April 14, 1983
SUBJECT: INSURANCE
CIRCULAR LETTER NO. 6 (1983)
WITHDRAWN
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
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Crutches, mechanical splints and appliances |
Rental or |
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Sale at Cost |
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Plaster Cast and/or Splint |
Cost of Plaster |
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Radium and deep therapy |
A & A * |
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E.K.G., E.E.G., X-ray, P.T., and Laboratory |
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Charges |
Rates in |
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Schedule of |
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Medical Fees |
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Promulgated |
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by the Chairman |
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Workers" |
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Compensation Board |
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Materials supplied by the Emergency Room (i.e. sterile |
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trays, medications, etc.) over and above those usually |
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included with the Emergency Room visit may be charged |
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for separately. |
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Itemize these on the bill submitted. |
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__________*"Authorization and Arrangement" |
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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
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WORKERS' COMPENSATION |
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HOSPITAL RATE SCHEDULE |
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WESTERN NEW YORK REGION |
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EFFECTIVE 01/01/83 - 12/31/83 |
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EMERGENCY |
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DAILY |
SERVICE |
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RATE |
EXCLUSIONS: |
ROOM RATE |
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ALLEGANY |
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CUBA MEMORIAL HOSPITAL INC |
$ 259.00 |
ALL INCLUSIVE |
$ 27.00 |
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INPATIENT ACUTE CARE |
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MEMORIAL HOSPITAL OF WM F & |
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GERTRUDE F JONES A/K/A |
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JONES MEMORIAL |
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INPATIENT ACUTE CARE |
$ 232.00 |
ALL INCLUSIVE |
$ 26.00 |
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CATTARAUGUS |
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OLEAN GENERAL HOSPITAL |
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INPATIENT ACUTE CARE |
$ 260.00 |
A |
$ 35.00 |
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SALAMANCA HOSPITAL DISTRICT |
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AUTHORITY INPATIENT |
$ 190.00 |
ALL INCLUSIVE |
$ 27.00 |
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ACUTE CARE |
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ST FRANCIS HOSPITAL OF OLEAN |
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INPATIENT ACUTE CARE |
$ 229.00 |
B. OTHER: ER PHYS |
$ 35.00 |
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TRI-COUNTY MEMORIAL HOSPITAL |
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INPATIENT ACUTE CARE |
$ 228.00 |
A,B |
$ 26.00 |
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CHAUTAUQUA |
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BROOKS MEMORIAL HOSPITAL |
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INPATIENT ACUTE CARE |
$ 248.00 |
A,B |
$ 27.00 |
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JAMESTOWN GENERAL HOSPITAL |
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INPATIENT ACUTE CARE |
$ 236.00 |
A,B |
$ 26.00 |
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LAKE SHORE HOSPITAL INC |
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INPATIENT ACUTE CARE |
$ 208.00 |
B, OTHER: EKG |
$ 27.00 |
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WESTFIELD MEMORIAL HOSPITAL INC |
STRESS TESTING |
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INPATIENT ACUTE CARE |
$ 244.00 |
B |
$ 35.00 |
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WOMANS CHRISTIAN ASSOCIATION |
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INPATIENT ACUTE CARE |
$ 239.00 |
A,B |
$ 27.00 |
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ERIE |
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BERTRAND CHAFFEE HOSPITAL |
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INPATIENT ACUTE CARE |
$ 227.00 |
ALL INCLUSIVE |
$ 26.00 |
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BUFFALO COLUMBUS HOSPITAL |
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INPATIENT ACUTE CARE |
$ 267.00 |
ALL INCLUSIVE |
$ 26.00 |
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BUFFALO GENERAL HOSPITAL |
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INPATIENT ACUTE CARE |
