOSPITAL

$ 81.00

MONROE COMMUNITY HOSPITAL

NO E.R. SERVICE

PARK RIDGE HOSPITAL

$ 85.00

ROCHESTER GENERAL HOSPITAL

$ 82.00

 ST MARYS HOSPITAL OF ROCHESTER

$ 83.00

STRONG MEMORIAL HOSPITAL

$ 90.00

   

ONTARIO

 

CLIFTON SPRINGS HOSPITAL AND CLINIC

$ 90.00

F F THOMPSON HOSPITAL

$ 90.00

GENEVA GENERAL HOSPITAL

$ 76.00

   

SCHUYLER

 

SCHUYLER HOSPITAL

$ 64.00

   

SENECA

 

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

 

 MEMORIAL HOSP

$ 90.00

   

STEUBEN

 

CORNING HOSPITAL

$ 71.00

IRA DAVENPORT MEMORIAL HOSPITAL INC

$ 90.00

ST JAMES MERCY HOSPITAL

$ 57.00

   

WAYNE

 

 MYERS COMMUNITY HOSPITAL FOUNDATION INC

$ 84.00

 NEWARK-WAYNE COMMUNITY HOSPITAL INC

$ 90.00

   

YATES

 

 SOLDIERS AND SAILORS MEMORIAL

$ 60.00

 HOSPITAL OF YATES COUNTY INC

 

WORKERS' COMPENSATION

OUTPATIENT HOSPITAL RATE SCHEDULE

CENTRAL NEW YORK REGION

EFFECTIVE 7/1/91 - 6/30/92

 

EMERGENCY SEVICE

 

ROOM RATE

BROOME

 

 OUR LADY OF LOURDES MEMORIAL HOSPITAL

$ 90.00

 UNITED HEALTH SERVICES INC

$ 89.00

   

CAYUGA

 

AUBURN MEMORIAL HOSPITAL

$ 64.00

   

CHENANGO

 

 CHENANGO MEMORIAL HOSPITAL INC

$ 78.00

   

CORTLAND

 

 CORTLAND MEMORIAL HOSPITAL INC

$ 61.00

   

HERKIMER

 

LITTLE FALLS HOSPITAL

$ 57.00

MOHAWK VALLEY GENERAL HOSPITAL

$ 57.00

   

JEFFERSON

 

 CARTHAGE AREA HOSPITAL INC

$ 89.00

 EDWARD JOHN NOBLE HOSPITAL OF ALEXANDRIA BAY

$ 74.00

 HOUSE OF THE GOOD SAMARITAN

$ 72.00

 MERCY HOSPITAL OF WATERTOWN

$ 90.00

   

LEWIS

 

 LEWIS COUNTY GENERAL HOSPITAL

$ 70.00

   

MADISON

 

 COMMUNITY MEMORIAL HOSPITAL INC

$ 63.00

 ONEIDA CITY HOSPITAL

$ 54.00

   

ONEIDA CHILDRENS HOSPITAL AND REHABILITATION CENTER

NO E.R. SERVICE

FAXTON HOSPITAL

$ 51.00

ROME HOSPITAL AND MURPHY MEMORIAL HOSPITAL

$ 68.00

ST ELIZABETH HOSPITAL

$ 89.00

ST LUKES MEMORIAL HOSPITAL CENTER

$ 12.00

   

ONONDAGA

 

 COMMUNITY GENERAL HOSPITAL OF GREATER SYRACUSE

$ 90.00

 GROUSE - IRVING MEMORIAL HOSPITAL

$ 90.00

 ST JOSEPHS HOSPITAL HEALTH CENTER

$ 79.00

 STATE UNIVERSITY HOSPITAL UPSTATE MEDICAL CENTER

$ 90.00

   

OSWEGO

 

 ALBERT LINDLEY LEE MEMORIAL HOSPITAL

$ 54.00

 OSWEGO HOSPITAL

$ 63.00

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

Lidocaine 2 percent

 

with/without Epinephrine

Alcohol 70 percent

lidocaine 5 percent

 

ointment

Alcohol swabs.

