November 4, 1991
SUBJECT: INSURANCE
Circular Letter No. 18 (1991)
WITHDRAWN
TO: ALL AUTOMOBILE SELF-INSURERS and INSURERS LICENSED TO WRITE AUTOMOBILE INSURANCE IN NEW 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 Solution |
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 |
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ROOM RATE |
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MANHATTAN EYE EAR AND THROAT HOSPITAL |
$ 71.00 |
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MEDICAL ARTS CENTER HOSPITAL |
$ 90.00 |
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MEMORIAL HOSPITAL FOR CANCER AND |
$ 90.00 |
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ALLIED DISEASES |
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METHODIST HOSPITAL OF BROOKLYN |
$ 90.00 |
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MONTEFIORE HOSPITAL & MEDICAL CENTER |
$ 90.00 |
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MOUNT SINAI HOSPITAL |
$ 90.00 |
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NY EYE AND EAR INFIRMARY |
$ 46.00 |
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NEW YORK HOSPITAL AND PAYNE |
$ 90.00 |
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WHITNEY PSYCHIATRIC CLINIC |
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NY INFIRMARY BEEKMAN DOWNTOWN HOSPITAL |
$ 84.00 |
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NY UNIVERSITY MEDICAL CENTER - TISCH HOSPITAL |
$ 90.00 |
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OUR LADY OF MERCY MEDICAL CENTER |
$ 90.00 |
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PARKWAY HOSPITAL |
$ 90.00 |
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PELHAM BAY GENERAL HOSPITAL |
NO E.R. SERVICE |
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PENINSULA HOSPITAL CENTER |
$ 90.00 |
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PRESBYTERIAN HOSPITAL IN THE CITY OF NEW YORK |
$ 90.00 |
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RICHMOND MEMORIAL HOSPITAL AND HEALTH CENTER |
$ 90.00 |
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ROCKEFELLER UNIVERSITY HOSPITAL |
NO E.R. SERVICE |
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ST BARNABAS HOSPITAL |
$ 90.00 |
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ST CLARES HOSPITAL AND HEALTH CENTER |
$ 90.00 |
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ST JOHNS EPISCOPAL HOSPITAL |
$ 90.00 |
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(CHURCH CHARITY FOUNDATION) |
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ST LUKES - ROOSEVELT HOSPITAL CENTER |
$ 90.00 |
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ST MARYS HOSPITAL OF BROOKLYN - |
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SEE CATHOLIC MEDICAL CENTER |
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ST VINCENTS HOSPITAL AND MEDICAL CENTER OF NY |
$ 90.00 |
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ST VINCENTS MEDICAL CENTER OF RICHMOND |
$ 90.00 |
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STATE UNIVERSITY HOSPITAL |
NO E.R. SERVICE |
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DOWNSTATE MEDICAL CENTER |
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STATEN ISLAND HOSPITAL |
$ 90.00 |
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WORKERS' COMPENSATION
OUTPATIENT HOSPITAL RATE SCHEDULE
NORTHERN METROPOLITAN REGION
EFFECTIVE 7/1/91 - 6/30/92
|
EMERGENCY SERVICE |
|
|
ROOM RATE |
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WESTCHESTER |
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MOUNT VERNON HOSPITAL |
$ 90.00 |
|
NEW ROCHELLE HOSPITAL MEDICAL CENTER |
$ 90.00 |
|
NEW YORK HOSPITAL-CORNELL MEDICAL |
NO E.R. SERVICE |
|
CENTER WESTCHESTER DIVISION |
|
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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 |
|
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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 |
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NASSAU |
|
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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 |
|
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(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 |
|
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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 |