$ 305.00 |
A |
$ 30.00 |
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CHILDRENS HOSPITAL |
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INPATIENT ACUTE CARE |
$ 375.00 |
A |
$ 26.00 |
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ERIE COUNTY MEDICAL CENTER |
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INPATIENT ACUTE CARE |
$ 378.00 |
A,B,C,D |
$ 35.00 |
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KENMORE MERCY HOSPITAL |
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INPATIENT ACUTE CARE |
$ 229.00 |
A,OTHER: EKG |
$ 27.00 |
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LAFAYETTE GENERAL HOSPITAL |
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INPATIENT ACUTE CARE |
$ 215.00 |
A,B |
$ 26.00 |
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MERCY HOSPITAL OF BUFFALO |
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INPATIENT ACUTE CARE |
$ 245.00 |
A |
$ 26.00 |
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MILLARD FILLMORE HOSPITAL |
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INPATIENT ACUTE CARE |
$ 293.00 |
A |
$ 30.00 |
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OUR LADY OF VICTORY HOSPITAL |
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OF LACKAWANNA |
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INPATIENT ACUTE CARE |
$ 238.00 |
A,B. OTHER: |
$ 30.00 |
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ENDOSCOPY, STRESS |
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TESTS-SONOGRAMS, |
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ENDOCARDIOGRAMS, |
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ELECTROMIOGRAPHS |
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ERIE |
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ROSWELL PARK MEMORIAL INSTITUTE |
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INPATIENT ACUTE CARE |
$ 456.00 |
ALL INCLUSIVE |
NO E.R. SERVICE |
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SAINT FRANCIS HOSPITAL OF |
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BUFFALO |
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INPATIENT ACUTE CARE |
$ 188.00 |
A |
$ 27.00 |
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SHEEHAN MEMORIAL EMERGENCY |
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HOSPITAL INC |
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INPATIENT ACUTE CARE |
$ 239.00 |
A,B |
$ 35.00 |
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SHERIDAN PARK HOSPITAL INC |
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INPATIENT ACUTE CARE |
$ 274.00 |
A |
$ 26.00 |
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SISTERS OF CHARITY HOSPITAL |
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INPATIENT ACUTE CARE |
$ 234.00 |
A |
$ 35.00 |
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ST JOSEPH INTERCOMMUNITY |
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HOSPITAL |
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INPATIENT ACUTE CARE |
$ 201.00 |
A |
$ 27.00 |
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GENESEE |
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GENESEE MEMORIAL HOSPITAL |
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INPATIENT ACUTE CARE |
$ 212.00 |
A |
$ 27.00 |
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ST JEROME HOSPITAL |
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INPATIENT ACUTE CARE |
$ 213.00 |
A |
$ 30.00 |
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NIAGARA |
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DEGRAFF MEMORIAL HOSPITAL |
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INPATIENT ACUTE CARE |
$ 225.00 |
A |
$ 26.00 |
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INTER-COMMUNITY MEMORIAL |
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HOSPITAL AT NEWFANE INC |
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INPATIENT ACUTE CARE |
$ 186.00 |
A |
$ 27.00 |
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LOCKPORT MEMORIAL HOSPITAL |
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INPATIENT ACUTE CARE |
$ 196.00 |
A,B. OTHER: EKG, |
$ 30.00 |
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EEG, |
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MOUNT ST MARYS HOSPITAL OF |
NUCLEAR MEDICINE |
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NIAGARA FALLS |
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INPATIENT ACUTE CARE |
$ 259.00 |
A |
$ 26.00 |
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NIAGARA FALLS MEMORIAL |
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MEDICAL CENTER |
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INPATIENT ACUTE CARE |
$ 227.00 |
A |
$ 35.00 |
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ORLEANS |
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ARNOLD GREGORY MEMORIAL |
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HOSPITAL |
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INPATIENT ACUTE CARE |
$ 247.00 |
A |
$ 26.00 |
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MEDINA MEMORIAL HOSPITAL |
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INPATIENT ACUTE CARE |
$ 198.00 |
A,B |
$ 27.00 |
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WYOMING |
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WYOMING COUNTY COMMUNITY |