Lindane lotion (e.g. Kwell)

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

Lubricating jelly.

Aspirin 325 mg. tablet

Magnesium Stilfsitf.

Aromatic Spirits of Ammonia

Meperidine injection

 

(e.g. Demerol)

Atropine 2 percent Ophthalmic Solotion

Merthiolate

Atropine 0.4 mg/ml

Neomycin and Polymyxin

 

B Sulfates

Bacitracin ointment

w/Hydrocortisone

 

ophthalmic suspension

Castor Oil

(e.g. Cortisporin)

Calamine lotion

Nitroglycerin 0.4 mg.

 

s. 1. tablet

Collodion Flexible

Nitroglycerin 0.6 mg.

 

s. 1. tablet

Cold Cream

Peppermint Spirit

Chilliest tablets

Petrolatum

Dibucaine 1 percent ointment (e.g. Nupercainal)

Providone-Iodine solution

 

(e.g. Betadine),

Epinephrine Injection

Pralidoxime Chloride

 

(e.g. Protopam)

Ethyl Chloride spray

Silver Nitrate Sticks

Gelfoam

Silver Sulfadiazine

 

cream (e.g. Silvadene)

Glycerin suppository

Sodium Chloride -

 

injection

Hematest tablets

Sodium Chloride for

 

irrigation

Hydrocortisone 1 percent ointment

Sterile Water for

 

irrigation

Hydrogen Peroxide

Talcum powder

Iodine

Tetanus Toxoid

Ipecac Syrup

Tuberculin PPD

 

(1st and 2nd strength)

Lidocaine 2 percent viscous (e.g. Xylocaine)

Witch Hazel

Lidocaine 1 percent with/without Epinephrine

Zinc Oxide ointment

WORKERS' COMPENSATION

SCHEDULE OF RATES FOR OUTPATIENT HOSPITAL SERVICES

Effective 7/1/91 - 6/30/92

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 indicated in 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 indicated in 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

   

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

WORKERS' COMPENSATION

OUTPATIENT HOSPITAL RATE SCHEDULE

NORTHEASTERN NEW YORK REGION

EFFECTIVE 7/1/91 - 6/30/92

 

EMERGENCY SERVICE

 
 

ROOM RATE

 
     

SARATOGA

   

 ADIRONDACK REGIONAL HOSPITAL

$ 90.00

 

 SARATOGA HOSPITAL

$ 67.00

 
     

SCHENECTADY

   

 BELLEVUE MATERNITY HOSPITAL INC

NO E.R. SERVICE

 

 ELLIS HOSPITAL$ 90.00

   

 ST CLARES HOSPITAL OF SCHENECTADY

$ 5 9.00

 

 SUNNYVIEW HOSPITAL AND REHABILITATION CENTER

NO E.R. SERVICE

 
     

SCHOHARIE

   

 COMMUNITY HOSPITAL OF SCHOHARIE COUNTY INC

$ 90.00

 
     

WARREN

   

 GLENS FALLS HOSPITAL

$ 86.00

 
     

WASHINGTON

   

 MARY MCCLELLAN HOSPITAL

$ 78.00

 
 

EMERGENCY SERVICE

 

ROOM RATE

DUTCHESS

 

 NORTHERN DUTCHESS HOSPITAL

$ 66.00

 ST FRANCIS HOSPITAL OF BEACON

$ 84.00

 ST FRANCIS HOSPITAL OF POUGHKEEPSIE

$ 90.00

 VASSAR BROTHERS HOSPITAL

$ 83.00

   

ORANGE

 

 ARDEN HILL HOSPITAL

$ 67.00

 CORNWALL. HOSPITAL

$ 88.00

 E A HORTON MEMORIAL HOSPITAL

$ 79.00

MERCY COMMUNITY HOSPITAL OF PORT JERVIS

$ 90.00

 ST ANTHONY COMMUNITY HOSPITAL

$ 65.00

 ST LUKES HOSPITAL OF NEWBURGH

$ 84.00

   

