▸ Payer

local 1199

Negotiated rates published by hospitals for local 1199 across 2 states. Data sourced from federally-mandated machine-readable files.

Hospitals

Procedures

States

Rate rows

884

Median neg. rate

$19,144

Top procedures for local 1199

By number of hospitals reporting rates for this payer.

Procedure	Type	Code	Hospitals	Avg rate
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	9	$44,914
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	9	$23,565
Heart failure & shock w MCC	MS-DRG	291	9	$29,510
Heart failure & shock w CC	MS-DRG	292	9	$19,564
Heart failure & shock w/o CC/MCC	MS-DRG	293	9	$12,980
Psychoses	MS-DRG	885	9	$31,906
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	9	$17,959
Cardiac arrhythmia w MCC	MS-DRG	308	9	$27,663
Cardiac arrhythmia w CC	MS-DRG	309	9	$16,970
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	9	$12,926
AMI discharged alive w MCC	MS-DRG	280	9	$36,756
AMI discharged alive w CC	MS-DRG	281	9	$21,086
AMI discharged alive w/o CC/MCC	MS-DRG	282	9	$16,588
Intracranial hemorrhage/CVA w MCC	MS-DRG	064	9	$46,172
Intracranial hemorrhage/CVA w CC	MS-DRG	065	9	$23,263
Intracranial hemorrhage/CVA w/o CC/MCC	MS-DRG	066	9	$15,752
Simple pneumonia & pleurisy w CC	MS-DRG	194	9	$18,632
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	9	$14,427
Respiratory infections & inflammations w MCC	MS-DRG	177	9	$36,801
COPD w MCC	MS-DRG	190	9	$25,424
COPD w CC	MS-DRG	191	9	$19,417
COPD w/o CC/MCC	MS-DRG	192	9	$14,756
GI hemorrhage w CC	MS-DRG	378	9	$22,563
GI hemorrhage w/o CC/MCC	MS-DRG	379	9	$14,509
Major small/large bowel procedures w MCC	MS-DRG	329	9	$105,129
Major small/large bowel procedures w CC	MS-DRG	330	9	$54,936
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	9	$38,611
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	9	$38,508
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	9	$31,047
Uterine & adnexa procedures w/o CC/MCC	MS-DRG	744	9	$46,002

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Lowest average negotiated rate across all procedures at this payer.

Hospital	City	ST	Avg neg. rate
Mount Sinai Behavioral Health Center	—	—	$23,325
Mount Sinai West	—	—	$31,163
Mount Sinai Morningside	—	—	$31,163
New York Presbyterian Hospital	New York	NY	$32,491
Garnet Health Medical Center - Catskills, Callicoon Campus	—	—	$43,250
Garnet Health Medical Center - Catsk	Harris	NY	$43,250
Garnet Health Medical Center - Catskills, Harris Campus	—	—	$43,250
Garnet Health Medical Center	Middletown	NY	$50,591
Garnet Health Medical Center	—	—	$50,591

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States with hospitals publishing rates for local 1199.

State	Hospitals	Avg rate
NY	3	$42,379

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