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HOSPITAL |
$ 273.00 |
A,B |
$ 30.00 |
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INPATIENT ACUTE CARE |
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WORKERS' COMPENSATION |
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HOSPITAL RATE SCHEDULE |
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ROCHESTER NEW YORK REGION |
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EFFECTIVE 01/01/83 - 12/31/83 |
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DAILY |
EMERGENCY SERVICE |
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RATE |
EXCLUSIONS: |
ROOM RATE |
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CHEMUNG |
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ARNOT-OGDEN MEMORIAL |
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HOSPITAL |
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INPATIENT ACUTE CARE |
$ 346.00 |
A,B* |
$ 30.00 |
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ST JOSEPHS HOSPITAL OF |
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ELMIRA |
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INPATIENT ACUTE CARE |
$ 263.00 |
A |
$ 35.00 |
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LIVINGSTON |
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NICHOLAS H NOYES MEMORIAL |
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HOSPITAL |
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INPATIENT ACUTE CARE |
$ 234.00 |
A,B |
$ 30.00 |
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MONROE |
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GENESEE HOSPITAL |
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INPATIENT ACUTE CARE |
$ 347.00 |
A,B |
$ 35.00 |
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HIGHLAND HOSPITAL |
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INPATIENT ACUTE CARE |
$ 188.00 |
A,B |
$ 35.00 |
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LAKESIDE MEMORIAL HOSPITAL |
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INPATIENT ACUTE CARE |
$ 118.00 |
A,B |
$ 30.00 |
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MONROE COMMUNITY HOSPITAL |
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INPATIENT ACUTE CARE |
$ 358.00 |
ALL INCLUSIVE |
NO E.R. SERVICE |
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PARK RIDGE HOSPITAL |
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INPATIENT ACUTE CARE |
$ 379.00 |
A,B,C |
$ 35.00 |
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ROCHESTER GENERAL HOSPITAL |
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INPATIENT ACUTE CARE |
$ 367.00 |
A,B |
$ 35.00 |
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ST MARYS HOSPITAL OF |
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ROCHESTER |
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INPATIENT ACUTE CARE |
$ 308.00 |
A,B,C, OTHER: |
$ 35.00 |
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EKG |
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STRONG MEMORIAL HOSPITAL |
ECHOCARDIOGRAMS, STRESS TESTING |
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INPATIENT ACUTE CARE |
$ 560.00 |
A,B |
$ 35.00 |
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ONTARIO |
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CLIFTON SPRINGS HOSPITAL |
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AND CLINIC |
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INPATIENT ACUTE CARE |
$ 318.00 |
B, OTHER: EKG |
$ 35.00 |
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F F THOMPSON HOSPITAL |
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INPATIENT ACUTE CARE |
$ 126.00 |
ALL INCLUSIVE |
$ 35.00 |
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GENEVA GENERAL HOSPITAL |
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INPATIENT ACUTE CARE |
$ 258.00 |
A |
$ 35.00 |
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SCHUYLER |
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SCHUYLER HOSPITAL |
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INPATIENT ACUTE CARE |
$ 281.00 |
A,B |
$ 26.00 |
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SENECA |
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SENECA FALLS HOSPITAL |
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INPATIENT ACUTE CARE |
$ 329.00 |
A |
$ 35.00 |
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WATERLOO MEMORIAL HOSPITAL INC D/B/A TAYLOR-BROWN MEMORIAL HOSP |
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INPATIENT ACUTE CARE |
$ 151.00 |
A |
$ 27.00 |
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STEUBEN |
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BETHESDA HOSPITAL |
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INPATIENT ACUTE CARE |
$ 210.00 |
A,B,C |
$ 27.00 |
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CORNING HOSPITAL |
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INPATIENT ACUTE CARE |
$ 273.00 |
A |
$ 35.00 |
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IRA DAVENPORT MEMORIAL |
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HOSPITAL INC |
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INPATIENT ACUTE CARE |
$ 265.00 |
A,C |
$ 35.00 |
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ST JAMES MERCY HOSPITAL |
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INPATIENT ACUTE CARE |