PUTNAM

 

JULIA BUTTERFIELD MEMORIAL HOSPITAL

$ 62.00

 PUTNAM COMMUNITY HOSPITAL

$ 84.00

   

ROCKLAND

 

 GOOD SAMARITAN HOSPITAL OF SUFFERN

$ 90.00

 HELEN HAYES HOSPITAL

NO E.R. SERVICE

 NYACK HOSPITAL

$ 90.00

 SUMMIT PARK HOSPITAL-ROCKLAND COUNTY INFIRMARY

NO E.R. SERVICE

   

SULLIVAN

 

 COMMUNITY GENERAL HOSPITAL OF

 

 SULLIVAN COUNTY-HARRIS DIV

$ 75.00

 COMMUNITY GENERAL HOSPITAL OF

 

 SULLIVAN COUNTY G HERMAN DIV

$ 90.00

   

ULSTER

 

 BENEDICTINE HOSPITAL

$ 75.00

 ELLENVILLE COMMUNITY HOSPITAL

$ 37.00

 KINGSTON HOSPITAL

$ 89.00

   

WESTCHESTER

 

 BLYTHEDALE CHILDRENS HOSPITAL

NO. E.R. SERVICE

 BURKE REHABILITATION CENTER

NO E.R. SERVICE

 DOBBS FERRY HOSPITAL

$ 90.00

 LAWRENCE HOSPITAL

$ 90.00

WORKERS' COMPENSATION

OUTPATIENT HOSPITAL RATE SCHEDULE

CENTRAL NEW YORK REGION

EFFECTIVE 7/1/91 - 6/30/92

 

EMERGENCY SERVICE

 

ROOM RATE

ST LAWRENCE

 

 A BARTON HEPBURN HOSPITAL

$ 90.00

 CANTON-POTSDAM HOSPITAL

$ 66.00

 CLIFTON-FINE HOSPITAL

$ 47.00

 EDWARD JOHN NOBLE HOSPITAL

 

 OF GOUVERNEUR

$ 63.00

 MASSENA MEMORIAL HOSPITAL

$ 90.00

   

TOMPKINS

 

 TOMPKINS COUNTY HOSPITAL

$ 55.00

WORKERS' COMPENSATION

OUTPATIENT HOSPITAL RATE SCHEDULE

NORTHEASTERN NEW YORK REGION

EFFECTIVE 7/1/91 - 6/30/92

 

EMERGENCY SERVICE

 

ROOM RATE

 

ALBANY

 ALBANY MEDICAL CENTER HOSPITAL

$ 90.00

 CHILDS HOSPITAL

NO E.R. SERVICE

 MEMORIAL HOSPITAL OF ALBANY

$ 90.00

 ST PETERS HOSPITAL

$ 90.00

   

CLINTON

 

 CHAMPLAIN VALLEY PHYSICIANS

 

 HOSPITAL MEDICAL CTR

$ 67.00

   

COLUMBIA

 

 COLUMBIA - GREENE MEDICAL CENTER

$ 76.00

   

DELAWARE

 

 A LINDSAY & OLIVE B OCONNOR HOSPITAL

$ 90.00

 COMMUNITY HOSPITAL OF STAMFORD

$ 90.00

 DELAWARE VALLEY HOSPITAL INC

$ 90.00

 MARGARETVILLE MEMORIAL HOSPITAL

$ 90.00

 THE HOSPITAL

$ 71.00

   

ESSEX

 

 ELIZABETHTOWN COMMUNITY HOSPITAL

$ 90.00

 MOSES-LUDINGTON HOSPITAL

$ 77.00

 PLACID MEMORIAL HOSPITAL INC

 

 (ADIRONDACK MEDICAL CENTER)

$ 90.00

   

FRANKLIN

 

 ALICE HYDE MEMORIAL HOSPITAL

$ 88.00

 GENERAL HOSPITAL OF SARANAC LAKE

 

 (ADIRONDACK MEDICAL CENTER)

$ 90.00

   

FULTON

 

 NATHAN LITTAUER HOSPITAL

$ 72.00

   

GREENE

 

 MEMORIAL HOSPITAL AND NURSING

 

 HOME OF GREENE COUNTY

 

 SEE COLUMBIA-GREENE MEDICAL CENTER

 
   

MONTGOMERY

 

 AMSTERDAM MEMORIAL HOSPITAL

$ 90.00

 ST MARYS HOSPITAL AT AMSTERDAM

$ 78.00

   

OTSEGO

 

 AURELIA OSBORN FOX MEMORIAL HOSPITAL

$ 90.00

 MARY IMOGENE BASSETT HOSPITAL

$ 90.00

   

RENSSELAER

 

 LEONARD HOSPITAL

$ 90.00

 SAMARITAN HOSPITAL OF TROY

$ 83.00

 ST MARYS HOSPITAL OF TROY

$ 90.00

WORKERS' COMPENSATION

OUTPATIENT HOSPITAL RATE SCHEDULE

NEWYORK CITY REGION

EFFECTIVE 7/1/91 - 6/30/92

 

EMERGENCY SERVICE

 
 

ROOM RATE

 

ASTORIA GENERAL HOSPITAL

$ 90.00

 

BAYLEY SETON HOSPITAL

$ 90.00

 

BETH ISRAEL MEDICAL CENTER

$ 90.00

 

BOOTH MEMORIAL MEDICAL CENTER

$ 90.00

 

BRONX-LEBANON HOSPITAL CENTER

$ 90.00

 

BROOKDALE HOSPITAL MEDICAL CENTER

$ 90.00

 

BROOKLYN/CALEDONIAN HOSPITAL

$ 90.00

 

CABRINI HEALTH CARE CTR

$ 90.00

 

CALVARY HOSPITAL

NO E.R. SERVICE

 

CATHOLIC MEDICAL CENTER

$ 90.00

 

COMMUNITY HOSPITAL OF BROOKLYN INC.

$ 90.00

 

DEEPDALE GENERAL HOSPITAL

$ 59.00

 

DOCTORS HOSPITAL INC

$ 90.00

 

DOCTORS HOSPITAL OF STATEN ISLAND

$ 90.00

 

FLUSHING HOSPITAL AND MEDICAL CENTER

$ 90.00

 

HIP HOSPITAL INC (LA GUARDIA)

$ 90.00

 

HOSPITAL FOR JOINT DISEASES AND MEDICAL

   

CENTER ORTHOPEDIC INSTITUTE

NO E.R. SERVICE

 

HOSPITAL FOR SPECIAL SURGERY

NO E.R. SERVICE

 

INSTITUTE OF REHAB MEDICINE NY

   

UNIVERSITY (RUSK INSTITUTE)

NO E.R. SERVICE

 

INTERFAITH MEDICAL CENTER

$ 90.00

 

JAMAICA HOSPITAL

$ 90.00

 

JOINT DISEASES NORTH GENERAL HOSPITAL

$ 90.00

 

KINGS HIGHWAY HOSPITAL

$ 77.00

 

KINGSBROOK JEWISH MEDICAL CENTER

$ 90.00

 

LENOX HILL HOSPITAL

$ 90.00

 

LONG ISLAND COLLEGE HOSPITAL

$ 90.00

 

LONG ISLAND JEWISH-HILLSIDE MED CTR

$ 90.00

 

LUTHERAN MEDICAL CENTER

$ 90.00

 

MAIMONIDES MEDICAL CENTER

$ 90.00

 
 

EMERGENCY SERVICE

 