$ 235.00 |
A,B |
$ 35.00 |
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WAYNE |
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MYERS COMMUNITY HOSPITAL |
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FOUNDATION INC |
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INPATIENT ACUTE CARE |
$ 188.00 |
A |
$ 35.00 |
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NEWARK-WAYNE COMMUNITY HOSPITAL |
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INC INPATIENT ACUTE CARE |
$ 201.00 |
A |
$ 35.00 |
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YATES |
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SOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES COUNTY INC |
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INPATIENT ACUTE CARE |
$ 153.00 |
A |
$ 30.00 |
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*EFFECTIVE 7/1/82 - 12/31/83 |
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WORKERS' COMPENSATION |
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HOSPITAL RATE SCHEDULE |
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CENTRAL NEW YORK REGION |
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EFFECTIVE 01/01/83 - 12/31/83 |
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DAILY |
EMERGENCY SERVICE |
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RATE |
EXCLUSIONS: |
ROOM RATE |
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BROOME |
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OUR LADY OF LOURDES |
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MEMORIAL HOSPITAL |
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INPATIENT ACUTE CARE |
$ 309.00 |
A,B |
$ 27.00 |
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UNITED HEALTH SERVICES INC |
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INPATIENT ACUTE CARE |
$ 406.00 |
A,B |
$ 30.00 |
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CAYUGA |
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AUBURN MEMORIAL HOSPITAL |
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INPATIENT ACUTE CARE |
$ 206.00 |
A |
$ 30.00 |
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CHENANGO |
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CHENANGO MEMORIAL HOSPITAL |
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INC |
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INPATIENT ACUTE CARE |
$ 302.00 |
A |
$ 30.00 |
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CORTLAND |
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CORTLAND MEMORIAL HOSPITAL |
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INC |
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INPATIENT ACUTE CARE |
$ 243.00 |
A,B,C |
$ 35.00 |
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HERKIMER |
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HERKIMER MEMORIAL HOSPITAL |
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INC |
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INPATIENT ACUTE CARE |
$ 197.00 |
A,B |
$ 26.00 |
|||||||
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LITTLE FALLS HOSPITAL |
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|
INPATIENT ACUTE CARE |
$ 192.00 |
A,B,C |
$ 35.00 |
|||||||
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MOHAWK VALLEY GENERAL |
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HOSPITAL |
||||||||||
|
INPATIENT ACUTE CARE |
$ 220.00 |
ALL INCLUSIVE |
$ 26.00 |
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|
JEFFERSON |
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CARTHAGE AREA HOSPITAL INC |
||||||||||
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INPATIENT ACUTE CARE |
$ 236.00 |
B |
$ 30.00 |
|||||||
|
EDWARD JOHN NOBLE HOSPITAL |
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OF ALEXANDRIA BAY |
||||||||||
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INPATIENT ACUTE CARE |
$ 234.00 |
B |
$ 27.00 |
|||||||
|
HOUSE OF THE GOOD |
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SAMARITAN |
||||||||||
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INPATIENT ACUTE CARE |
$ 243.00 |
A,B |
$ 35.00 |
|||||||
|
MERCY HOSPITAL OF |
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WATERTOWN |
||||||||||
|
INPATIENT ACUTE CARE |
$ 260.00 |
A,B |
$ 35.00 |
|||||||
|
LEWIS |
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LEWIS COUNTY GENERAL |
||||||||||
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HOSPITAL |
||||||||||
|
INPATIENT ACUTE CARE |
$ 322.00 |
B |
$ 35.00 |
|||||||
|
MADISON |
||||||||||
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COMMUNITY MEMORIAL |
||||||||||
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HOSPITAL INC |
||||||||||
|
INPATIENT ACUTE CARE |
$ 207.00 |
A |
$ 27.00 |
|||||||
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ONEIDA CITY HOSPITAL |
||||||||||
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INPATIENT ACUTE CARE |
$ 265.00 |
A,B |
$ 27.00 |
|||||||
|
ONEIDA |
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CHILDRENS HOSPITAL AND |
||||||||||
|
REHABILITATION CENTER |
||||||||||
|
REHABILITATION |
$ 241.00 |
A,C,OTHER: EMG, |
NO E.R. SERVICE |
|||||||
|
Cardiology |
||||||||||
|
ONEIDA |
||||||||||
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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 |
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