ROOM RATE

MANHATTAN EYE EAR AND THROAT HOSPITAL

$ 71.00

MEDICAL ARTS CENTER HOSPITAL

$ 90.00

MEMORIAL HOSPITAL FOR CANCER AND

$ 90.00

ALLIED DISEASES

 

METHODIST HOSPITAL OF BROOKLYN

$ 90.00

MONTEFIORE HOSPITAL & MEDICAL CENTER

$ 90.00

MOUNT SINAI HOSPITAL

$ 90.00

NY EYE AND EAR INFIRMARY

$ 46.00

NEW YORK HOSPITAL AND PAYNE

$ 90.00

WHITNEY PSYCHIATRIC CLINIC

 

NY INFIRMARY BEEKMAN DOWNTOWN HOSPITAL

$ 84.00

NY UNIVERSITY MEDICAL CENTER - TISCH HOSPITAL

$ 90.00

OUR LADY OF MERCY MEDICAL CENTER

$ 90.00

PARKWAY HOSPITAL

$ 90.00

PELHAM BAY GENERAL HOSPITAL

NO E.R. SERVICE

PENINSULA HOSPITAL CENTER

$ 90.00

PRESBYTERIAN HOSPITAL IN THE CITY OF NEW YORK

$ 90.00

RICHMOND MEMORIAL HOSPITAL AND HEALTH CENTER

$ 90.00

ROCKEFELLER UNIVERSITY HOSPITAL

NO E.R. SERVICE

ST BARNABAS HOSPITAL

$ 90.00

ST CLARES HOSPITAL AND HEALTH CENTER

$ 90.00

ST JOHNS EPISCOPAL HOSPITAL

$ 90.00

(CHURCH CHARITY FOUNDATION)

 

ST LUKES - ROOSEVELT HOSPITAL CENTER

$ 90.00

ST MARYS HOSPITAL OF BROOKLYN -

 

SEE CATHOLIC MEDICAL CENTER

 

ST VINCENTS HOSPITAL AND MEDICAL CENTER OF NY

$ 90.00

ST VINCENTS MEDICAL CENTER OF RICHMOND

$ 90.00

STATE UNIVERSITY HOSPITAL

NO E.R. SERVICE

DOWNSTATE MEDICAL CENTER

 

STATEN ISLAND HOSPITAL

$ 90.00

WORKERS' COMPENSATION

OUTPATIENT HOSPITAL RATE SCHEDULE

NORTHERN METROPOLITAN REGION

EFFECTIVE 7/1/91 - 6/30/92

 

EMERGENCY SERVICE

 

ROOM RATE

WESTCHESTER

 

 MOUNT VERNON HOSPITAL

$ 90.00

 NEW ROCHELLE HOSPITAL MEDICAL CENTER

$ 90.00

 NEW YORK HOSPITAL-CORNELL MEDICAL

NO E.R. SERVICE

 CENTER WESTCHESTER DIVISION

 

 NORTHERN WESTCHESTER HOSPITAL

$ 90.00

 PEEKSKILL HOSPITAL

$ 69.00

 PHELPS MEMORIAL HOSPITAL ASSOCIATION

$ 90.00

 ST AGNES HOSPITAL

$ 90.00

 ST JOHNS RIVERSIDE HOSPITAL

$ 90.00

 ST JOSEPHS HOSPITAL YONKERS

$ 69.00

 ST VINCENTS HOSP AND MEDICAL CTR

NO E.R. SERVICE

 OF NY WESTCHESTER BRANCH

 

 UNITED HOSPITAL

$ 90.00

 WESTCHESTER COUNTY MEDICAL CENTER

$ 90.00

 WHITE PLAINS HOSPITAL MEDICAL CENTER

$ 90.00

 YONKERS GENERAL HOSPITAL

$ 90.00

WORKERS' COMPENSATION

OUTPATIENT HOSPITAL RATE SCHEDULE

LONG ISLAND REGION

EFFECTIVE 7/1/91 - 6/30/92

 

EMERGENCY SERVICE

 

ROOM RATE

NASSAU

 

CENTRAL GENERAL HOSPITAL

$ 90.00

COMMUNITY HOSPITAL AT GLEN COVE

$ 90.00

FRANKLIN GENERAL HOSPITAL

$ 90.00

HEMSTEAD GENERAL HOSPITAL

$ 90.00

LONG BEACH MEMORIAL HOSPITAL

$ 90.00

LONG ISLAND JEWISH - MEDICAL CENTER

 

(MANHASSET DIV.)

$ 90.00

MASSAPEQUA GENERAL HOSPITAL

$ 90.00

MERCY HOSPITAL OF ROCKVILLE CENTRE

$ 90.00

MID - ISLAND HOSPITAL

$ 90.00

NASSAU COUNTY MEDICAL CENTER

$ 90.00

EAST MEADOW DIV

 

NORTH SHORE UNIVERSITY HOSPITAL

$ 90.00

SOUTH NASSAU COMMUNITIES HOSPITAL

$ 76.00

ST FRANCIS HOSPITAL OF ROSLYN

$ 90.00

SYOSSET COMMUNITY HOSPITAL

$ 90.00

WINTHROP - UNIVERSITY HOSPITAL

$ 90.00

(NASSAU HOSPITAL)

 
   

SUFFOLK

 

BROOKHAVEN MEMORIAL HOSPITAL

$ 90.00

BRUNSWICK HOSPITAL CENTER INC

$ 48.00

CENTRAL SUFFOLK HOSPITAL ASSOCIATION

$ 90.00

COMMUNITY HOSPITAL OF WESTERN SUFFOLK

$ 80.00

EASTERN LONG ISLAND HOSPITAL

$ 90.00

GOOD SAMARITAN HOSPITAL OF WEST ISLIP

$ 90.00

HUNTINGTON HOSPITAL

$ 90.00

JOHN T MATHER MEMORIAL HOSPITAL OF

$ 90.00

PORT JEFFERSON NEW YORK INC

 

SOUTHAMTON HOSPITAL

$ 90.00

SOUTHSIDE HOSPITAL

$ 90.00

ST CHARLES HOSPITAL

$ 90.00

ST JOHNS EPISCOPAL HOSPITAL SMITHTOWN

 

 (EPISCOPAL HEALTH SERVICE)

$ 90.00

UNIVERSITY HOSPITAL OF STONY BROOK

$ 90.00

WORKERS' COMPENSATION

OUTPATIENT HOSPITAL RATE SCHEDULE

NEW YORK CITY REGION

EFFECTIVE 7/1/91 - 6/30/92

 

EMERGENCY SERVICE

 

ROOM RATE

UNION HOSPITAL OF THE BRONX

$ 83.00

VICTORY MEMORIAL HOSPITAL

$ 90.00

WESTCHESTER SQUARE HOSPITAL

$ 90.00

WYCKOFF HEIGHTS HOSPITAL

$ 90.00

HEALTH AND HOSPITAL CORPORATION

 

BELLEVUE HOSPITAL CENTER

$ 90.00

BRONX MUNICIPAL HOSPITAL CENTER

$ 90.00

CITY HOSPITAL CENTER AT ELMHURST

$ 87.00

COLER MEMORIAL. HOSPITAL AND HOME

NO E.R. SERVICE

CONEY ISLAND HOSPITAL

$ 90.00

GOLDWATER MEMORIAL HOSPITAL

NO E.R. SERVICE

HARLEM HOSPITAL CENTER

$ 90.00

KINGS COUNTY HOSPITAL CENTER

$ 64.00

LINCOLN MEDICAL & MENTAL HEALTH CENTER

$ 90.00

METROPOLITAN HOSPITAL CENTER

$ 90.00

NORTH CENTRAL BRONX HOSPITAL

$ 90.00

QUEENS HOSPITAL CENTER

$ 90.00

WOODHULL MEDICAL AND MENTAL HEALTH CENTER

$ 90.00